糖原累积症Ⅲ型造成心肌受累一例
吴炜,程康安,邱正庆,赵大春,王怡宁,张抒扬
摘要(Abstract):
<正>1临床资料患者男,25岁,因"发现心电图异常,肌酶升高1年"入院。患者1年前常规体检时发现心电图异常,广泛导联(除V1、V2外)T波低平倒置(图1A),平时活动耐量良好,无胸闷、憋气、胸痛或双下肢水肿。查体:血常规正常;心肌酶中肌酸激酶(CK)2099 U/L(正常18~198 U/L),肌酸激酶MB型(CK-MB)39.3μg/L(正常<3.6μg/L),肌钙蛋白I
关键词(KeyWords): 糖原累积症;心肌;病理
基金项目(Foundation):
作者(Author): 吴炜,程康安,邱正庆,赵大春,王怡宁,张抒扬
参考文献(References):
- [1]Coleman RA,Winter HS,Wolf B,et al.Glycogen storage disease type III(glycogen debranching enzyme deficiency):correlation of biochemical defects with myopathy and cardiomyopathy.Ann Intern Med,1992,116:896-900.
- [2]Carvalho JS,Matthews EE,Leonard JV,et al.Cardiomyopathy of glycogen storage disease type III.Heart Vessels,1993,8:155-159.
- [3]Labrune P,Huguet P,Odievre M.Cardiomyopathy in glycogenstorage disease type III:clinical and echographic study of 18patients.Pediatr Cardiol,1991,12:161-163.
- [4]Akazawa H,Kuroda T,Kim S,et al.Specific heart muscle disease associated with glycogen storage disease type III:clinical similarity to the dilated phase hypertrophic cardiomyopathy.Eur Heart J,1997,18:532-533.