文档介绍：该【《心肌病心内科》 】是由【相惜】上传分享，文档一共【26】页，该文档可以免费在线阅读，需要了解更多关于【《心肌病心内科》 】的内容，可以使用淘豆网的站内搜索功能，选择自己适合的文档，以下文字是截取该文章内的部分文字，如需要获得完整电子版，请下载此文档到您的设备，方便您编辑和打印。DilatedCardiomyopathy ?CardiovascularMedicine编辑课件Case ,,P98regularLungs::Enlargedheartborder. S1diminishedintensity,S2normal,S3ispresent. 2/:Liverisenlargedandslightlytender :,DCM编辑课件DefinitionHeartmuscledisorderEnlargedleftventricleorbothventriclesImpairedsystolic?pumpfunctionOftenwithmanifestationofheartfailureorarrhythmia编辑课件EpidemiologyAnnualincidence:5-10patientspermillionMale-femaleratio::1Averageageofincidence:40HigherincidenceinthedevelopingcountriesAnnualmortalityrate:25%-45%编辑课件EtiologyNotclearFamilial/ic(20%)?ViralinfectiousagentsandautoimmuneAcuteviral?myocarditis?canprogresstochronicdilatedcardiomyopathyChronichormonaldisordersUseofcertainsubstances,especiallyalcohol,cocaine,antidepressants,andchemotherapydrugs编辑课件PathologyGrossexamination:ThinnedventricularwallsEnlargedventriclesFibrinandscarMuralthrombusNormalvalvesandcoronaryarteries编辑课件DCMNormal编辑课件Microscopicexamination:Myocardialcellmaybehypertrophy,denaturation,'sneedsHeartfailureMyocardialchangesinvolveconductionsystemArrhythmiaMuralthrombusfalloffEmbolism编辑课件