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 <p class="f_center"><img src="http://dingyue.ws.126.net/2024/1105/d0dac214g00smh6n302bwd200u000a0g00it0069.gif"/><br/></p><p id="357UC6CV">肥厚型心肌病根据左心室流出道压力阶差(LVOTG) 可以分为梗阻性、隐匿梗阻性和非梗阻性肥厚型心肌病。静息状态下LVOTG&gt;30 mmHg可以诊断为梗阻性肥厚型心肌病，静息状态下LVOTG&lt;30 mmHg，而激发/负荷试验后LVOTG&gt;30 mmHg诊断为隐匿梗阻性肥厚型心肌病。而LVOTG&gt;50 mmHg考虑可行室间隔减容手术。因此，激发试验对于指导HCM 患者的分型及治疗至关重要。</p><p id="357UC6D1">参考2024年发表的《肥厚型心肌病激发/负荷超声心动图临床应用指南》，整理总结HCM激发超声心动图的检查流程和规范化操作。</p><p id="357UC6D4"><strong>来源：ZZ读文献</strong></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2F52781bcaj00smh6n4007hd200u0009bg00it005t.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2F3c966ec7j00smh6n500btd200u000e0g00it008r.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2Fe7274a4fj00smh6n6001td200s200fig00it00ae.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2Fa2c135a1j00smh6n60087d200u000cpg00it007y.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2Fdc3a257dj00smh6n7002id200o600gmg00it00cx.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2F31b38ebaj00smh6n8005ld200u000e1g00it008s.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2F967e0aa6j00smh6n80023d200tp00gmg00it00ai.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2F2823c60ej00smh6n9006td200u000egg00it0091.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2Fe21613e6j00smh6na00aad200u000f1g00it009f.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2Fdbf0b66ej00smh6nc009id200u000dmg00it008j.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2Faf36e147j00smh6nc001od200si008dg00it005i.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2F8a4bf99dj00smh6nd0066d200u000fmg00it009s.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2Fd356a850j00smh6ne003cd200tw00ebg00it0090.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2Fb73de7ddj00smh6ne003bd200u000aag00it006f.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2Fcc40f672j00smh6ng0067d200u000g7g00it00a5.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2Fb7c37c5ej00smh6nh0046d200u000dtg00it008n.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2F3be48445j00smh6nh001rd200t700fbg00it009u.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2Fda85e0b9j00smh6ni005id200u000grg00it00ah.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p class="f_center"><img src="https://nimg.ws.126.net/?url=http%3A%2F%2Fdingyue.ws.126.net%2F2024%2F1105%2Fb427c49fj00smh6nk007fd200u000fng00it009s.jpg&thumbnail=660x&quality=80&type=jpg"/><br/></p><p id="357UC6DQ">参考文献：</p><p id="357UC6DR">肥厚型心肌病激发/负荷超声心动图临床应用指南(2024版)[J].中华超声影像学杂志.2024:33(8):645-657</p><p id="357UC6DT">医脉通是专业的在线医生平台，“感知世界医学脉搏，助力中国临床决策”是平台的使命。医脉通旗下拥有「临床指南」「用药参考」「医学文献王」「医知源」「e研通」「e脉播」等系列产品，全面满足医学工作者临床决策、获取新知及提升科研效率等方面的需求。</p>