ナガオ　ミチノブ   Nagao Michinobu   長尾　充展    所属   医学部 医学科（東京女子医科大学病院）    職種   准教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Appearance of myocardial fibrosis during long-term follow up in a patient with apical hypertrophy.
掲載誌名	正式名：Journal of cardiology cases 略　 称：J Cardiol Cases ISSNコード：1878-5409
掲載区分	国内
出版社	Japanese College of Cardiology
巻・号・頁	19(4),pp.115-116
著者・共著者	NAKAO Risako†, FUKUSHIMA Kenji*, NAGAO Michinobu, Nobuhisa Hagiwara
発行年月	2019/04
概要	A 67-year-old man without symptoms presented with significant negative T wave on electrocardiography. No significant abnormality was detected by echocardiography. Cardiac magnetic resonance imaging (CMR) showed trivial hypertrophied myocardium in apex. During follow up of 9 years, serial CMR scans revealed the appearance and expansion of late gadolinium enhancement in apex. The patient had never complained of cardiac symptoms such as chest pain, palpitation, or syncope during follow up. We experienced the appearance of significant myocardial fibrosis in a patient with apical hypertrophy. <Learning objective: Apical hypertrophy is characterized by hypertrophied apex and giant negative T wave. From this report, we appreciate the importance of serial cardiac magnetic resonance imaging to follow the progress of hypertrophied myocardium even for patients without significant gadolinium enhancement who can be in a premonitory state of irreversible fibrosis.>.
DOI	10.1016/j.jccase.2018.12.008
PMID	30996755