A woman in her 70s was evaluated for fatigue and chest tightness for 4 months and oedema of both lower extremities for 1 month. She denied any medical history and family history of heart disorders. ECG showed normal QRS voltages with intraventricular block and left ventricular (LV) hypertrophy. Echocardiography showed severe aortic regurgitation (AR), asymmetric LV hypertrophy (maximum wall thickness of the septum 15 mm and 11 mm of the posterior wall) and normal LV size and ejection fraction of 60%. Transcatheter aortic valve replacement (TAVR) was successfully performed, and myocardial biopsy was made in the patient considering severe heart failure (HF) symptoms and high EuroSCORE of 22.5%. However, previous HF …

中文翻译：

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严重主动脉瓣关闭不全和心力衰竭

女性，70多岁，乏力胸闷4个月，双下肢水肿1个月。她否认任何心脏病史和家族史。心电图显示正常 QRS 电压伴心室内传导阻滞和左心室 (LV) 肥厚。超声心动图显示严重的主动脉瓣关闭不全 (AR)、不对称的 LV 肥厚（间隔的最大壁厚 15 毫米和后壁的 11 毫米）和正常的 LV 大小和 60% 的射血分数。经导管主动脉瓣置换术 (TAVR) 成功进行，考虑到严重的心力衰竭 (HF) 症状和 22.5% 的高 EuroSCORE，对患者进行了心肌活检。然而，之前的 HF …