Pokrovskii A V, Rabotnikov V S, Dembovskaya E N
Cor Vasa. 1976;18(3):192-201.
Cardiac conditions were examined in 48 patients with nonspecific aorto-arteritis. The authors assume that nonspecific aorto-arteritis may be accompanied by lesions, although usually moderate, of the valvular apparatus. Such defects, even moderate ones, are accessible to intravital diagnosis based on auscultation findings. Additional study is required for resolving whether such valvular defects are manifestations of the primary disease or sequelae of nonspecific aorto-arteritis combined with a rheumatic affliction. The most frequent form of cardiac lesion, however, is myocardial hypertrophy resulting from systemic hypertension. Signs of coronary insufficiency may signalize coronaritis and result from relative coronary insufficiency. Besides, there also occur symptoms of myocardial dystrophy, which in some patients may be caused by thyrotoxicosis, occasionally encountered in patients with nonspecific aorto-arteritis.
对48例非特异性主动脉炎患者的心脏状况进行了检查。作者认为,非特异性主动脉炎可能伴有瓣膜装置的病变,尽管通常程度较轻。基于听诊结果,即使是中度的此类缺陷也可进行活体诊断。对于确定此类瓣膜缺陷是原发性疾病的表现还是非特异性主动脉炎合并风湿性疾病的后遗症,还需要进一步研究。然而,最常见的心脏病变形式是由系统性高血压导致的心肌肥大。冠状动脉供血不足的体征可能表明冠状动脉炎,是由相对性冠状动脉供血不足引起的。此外,还会出现心肌营养不良的症状,在一些患者中可能由甲状腺毒症引起,非特异性主动脉炎患者偶尔会出现甲状腺毒症。