Tan R S, Lau K W, Ding Z P, Johan B A, Lim Y L
National Heart Centre, Singapore.
Ann Acad Med Singap. 1998 Nov;27(6):786-8.
Goldberger's triad is a specific, but relatively insensitive, electrocardiographic sign for dilated cardiomyopathy. To study the correlation between the presence of this sign and the severity of left ventricular dysfunction, the electrocardiograms and echocardiographically-determined left ventricular parameters of 17 patients (mean age 59.3 +/- 11.8 years) with dilated cardiomyopathy were examined. Five of the patients had Goldberger's triad. We found that the mean left atrial diameter, the mean left ventricular internal diameters (both end-systolic and end-diastolic) and the mean left ventricular ejection fraction of the group of patients with Goldberger's triad did not differ significantly from the group without. Coronary angiography revealed occult coronary artery disease in 5 of 12 patients. A larger, prospective study is required to verify our finding.
戈德伯格三联征是扩张型心肌病一种特定但相对不敏感的心电图表现。为研究该表现的存在与左心室功能障碍严重程度之间的相关性，对17例（平均年龄59.3±11.8岁）扩张型心肌病患者的心电图及经超声心动图测定的左心室参数进行了检查。其中5例患者有戈德伯格三联征。我们发现，有戈德伯格三联征的患者组与无该三联征的患者组相比，其平均左心房直径、平均左心室内径（收缩末期和舒张末期）及平均左心室射血分数并无显著差异。冠状动脉造影显示，12例患者中有5例存在隐匿性冠状动脉疾病。需要开展一项更大规模的前瞻性研究来验证我们的发现。
