Bashour T T, Fahdul H, Cheng T O
Chest. 1975 Jul;68(1):24-7. doi: 10.1378/chest.68.1.24.
Electrocardiograms of 65 patients with alcoholic cardiomyopathy seen over a five-year period were reviewed. ST segment and T wave abnormalities, left ventricular hypertrophy, biatrial enlargement, left atrial enlargement, premature ventricular contractions, prolonged PR interval, and left anterior hemiblock are the most frequently encountered abnormalities. A combination of left ventricular hypertrophy and biatrial enlargement with or without left anterior hemiblock is most specific, Atrial flutter or fibrillation, pathologic Q waves, and bifascicular block are not uncommon findings, while isolated right atrial or right ventricular abnormalities, and isolated posterior hemiblock or right bundle branch block are rare. Electrocardiographic changes are in general similar to those seen in any diffuse cardiomyopathy and reflect biventricular involvement.
回顾了五年间65例酒精性心肌病患者的心电图。ST段和T波异常、左心室肥厚、双房扩大、左房扩大、室性早搏、PR间期延长以及左前分支阻滞是最常见的异常。左心室肥厚与双房扩大合并或不合并左前分支阻滞的组合最为特异。心房扑动或颤动、病理性Q波和双分支阻滞并不少见，而孤立的右房或右室异常以及孤立的后分支阻滞或右束支阻滞则较为罕见。心电图改变总体上与任何弥漫性心肌病所见相似，反映双心室受累。
