Piszczek I, Błaszyk K, Poprawski K
I Kliniki Kardiologii Instytutu Kardiologii AM, Poznaniu.
Pol Tyg Lek. 1992;47(40-41):890-3.
Resting echocardiography with M-mode technique under the control of bidimensional picture and pulsating Doppler ultra sound and a 24-hour ECG with Holter technique were performed in 19 patients with dilated cardiomyopathy (6 females and 13 males; mean age 46 years, mean duration of the disease 23 months). A group of 7 patients with electrocardiographic features of the left ventricle hypertrophy, according to Sokolov index, was distinguished and compared with a group of patients without ventricular hypertrophy. The symptoms of pulmonary hypertension with progressing dilatation and failure of the right cardiac ventricle were found in patients with dilated cardiomyopathy without coexisting hypertrophy, despite of significant deterioration of the contractive function. Cardiac arrhythmias and thrombotic disorders which are hazardous for life were significantly more frequent (78% and 22%, respectively) in this group. Percentage of sudden deaths in these patients was high (56%).
对19例扩张型心肌病患者（6例女性，13例男性；平均年龄46岁，平均病程23个月）进行了二维图像和脉冲多普勒超声控制下的M型技术静息超声心动图检查以及24小时动态心电图检查。根据索科洛夫指数，区分出一组有左心室肥厚心电图特征的7例患者，并与一组无心室肥厚的患者进行比较。在无并存肥厚的扩张型心肌病患者中，尽管收缩功能显著恶化，但仍发现有肺动脉高压症状，且右心室扩张和衰竭情况逐渐加重。该组中对生命有危险的心律失常和血栓形成疾病明显更为常见（分别为78%和22%）。这些患者的猝死率很高（56%）。
