Lorell B H
Harvard Medical School, Boston.
Hosp Pract (Off Ed). 1992 Oct 15;27(10):189-94, 196, 199 passim. doi: 10.1080/21548331.1992.11705515.
The hypertrophied heart generally preserves systolic function, but it pays a price in diastolic dysfunction. Coronary reserve is impaired and susceptibility to myocardial ischemia increased. The pathophysiology is managed by addressing causes of pressure overload, preventing tachycardia, or, of course, by specific strategies to reduce or eliminate ischemia.
肥厚型心脏通常能维持收缩功能,但在舒张功能障碍方面付出了代价。冠状动脉储备受损,心肌缺血易感性增加。通过解决压力超负荷的原因、预防心动过速,或者当然,通过减少或消除缺血的特定策略来管理病理生理学。