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[缺血性心脏病患者心肌肥厚的临床形态学与超声心动图对比]

[Clinico-morphological and echocardiographic parallels in myocardial hypertrophy in patients with ischemic heart disease].

作者信息

Shevchenko O P, Dobrotvorskaia T E, Liakishev A A, Gasilin V S, Chanturiia L A

出版信息

Kardiologiia. 1977 Mar;17(3):37-41.

PMID:142170
Abstract

Left ventricular myocardial hypertrophy was found in patients with repeated myocardial infarctions, the greatest weight of the left ventricle being noted in those with congestive heart failure. A high correlation (r = 0.78) was established between the mass of the left ventricular myocardium calculated with the aid of echocardiography and the actual weight of the left ventricle. The important compensatory role of the ventricular septum is emphasized for the cases of myocardial infarction occurring in the free wall of the left ventricle. Left ventricular hypertrophy was detected by ECG in only 25% of those ischaemic heart disease cases in whom signs of myocardial hypertrophy were revealed by echocardiography.

摘要

在反复发生心肌梗死的患者中发现左心室心肌肥厚,充血性心力衰竭患者的左心室重量最大。借助超声心动图计算的左心室心肌质量与左心室实际重量之间建立了高度相关性(r = 0.78)。对于发生在左心室游离壁的心肌梗死病例,强调了室间隔的重要代偿作用。在超声心动图显示有心肌肥厚迹象的缺血性心脏病病例中,仅25%通过心电图检测到左心室肥厚。

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