Koev D, Sirakova V, Softova E
Vutr Boles. 1977;16(1):108-12.
A patient with acromegaly is described with a relatively small eosinophilic adenoma of the hypophysis, the cardiopathy standing out on the foreground of the clinical pictrire, due to which it has for a long time been interpreted as a primary cardiac ailment. The cardiac disorder proceeds with cardiomegaly, conductivity disturbances and left, quickly progressing into complete and resistant to treatment cardiac insufficiency. The problem of the origination of the so called primary cardiac insufficiency is discussed, resulting from the direct effect of STH upon myocardium.
本文描述了一名肢端肥大症患者,其垂体存在一个相对较小的嗜酸性腺瘤,心脏病在临床表现中较为突出,长期以来一直被误诊为原发性心脏病。心脏疾病表现为心脏扩大、传导障碍和左心功能不全,并迅速发展为完全性且治疗抵抗性的心力衰竭。本文还讨论了所谓原发性心力衰竭的起源问题,认为这是生长激素(STH)对心肌直接作用的结果。