D'Cruz I A, Bhatt G R, Cohen H C, Glick G
Arch Intern Med. 1978 May;138(5):720-4.
Echocardiography was performed in 50 patients in chronic renal failure with symptoms suggestive of possible cardiac involvement. Pericardial effusions were detected in 33 and pericardial thickening in 22. In five patients solid material, probably fibrinous, was seen adherent to the parietal or visceral pericardium. The left ventricle was dilated in 18 patients and showed definitely impaired contractility in 16. The left ventricular (LV) posterior wall was abnormally thick in 19 patients. In two, the ventricular septum was more than 1.3 times as thick as the LV posterior wall. Other echocardiographic findings included calcification in the mitral annulus region, mitral valve vegetations, and thickened chordae tendineae. Echocardiography has proved to be of great help in the assessment of symptomatic patients with chronic renal failure not only in diagnosing the presence and extent of pericardial effusion and thickening, but also in detecting impaired myocardial contractility, calcification in the posterior mitral annulus region, and vegetations of bacterial endocarditis.
对50例有提示可能存在心脏受累症状的慢性肾衰竭患者进行了超声心动图检查。检测到33例有心包积液，22例有心包增厚。5例患者可见可能为纤维蛋白性的实性物质附着于脏层或壁层心包。18例患者左心室扩张，16例患者左心室收缩力明显受损。19例患者左心室后壁异常增厚。2例患者室间隔厚度超过左心室后壁的1.3倍。其他超声心动图表现包括二尖瓣环区域钙化、二尖瓣赘生物和腱索增厚。超声心动图已被证明对评估有症状的慢性肾衰竭患者有很大帮助，不仅有助于诊断心包积液和增厚的存在及程度，还能检测心肌收缩力受损、二尖瓣后环区域钙化以及感染性心内膜炎的赘生物。
