Hannibal D, Neufang K F, Mager G, Vogel U, Klocke R K
Institut und Poliklinik für Radiologische Diagnostik, Universität zu Köln.
Aktuelle Radiol. 1992 Mar;2(2):86-91.
The chest radiographs of 24 patients with chronic left heart failure (mean duration of cardiac disease 4.3 years) were compared with the haemodynamic findings. Before the initiation of intensive medical treatment haemodynamic parameters were measured invasively and followed up for a period of up to 16 months. The heart size and roentgenographic patterns of pulmonary congestion showed a weak negative correlation with both the ejection fraction and the cardiac index. During therapy changes of cardiopulmonary haemodynamics did not correlate with alterations of the radiographic findings. Therefore chest radiographs are not useful in the assessment of the therapeutic success in long-existing left heart failure; nevertheless, they are indicated to identify secondary pulmonary disease.
对24例慢性左心衰竭患者（心脏病平均病程4.3年）的胸部X线片与血流动力学检查结果进行了比较。在开始强化药物治疗前，通过有创方法测量血流动力学参数，并随访长达16个月。心脏大小和肺淤血的X线表现与射血分数和心脏指数均呈弱负相关。治疗期间，心肺血流动力学变化与影像学检查结果的改变无相关性。因此，胸部X线片对评估长期存在的左心衰竭的治疗效果并无帮助；不过，其有助于识别继发性肺部疾病。
