心内膜心肌活检：其诊断价值。

Endomyocardial biopsy: its diagnostic usefulness.

作者信息

Thongtang V, Ratanarapee S, Chaithiraphan S, Panchavinnin P, Srivanasont N, Jootar P, Sahasakul Y, Charoenchob N

机构信息

Department of Medicine, Siriraj Cardiac Center, Mahidol University, Bangkok, Thailand.

出版信息

J Med Assoc Thai. 1992 Jan;75(1):18-25.

PMID:1602259

Abstract

In order to assess the diagnostic usefulness of EMB in patients with clinically suspected myocardial diseases, with and without heart failure or dysrhythmias, a prospective study was carried out in 84 consecutive patients. With EMB, the histological diagnosis was considered specific in 33 patients (39.3%), confirmative in 12 patients (14.3%) and negative in 39 patients (46.4%). It was found particularly useful in patients with unexplained heart failure and idiopathic dysrhythmias and in the differentiation between restrictive cardiomyopathy and constrictive pericarditis. The procedure can be safely performed with minimal morbidity and there was no mortality in the present study.

摘要

为了评估心内膜心肌活检（EMB）在临床疑似心肌病患者中的诊断价值，这些患者伴有或不伴有心力衰竭或心律失常，对84例连续患者进行了一项前瞻性研究。通过EMB，组织学诊断在33例患者中被认为是特异性的（39.3%），在12例患者中是确诊性的（14.3%），在39例患者中是阴性的（46.4%）。发现它在不明原因心力衰竭和特发性心律失常患者以及限制型心肌病与缩窄性心包炎的鉴别中特别有用。该操作可以安全地进行，发病率极低，且本研究中无死亡病例。