Drüeke T, Le Pailleur C, Sigal-Saglier M, Zingraff J
Proc Eur Dial Transplant Assoc. 1979;16:244-51.
Twenty-one chronic haemodialysis patients with cardiomegaly and repeated episodes of heart failure were selected for left ventricular cineangiography and haemodynamic studies. Left ventricular end-diastolic (LVED) volume was augmented in eleven, LVED pressure increased in fourteen, and ejection fraction decreased in nine patients. A decrease of maximum velocity of myocardial fibre shortening was observed in fifteen, and of normalised ventricular rigidity index in eleven. Many patients had diminished cardiac performance in the absence of demonstrable coronary heart disease, hypertension, or chronic volume overload. The diagnosis of congestive cardiomyopathy of unknown aetiology, possibly related to uraemia, was reached in ten patients.
选取了21例患有心脏扩大且反复出现心力衰竭的慢性血液透析患者，进行左心室心血管造影和血流动力学研究。11例患者左心室舒张末期（LVED）容积增大，14例患者LVED压力升高，9例患者射血分数降低。15例患者观察到心肌纤维缩短最大速度降低，11例患者标准化心室僵硬度指数降低。许多患者在没有明显冠心病、高血压或慢性容量超负荷的情况下心脏功能下降。10例患者被诊断为病因不明的充血性心肌病，可能与尿毒症有关。
