Zhu W
Zhonghua Yi Xue Za Zhi. 1991 Sep;71(9):499-501, 36.
Echocardiography was performed in 91 patients with acromegaly. Left ventricular internal diameter, wall thickness and left ventricular mass were measured and calculated. 76 patients with active acromegaly (GH greater than 5 ng/ml) were analysed. The result revealed that the incidence of acromegalic cardiomyopathy was 85.5% and the left ventricular mass of active acromegaly was 339.1 +/- 85.6 g and 188.8 +/- 46.7 g/m2. Most of them had left ventricular hypertrophy (LVH) or/and left ventricular dilation. Right ventricular hypertrophy was rarely detected. Most of LVH were symmetric and about a quarter of the patients with LVH was asymmetric (septum was thicker than LV posterior wall). LV mass in the active acromegaly group was larger than that in the normal group and the inactive acromegaly group. These indicate that acromegalic cardiomyopathy is related to growth hormone.
对91例肢端肥大症患者进行了超声心动图检查。测量并计算左心室内径、壁厚和左心室质量。分析了76例活动性肢端肥大症患者(生长激素大于5 ng/ml)。结果显示,肢端肥大症性心肌病的发生率为85.5%,活动性肢端肥大症患者的左心室质量为339.1±85.6 g和188.8±46.7 g/m²。他们中的大多数有左心室肥厚(LVH)或/和左心室扩张。很少检测到右心室肥厚。大多数LVH是对称的,约四分之一的LVH患者是不对称的(室间隔比左心室后壁厚)。活动性肢端肥大症组的左心室质量大于正常组和非活动性肢端肥大症组。这些表明肢端肥大症性心肌病与生长激素有关。