d'Ivernois C, Lacut J Y, Warin J F
Service de Cardiologie, Hôpital Saint-André, Bordeaux.
Presse Med. 1991 Jan 19;20(2):68-70.
The frequency of cardiac lesions in AIDS patients is diversely evaluated. At post-mortem examination macroscopic lesions are said to have been found in 20 percent of the patients, and microscopic lesions in 50 percent. In some clinical studies, up to 55 percent of the patients had echocardiographic abnormalities. All three cardiac wall layers may be involved. Cases of myopericardial Kaposi's sarcoma or non-Hodgkin's lymphoma have been described, together with infectious myocarditis or pericarditis, non-obstructive cardiomyopathy, aseptic fibrinous pericarditis, marantic endocarditis and other, less frequent lesions.
艾滋病患者心脏病变的发生率评估结果不一。尸检时,据说20%的患者有肉眼可见的病变,50%有显微镜下可见的病变。在一些临床研究中,高达55%的患者有超声心动图异常。心脏三层壁均可受累。已有心肌心包卡波西肉瘤或非霍奇金淋巴瘤病例的描述,还有感染性心肌炎或心包炎、非梗阻性心肌病、无菌性纤维素性心包炎、消耗性心内膜炎及其他较少见的病变。