Gurevich M A, Paleev N P, Odinokova V A, Smirnov V B, Iankovskaia M O
Sov Med. 1991(5):11-5.
The paper presents the results of a clinicomorphological study of 50 patients with dilated cardiomyopathy. ECG, echocardiography, x-ray revealed atrial fibrillation, parasystole, extrasystole, impairment of intraventricular conduction, symptoms of a focal cicatricial myocardial lesion, high end-systolic and end-diastolic volumes, reduced ejection fraction, marked axial dilatation of the heart. Morphologic evaluation showed diffuse and diffuse microfocal cardiosclerosis, combination of sites of hypertrophic myocardiocytes with dystrophic foci, atrophy, sclerosis. Morphological evidence is available for arrhythmic, cardiomegalic, aneurysmic, infarction-like and pseudovalvular dilated cardiomyopathy.
本文介绍了对50例扩张型心肌病患者进行临床形态学研究的结果。心电图、超声心动图、X线检查显示房颤、并行心律、早搏、室内传导障碍、局灶性瘢痕性心肌损害症状、收缩末期和舒张末期容积增大、射血分数降低、心脏明显轴向扩张。形态学评估显示弥漫性和弥漫性微灶性心肌硬化,肥厚性心肌细胞部位与营养不良灶、萎缩、硬化并存。有形态学证据支持心律失常型、心脏增大型、动脉瘤型、梗死样型和假性瓣膜型扩张型心肌病。