Badano L, Carratino L, Calisi P, Giunta L, Lucatti A
Servizio di Cardiologia, Ospedale di Nervi, Genova.
G Ital Cardiol. 1991 May;21(5):553-6.
Asymmetric septal thickening has been described in patients with overt myxedema, but descriptions of concentric left ventricular wall thickening in such patients are rare. Echocardiographic detection of thickened left ventricular and interventricular walls, without pericardial effusion or any other sign of cardiac involvement, in a patient with overt myxedema and primary hypothyroidism, is reported. Furthermore, this is the first case in which the timing and the extent of the response of such abnormalities to L-thyroxine replacement therapy have been serially evaluated.
已有报道称，显性黏液性水肿患者存在不对称性室间隔增厚，但此类患者出现同心性左心室壁增厚的描述却很少见。本文报告了一名患有显性黏液性水肿和原发性甲状腺功能减退症的患者，其超声心动图检测发现左心室和室间隔壁增厚，且无心包积液或任何其他心脏受累迹象。此外，这是首例对这些异常情况对左甲状腺素替代治疗的反应时间和程度进行连续评估的病例。
