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[被误诊为心内膜心肌纤维化的心包疾病。2例报告]

[Pericardial disease erroneously diagnosed as endomyocardial fibrosis. Report of 2 cases].

作者信息

de Oliveira Júnior M T, Barreto A C, Mady C, da Luz P L, Stolf N, Gutierrez P, Mansur A J, Bellotti G, Pileggi F

机构信息

Instituto do Coraçáo do Hospital das Clínicas, FMUSP.

出版信息

Arq Bras Cardiol. 1990 Apr;54(4):271-3.

PMID:2275629
Abstract

Two patients who were sent to operation with diagnosis of endomyocardial fibrosis (EMF) turned out to have pericardial disease. EMF had been suspected on the basis of clinical history, electrocardiographic, radiologic and echocardiographic data. The hemodynamic studies were "typical", and included apex amputation, flat ventricular surface and mitral and tricuspid insufficiencies. Thus, ventriculography should not be considered specific, but rather suggestive of endomyocardial fibrosis.

摘要

两名被诊断为心内膜心肌纤维化(EMF)而送去手术的患者,结果发现患有心包疾病。根据临床病史、心电图、放射学和超声心动图数据怀疑患有EMF。血流动力学研究“典型”,包括心尖截断、心室表面扁平以及二尖瓣和三尖瓣关闭不全。因此,心室造影不应被视为特异性的,而更应提示心内膜心肌纤维化。

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