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[肥厚型心肌病中心室间隔变化的临床病理形态学评估]

[Clinico-pathomorphologic evaluation of changes of the interventricular heart septum in hypertrophic cardiomyopathy].

作者信息

Rozenberg V D

出版信息

Kardiologiia. 1990 Feb;30(2):66-9.

PMID:2348623
Abstract

A complex study was made of 20 hearts from patients who had died from hypertrophic cardiomyopathy and 20 matched control hearts with a view to detecting changes of the ventricular septum and to ascertaining the significance of echocardiographic diagnostic information. Postmortem cardioventriculography, coronarography, volume-mass and planimetric cardiometry, target histopographic techniques, were applied. Various ventricular septum hypertrophies, such as even, midventricular, wave-line, midapical and apical, were identified. A complete coincidence was found between the cardiographic and pathomorphological diagnostic findings in 6 (30%) cases, a partial one was seen in 7 (35%), and incoincidence was also observed in 7 (35%) cases. The paper provides the major factors underlying echopathomorphological dissociations.

摘要

对20例死于肥厚型心肌病患者的心脏以及20例匹配的对照心脏进行了一项综合研究,旨在检测室间隔的变化并确定超声心动图诊断信息的意义。采用了尸检心脏心室造影、冠状动脉造影、容量-质量和平面测量法、靶向组织地形图技术。识别出了各种室间隔肥厚,如均匀性、心室中部、波浪线、心尖中部和心尖部肥厚。在6例(30%)病例中,心电图和病理形态学诊断结果完全一致,7例(35%)部分一致,7例(35%)不一致。本文提供了超声心动图与病理形态学分离的主要因素。

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