Achari V, Thakur A K
J Assoc Physicians India. 1989 Jul;37(7):434-6.
The aim of this work was to determine the incidence of occult cardiac involvement in chronic renal failure (CRF). 50 adult patients (42 male, 8 female) were subjected to echocardiography (by both M-mode and 2D methods). Pericardial effusion was detected in 15 patients (30%), 2 patients (4%) had dilated left ventricles with poor contractility and sluggish interventricular septum (IVS) movement, suggesting cardiomyopathy. 1 patient (2%) had cardiac calcification involving the aortic valve, 32 patients (64%) had normal echo findings. These findings suggest that echocardiography is an invaluable tool in detecting early cardiac abnormalities in C.R.F., especially in diagnosing small asymptomatic pericardial effusion and cardiac calcification.
这项研究的目的是确定慢性肾衰竭（CRF）患者隐匿性心脏受累的发生率。对50例成年患者（42例男性，8例女性）进行了超声心动图检查（采用M型和二维方法）。15例患者（30%）检测到心包积液，2例患者（4%）左心室扩张，收缩力差，室间隔（IVS）运动迟缓，提示心肌病。1例患者（2%）有累及主动脉瓣的心脏钙化，32例患者（64%）超声检查结果正常。这些发现表明，超声心动图是检测CRF早期心脏异常的重要工具，尤其是在诊断小的无症状心包积液和心脏钙化方面。
