Onishchenko E F, Krylov A A, Lytkin Iu M
Ter Arkh. 1989;61(11):94-7.
As many as 70 males aged 14 to 28 years with functional systolic murmur and 16 young persons of the same age, in whom murmur failed to be detected both at rest and after 15 squattings and the hyperventilation test. It was shown by echocardiography that in addition to the proneness to the hyperdynamic type hemodynamics, the patients with functional murmurs manifested, in different anatomicofunctional heart zones, definite characteristics of the heart structure which in the majority of the examined (77.1%) were marked by deformity of the left ventricular contours. Therefore, the left ventricular chamber is the main area where in young persons there occurs functional systolic murmur. Frequent combination with each other of heart structure characteristics in persons with functional systolic murmur attests to the diversity of the causes and mechanisms by which it forms.
多达70名年龄在14至28岁之间有功能性收缩期杂音的男性以及16名同龄年轻人,后者在静息状态、15次下蹲后及过度换气试验中均未检测到杂音。超声心动图显示,除了倾向于高动力型血流动力学外,功能性杂音患者在不同的解剖功能心脏区域表现出心脏结构的明确特征,在大多数受检者(77.1%)中表现为左心室轮廓畸形。因此,左心室腔是年轻人出现功能性收缩期杂音的主要区域。功能性收缩期杂音患者心脏结构特征之间的频繁相互组合证明了其形成原因和机制的多样性。