Balazovjech I, Murín J, Králová K
1st Department of Medicine, Medical Faculty, Comenius University, Bratislava, Czechoslovakia.
Exp Clin Endocrinol. 1989 Apr;93(1):29-36. doi: 10.1055/s-0029-1210833.
Many clinical symptoms and signs in patients with pheochromocytoma are evoked by the influence of catecholamines on the heart muscle and on the coronary circulation. In our work besides clinical features the ECG pictures of the patients were studied where the elevation of the ST segment with a negative coronary T wave but without a Q wave were observed. In the echocardiographic picture our patients showed a rather hyperkinetic heart action in the florid phase of the illness. For several years after surgery a nonhomogenous structure of the interventricular septum persisted. Hypertrophy of the septum was a less frequent finding. In patients with pheochromocytoma we suppose the signs mentioned above to be the manifestation of the catecholamine heart muscle disease (CHMD).
嗜铬细胞瘤患者的许多临床症状和体征是由儿茶酚胺对心肌和冠状动脉循环的影响引起的。在我们的研究中，除了临床特征外，还对患者的心电图进行了研究，观察到ST段抬高伴冠状T波倒置但无Q波。在超声心动图检查中，我们的患者在疾病的急性期表现出相当活跃的心脏活动。术后数年，室间隔结构仍不均匀。室间隔肥厚较少见。对于嗜铬细胞瘤患者，我们认为上述体征是儿茶酚胺性心肌病（CHMD）的表现。
