Ruser H R, Thiel H, Pahl L
Zentralinstitut für Herz-Kreislauf-Forschung, Akademie der Wissenschaften der DDR Berlin-Buch.
Z Gesamte Inn Med. 1989 Aug 15;44(16):497-9.
In 4 different forms of cardiomyopathy which had been diagnosed echocardiographically we performed stethoacoustic investigations. Hereby each of these 4 different forms of cardiomyopathy developed a specific noise. In the patients with hypertrophic non-obstructive cardiomyopathy we found a mesosystolic to protomesosystolic interval murmur in 2 L 1 and called it hypertrophic murmur. In the apical hypertrophic cardiomyopathy we found a mesosystolic murmur above the apex and called it apical hypertrophic murmur. In the obstructive cardiomyopathy (hypertrophic obstructive cardiomyopathy) we found a mesotelesystolic murmur in 4 L 3 and called it obstruction murmur. In the dilatative cardiomyopathy (COCM) existed an immediate systolic murmur above the apex and we called it dilatation murmur.
我们对经超声心动图诊断的4种不同类型的心肌病进行了心音图检查。结果发现，这4种不同类型的心肌病各自产生了一种特定的杂音。在肥厚型非梗阻性心肌病患者中，我们在2L1中发现了一种中收缩期至原中收缩期的间歇性杂音，并将其称为肥厚性杂音。在肥厚型心肌病患者中，我们在心尖上方发现了一种中收缩期杂音，并将其称为心尖肥厚性杂音。在梗阻性心肌病（肥厚型梗阻性心肌病）患者中，我们在4L3中发现了一种中晚期收缩期杂音，并将其称为梗阻性杂音。在扩张型心肌病（COCM）患者中，在心尖上方存在一种即刻收缩期杂音，我们将其称为扩张性杂音。
