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[经活检证实的扩张型心肌病的放射学数据模式与血流动力学]

[Roentgenologic data patterns and hemodynamics in biopsy-proven dilated myocardial diseases].

作者信息

Richter C, Boewer V, Richter K, Uhlich F, Meyer R

机构信息

Akademie der Wissenschaften der DDR, Zentralinstitut für Herz-Kreislauf-Forschung, Berlin-Buch.

出版信息

Rofo. 1987 Sep;147(3):241-7. doi: 10.1055/s-2008-1048633.

Abstract

The chest plain images of 63 patients suffering from histologically proved dilated myocardial diseases: primary cardiomyopathy (27), active and residual myocarditis (23), toxic cardiomyopathy (3), endomyocardial fibrosis (2), thesaurismotic cardiomyopathy (2), obstructive intramural fine vessel diseases (6) were analysed and correlated with invasively determined parameters: end-diastolic volume index, wall mass index, left ventricular end-diastolic pressure, pulmonary artery mean pressure, ejection fraction. The x-ray findings proved to occur in four different patterns which were defined as left heart involvement and three different patterns of bilateral left and right heart involvement representing various stages of left heart failure. This kind of image evaluation with functional classification is characterized by increased sensitivity, accuracy and information in detail in comparison with the heart lung index or other usual procedures.

摘要

对63例经组织学证实为扩张型心肌病的患者的胸部平片进行了分析:原发性心肌病(27例)、活动性和残留性心肌炎(23例)、中毒性心肌病(3例)、心内膜纤维化(2例)、贮积性心肌病(2例)、阻塞性壁内小血管疾病(6例),并将其与通过侵入性测定的参数进行关联:舒张末期容积指数、壁质量指数、左心室舒张末期压力、肺动脉平均压力、射血分数。X线检查结果呈现出四种不同模式,分别定义为左心受累以及代表左心衰竭不同阶段的三种双侧左右心受累的不同模式。与心肺指数或其他常规方法相比,这种具有功能分类的图像评估具有更高的敏感性、准确性和详细信息。

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