Schaedel H, Kirsten D, Gottschild D, Zinner G, Strauss H J, Haenselt V, Schmidt H
Z Erkr Atmungsorgane. 1985;165(3):228-34.
The cardiological examination of 22 patients (pts) with suspected heart sarcoidosis (histologically established lung sarcoidosis, heart rhythm disturbances, cardiomegaly) has revealed thallium scan defects in 20 pts at rest and during exercise. In 19 pts we found pathologic left heart wall motions established by laevocardiography by applying the half axis method. The number of pathologic half axis shortenings correlated with ejection fraction, but not with left ventricular enddiastolic pressure and left ventricular enddiastolic volume index. IHD could not be found in coronarography in any case. Myocardial biopsy did not show myocarditis. Cardiomyopathies, other specific heart muscle diseases or rheumatic myocarditis could not be excluded as causes of the results mentioned above. The follow-up examinations of the patients will give more detailed information on the etiology of the pathologic cardiac findings.
对22例疑似心脏结节病（经组织学确诊为肺部结节病、心律失常、心脏扩大）的患者进行心脏检查发现，20例患者在静息和运动时铊扫描有缺损。19例患者通过应用半轴法经左心室造影发现左心壁运动异常。病理性半轴缩短的数量与射血分数相关，但与左心室舒张末期压力和左心室舒张末期容积指数无关。冠状动脉造影未发现任何病例有缺血性心脏病。心肌活检未显示心肌炎。不能排除心肌病、其他特定的心肌疾病或风湿性心肌炎是上述结果的病因。对患者的随访检查将提供有关病理性心脏表现病因的更详细信息。
