Draganov V, Marinov Kh, Vladimirov V, Popova M
Vutr Boles. 1987;26(5):50-6.
The histories and the results of the postmortem examinations of 507 patients with chronic pulmonary heart disease were studied. In 62.6% of them left ventricular hypertrophy was found. As probable causes for this left ventricular hypertrophy are suggested: arterial hypertension, ischemic heart disease, hypoxemia, hypercapnia, heart failure, diabetes mellitus. The weight measurement correlations between the left and the right heart ventricles were studied in: "normal hearts", hearts with right ventricular, hypertrophy only, hypertrophy of both ventricles, left ventricular hypertrophy only. A correlation between the mass increase and the wall thickness of the ventricles was established. In the patients with chronic pulmonary heart disease and hypertrophy of both ventricles the mass and the wall thickness of the ventricles increase simultaneously. The possible pathogenetic mechanisms of the left ventricular involvement in patients with chronic pulmonary heart disease are discussed.
对507例慢性肺源性心脏病患者的病史及尸检结果进行了研究。其中62.6%的患者发现有左心室肥厚。推测左心室肥厚的可能原因有:动脉高血压、缺血性心脏病、低氧血症、高碳酸血症、心力衰竭、糖尿病。研究了“正常心脏”、仅右心室肥厚的心脏、双心室肥厚的心脏、仅左心室肥厚的心脏中左右心室重量测量的相关性。建立了心室质量增加与心室壁厚度之间的相关性。在慢性肺源性心脏病且双心室肥厚的患者中,心室质量和心室壁厚度同时增加。讨论了慢性肺源性心脏病患者左心室受累的可能发病机制。