Volkmann H, Dannberg G, Büttner A, Müller S, Kühnert H
Abteilung für Kardiologie und Angiologie, Bereiches Medizin der Friedrich-Schiller-Universität Jena.
Z Gesamte Inn Med. 1988 Oct 1;43(19):539-42.
In the framework of a diagnostic cardiac catheterization for the confirmation or exclusion of an idiopathic myocardial disease 72 patients with latent cardiomyopathy (LCM) and 51 patients without pathological haemodynamic parameters (Non-CM) were examined electrophysiologically. Intraventricular and His-Purkinje conduction defects were essentially more frequently to be proved in patients with LCM than in the non-CM group, whereas an increased ventricular vulnerability in the two groups of patients was existing in about 20% of the cases. The disturbances of rhythm anamnestically frequently mentioned by patients with LCM might above all be traced back to atrial dysrhythmias, since in about one third of the examined patients an increased atrial vulnerability could be proved. Prospective studies of the course must explain, whether the pathological electrophysiological parameters are of prognostic importance in patients with LCM.
在用于确诊或排除特发性心肌病的诊断性心脏导管插入术框架内，对72例隐匿性心肌病（LCM）患者和51例无病理性血流动力学参数的患者（非CM）进行了电生理检查。与非CM组相比，LCM患者更常出现室内及希氏-浦肯野传导缺陷，而两组患者中约20%存在心室易损性增加。LCM患者回忆中经常提到的节律紊乱首先可能归因于心房心律失常，因为在约三分之一的受检患者中可证实心房易损性增加。对病程的前瞻性研究必须阐明，病理性电生理参数在LCM患者中是否具有预后意义。
