Michardiere A, Almange C, Revillon L, Leborgne P
Sem Hop. 1978;54(45-46):1425-9.
The authors relate two cases of idiopathic hypertrophic subaortic stenosis detected after orthostatic hypotension with syncope. This type of detection has not been described till now. Relations between idiopathic hypertrophic subaortic stenosis and orthostatic hypotension are debated as well as relation between IHSS and systemic hypertension which has existed previously in the two cases. It seems suitable to call up IHSS systematically before every orthostatic hypotension at least in elderly. Beta-blockers can in such cases considerably improve orthostatic symptoms.
作者报告了两例在体位性低血压伴晕厥后检测出的特发性肥厚性主动脉瓣下狭窄病例。这种检测类型此前尚未见报道。特发性肥厚性主动脉瓣下狭窄与体位性低血压之间的关系以及特发性肥厚性主动脉瓣下狭窄(IHSS)与这两例患者先前存在的系统性高血压之间的关系都存在争议。至少在老年人中,似乎有必要在每次体位性低血压发作前系统地排查IHSS。在这种情况下,β受体阻滞剂可显著改善体位性症状。