Svintsitskiĭ A S
Ter Arkh. 1987;59(3):42-5.
Myocardial function was studied in 131 patients with infectious-allergic bronchial asthma. The chronic cor pulmonale formation was shown to be a complex process including hypertrophy not only of the right but also of the left ventricle caused by raised pressure both in the lesser and greater circulation. Functional changes prevailed at the initial stages of the development of disease, but with progression of disease, especially in a severe course, not only functional but also irreversible organic myocardial changes were revealed. Early diagnosis of pulmonary hypertension, forming cor pulmonale and subsequent heart failure in bronchial asthma promoted objective assessment of myocardial function in such patients and administration of timely and appropriate therapy.
对131例感染性过敏性支气管哮喘患者的心肌功能进行了研究。结果表明，慢性肺源性心脏病的形成是一个复杂的过程，不仅包括右心室肥大，还包括左心室肥大，这是由小循环和大循环压力升高引起的。在疾病发展的初始阶段，功能变化占主导，但随着疾病的进展，尤其是在严重病程中，不仅发现了功能性变化，还发现了不可逆的器质性心肌变化。支气管哮喘患者肺动脉高压、肺源性心脏病及随后心力衰竭的早期诊断有助于对这类患者的心肌功能进行客观评估，并及时给予适当治疗。
