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超声心动图在结缔组织病所致心肌损害早期诊断中的价值。

The value of echocardiography in the early diagnosis of myocardial impairment due to connective tissue diseases.

作者信息

Branea I, Stanciu L, Tomescu M, Berinde L, Mancaş S

出版信息

Med Interne. 1986 Jul-Sep;24(3):197-205.

PMID:3775214
Abstract

The study comprised 14 patients with systemic lupus erythematosus (SLE) and 12 patients with diffuse scleroderma. Echocardiography ascertained 5 cases of congestive and 1 case of restrictive cardiomyopathy among the patients with SLE, as well as 6 cases with restrictive cardiomyopathy among those with scleroderma. The authors specify two important echocardiographic variables: the E-septum distance and the septal and wall motion after amyl-nitrite test, which reveal the intrinsic contractile properties of the myocardium, allowing an early diagnosis of myocardial impairment, as well as the selection of patients for an efficient treatment with vasodilator drugs.

摘要

该研究包括14例系统性红斑狼疮(SLE)患者和12例弥漫性硬皮病患者。超声心动图检查发现SLE患者中有5例充血性心肌病和1例限制性心肌病,硬皮病患者中有6例限制性心肌病。作者明确了两个重要的超声心动图变量:E波与室间隔距离以及亚硝酸异戊酯试验后的室间隔和室壁运动,这两个变量可揭示心肌的内在收缩特性,有助于早期诊断心肌损伤,并为选择使用血管扩张剂进行有效治疗的患者提供依据。

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