Riabykina G V, Lobova N M, Dauletbaeva S M, Bragin M A, Zhdanov V S
Ter Arkh. 1985;57(4):42-8.
The authors compare the pathomorphological and electrocardiographic data in 38 cases of dilated cardiomyopathy. Autopsy revealed the signs of myocardial hypertrophy associated with dilatation, myocardial fibrosis of varying degree was found despite otherwise normal coronary arteries. Myocardial fibrosis influences the ECG changes, thus reducing the informative value of the method in the diagnosis of myocardial hypertrophy and often causes abnormalities of intraventricular conduction as well as focal-cicatricial myocardial lesions.
作者比较了38例扩张型心肌病患者的病理形态学和心电图数据。尸检显示存在与扩张相关的心肌肥厚迹象,尽管冠状动脉正常,但仍发现不同程度的心肌纤维化。心肌纤维化影响心电图变化,从而降低了该方法在诊断心肌肥厚方面的信息价值,并常常导致室内传导异常以及局灶性瘢痕性心肌病变。