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[疑似心脏结节病患者的随访研究及特殊心脏诊断]

[Follow-up studies and special cardiologic diagnosis in patients with suspected heart sarcoidosis].

作者信息

Kirsten D, Schaedel H, Schmidt H, Schreier R, Hofmann I, Kessler G, Zinner G

出版信息

Z Erkr Atmungsorgane. 1985;165(1):53-62.

PMID:4060772
Abstract

During a retrospective analysis of 1236 patients with pulmonary sarcoidosis who showed electrocardiographic disturbances or cardiomegaly the existence of a possible heart sarcoidosis was suspected. It was tried to confirm this suspected diagnosis in subsequent examinations of these patients by support of modern non-invasive and invasive cardiological methods. Thereby the differential diagnosis to the coronary heart disease is especially difficult in elderly. This problem represents a permanent diagnostic challenge because of the therapeutic chance in case of heart sarcoidosis.

摘要

在对1236例出现心电图异常或心脏增大的肺结节病患者进行回顾性分析时,怀疑可能存在心脏结节病。试图通过现代非侵入性和侵入性心脏病学方法,在后续对这些患者的检查中证实这一疑似诊断。因此,在老年人中,与冠心病的鉴别诊断尤为困难。由于心脏结节病存在治疗机会,这个问题构成了一个持续的诊断挑战。

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