Guillevin L, Scheuble C, Modigliani E, Sebaoun J
Ann Med Interne (Paris). 1979;130(4):205-10.
An echocardiographic study of nine patients with graves' disease before and after treatment demonstrates changes in myocardial contractility predominantly in the posterior wall and, to a lesser extent, in the intraventricular septum. The parameters most significantly changed were: velocity of posterior wall thickening and posterior left ventricular wall relaxation rate. There was not in any of the cases neither evidence of cardiac insufficiency nor a diminution of VCF. All of the modifications regressed rapidly with the euthyroid state. These results affirm the functional character of this disease dismissing the existence of an autonome cardiomyopathy of thyroid etiology.
一项针对9例格雷夫斯病患者治疗前后的超声心动图研究表明,心肌收缩性变化主要发生在后壁,室间隔变化程度较小。变化最显著的参数是:后壁增厚速度和左心室后壁舒张速率。所有病例均未出现心脏功能不全的迹象,也没有心室周径缩短率降低的情况。随着甲状腺功能恢复正常,所有这些改变迅速消退。这些结果证实了该病的功能性特征,排除了甲状腺病因导致的自主性心肌病的存在。