Schofer J, Runge M, Mathey D, Pantlen H, Montz R
Dtsch Med Wochenschr. 1982 Jul 9;107(27):1050-3. doi: 10.1055/s-2008-1070072.
Standard electrocardiogram (ECG), His-bundle electrogram and biphasic thallium myocardial scanning was undertaken in 13 patients with histologically confirmed sarcoidosis (lung stages I--III). Changes in the standard ECG were present in five (sinus bradycardia, A-V nodal and intraventricular conduction disturbances, non-specific S-T--T changes). The His-bundle electrogram was abnormal in four of eleven patients in whom it was recorded (sick-sinus syndrome, supraventricular extrasystoles, damage to A-V node and supraventricular extrasystoles, damage to A-V node and intraventricular conduction disturbances). In seven of twelve patients who had thallium scans there was a definite irreversible defect, questionable abnormality in three others. Seven of ten patients who had all three tests had definite abnormalities in at least one of them. The electrophysiological findings and the abnormal scans point to cardiac involvement in sarcoidosis.
对13例经组织学确诊为结节病（肺部分期为I - III期）的患者进行了标准心电图（ECG）、希氏束电图及双相铊心肌扫描检查。5例患者出现标准心电图改变（窦性心动过缓、房室结及室内传导障碍、非特异性ST - T改变）。在11例记录了希氏束电图的患者中，4例异常（病态窦房结综合征、室上性期前收缩、房室结损害及室上性期前收缩、房室结损害及室内传导障碍）。在12例进行铊扫描的患者中，7例有明确的不可逆缺损，另外3例有可疑异常。在10例接受了所有三项检查的患者中，7例至少在其中一项检查中有明确异常。电生理检查结果及异常扫描提示结节病累及心脏。
