Labriola E, Poggi V M, Casiglio P E, Di Benedetto S
Minerva Med. 1982 Dec 15;73(48):3399-406.
A series of 5 males and 2 females aged 23-73 yr with carcinoid cardiopathy is presented, all of them with clinical and instrumental signs of liver metastasis. The main clinical signs were dyspnoea and asthenia rendered ingravescent by effort, and, in the later stage, a frank picture of congestive cardiac decompensation. All subjected presented stethoscopic evidence of tricuspid valvulopathy, combined with pulmonary stenosis in 2 cases. The ECG picture displayed a constant reduction in cardiac potentials, together with right branch bundle block in 3 cases. In cases where an echocardiogram was taken, this confirmed tricuspid involvement. The disease progressed in all cases, and four patients died as a result of terminal liver failure.
本文报告了5例男性和2例女性类癌性心脏病患者,年龄在23至73岁之间,所有患者均有肝转移的临床和影像学征象。主要临床症状为呼吸困难和乏力,活动后加重,后期出现明显的充血性心力衰竭表现。所有患者听诊均有三尖瓣病变的证据,2例合并肺动脉狭窄。心电图显示心脏电位持续降低,3例伴有右束支传导阻滞。在进行超声心动图检查的病例中,均证实有三尖瓣受累。所有病例病情均进展,4例患者因终末期肝功能衰竭死亡。