Korytnikov K I, Korneev N V, Kutlinin V P, Kozlechkov Iu A, Grankin V I
Ter Arkh. 1984;56(12):65-9.
Based on the study of the echocardiography data in 44 patients with chronic renal failure it has been shown that the incidence and the degree of left ventricle hypertrophy is related to the duration of arterial hypertension, increased cardiac output, and metabolic abnormalities. Echocardiographic studies made over time revealed a progressive deterioration of myocardial contractility. Pericarditis that ensues promotes the deterioration of left ventricle contractility and aggravates heart insufficiency. The diastolic murmur of aortal regurgitation should be differentiated as pertaining to infectious endocarditis or to relative insufficiency of the aortal valve. Two-dimensional echocardiography favours differentiation of left ventricle myocardial hypertrophy, makes it possible to locate the fluid in the pericardium more accurately, and to evaluate the treatment efficacy for pericarditis.
基于对44例慢性肾衰竭患者超声心动图数据的研究表明，左心室肥厚的发生率和程度与动脉高血压的病程、心输出量增加及代谢异常有关。随时间进行的超声心动图研究显示心肌收缩力逐渐恶化。随之发生的心包炎会促使左心室收缩力恶化并加重心力衰竭。主动脉反流的舒张期杂音应与感染性心内膜炎或主动脉瓣相对性关闭不全相鉴别。二维超声心动图有助于鉴别左心室心肌肥厚，能更准确地定位心包积液，并评估心包炎的治疗效果。
