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[主动脉瓣上狭窄的谱系:150例威廉姆斯-贝伦综合征及孤立性病变患者的临床发现(作者译)]

[The spectrum of supravalvular aortic stenosis: clinical findings of 150 patients with Williams-Beuren syndrome and the isolated lesion (author's transl)].

作者信息

Wesselhoeft H, Salomon F, Grimm T

出版信息

Z Kardiol. 1980 Feb;69(2):131-40.

PMID:6450488
Abstract

The clinical findings of 150 patients with supravalvular aortic stenosis are presented. No correlation was found between the clinical findings and the hemodynamic degree of severity, with the exception that an ECG of left ventricular hypertrophy and strain was more common in patients with a LV pressure above 200 mm Hg. In this latter group of patients there is a significantly higher number of patients without the typical appearance of the Williams-Beuren syndrom. The analysis of the additional anomalies and mental retardation in the Williams-Beuren syndrom and the isolated cardiac lesion shows clearly that no distinct separation between these 2 groups is possible. This points towards the same pathogenesis.

摘要

本文报告了150例主动脉瓣上狭窄患者的临床检查结果。除了左心室压力高于200 mmHg的患者中,左心室肥厚和劳损的心电图更为常见外,未发现临床检查结果与血流动力学严重程度之间存在相关性。在后一组患者中,没有典型威廉姆斯-伯伦综合征表现的患者数量明显更多。对威廉姆斯-伯伦综合征和孤立性心脏病变中的其他异常及智力发育迟缓进行分析,结果清楚显示,无法在这两组之间进行明确区分。这表明它们具有相同的发病机制。

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