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[充血性心肌病合并二尖瓣反流的超声心动图诊断]

[Echocardiographic diagnosis of congestive cardiomyopathy associated with mitral regurgitation].

作者信息

Kŭtova Ts, Chichovski K, Khekimian A, Savova A

出版信息

Vutr Boles. 1981;20(5):81-6.

PMID:6459676
Abstract

Echocardiographic findings are comparatively analyzed in 25 patients with congestive cardiopathy, combined with mitral regurgitation, a control group of healthy and 10 patients with volume loaded left ventricle with rheumatic "pure" mitral insufficiency. Some discrepancies were established in the usual echocardiographic characteristics of congestive cardiomyopathy in the patients with CCMP, combined with significant mitral insufficiency: normal, even increased amplitude of movement of the interventricular septum in the absence of systolic increase of the septal thickness. The differentiation between the rheumatic mitral insufficiency and mitral insufficiency in case of congestive myocardiopathy is difficult, due to the considerable differences in the functional Echo-C characteristics of left ventricle and morphological characteristic features in mitral echogram.

摘要

对25例充血性心肌病合并二尖瓣反流患者、10例健康对照组以及10例风湿性“单纯”二尖瓣关闭不全导致左心室容量负荷增加患者的超声心动图检查结果进行了比较分析。在充血性心肌病合并严重二尖瓣反流患者中,其充血性心肌病常见的超声心动图特征存在一些差异:室间隔运动幅度正常甚至增加,而室间隔厚度在收缩期无增加。由于左心室功能超声心动图特征和二尖瓣超声心动图形态特征存在显著差异,风湿性二尖瓣关闭不全与充血性心肌病所致二尖瓣关闭不全的鉴别较为困难。

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