Kolev N
Vutr Boles. 1978;17(3):82-7.
Synchronous records of ECG, PhCG, CSG and ACG were made of 25 patients with the syndrome of mesosystolic click-telesystolic apex murmur as well as of 62 subjects with healthy hearts. Mesosystolic retraction in CSG was found in 14 patients (57%) and incisura of the ACG systolic wave in 22 patients (88%). Similar changes were not established in the subjects with healthy hearts. The possibility of explanation of the changes found are discussed and those CSG and ACG changes are concluded to be useful as additional bloodless methods in the diagnosis of the syndrome of mesosystolic click-telesystolic apex murmur.
对25例伴有收缩中期喀喇音-收缩晚期心尖部杂音综合征的患者以及62例心脏健康的受试者进行了心电图(ECG)、心音图(PhCG)、颈动脉搏动图(CSG)和心尖搏动图(ACG)的同步记录。在14例患者(57%)中发现颈动脉搏动图有收缩中期回缩,22例患者(88%)的心尖搏动图收缩波有切迹。在心脏健康的受试者中未发现类似变化。文中讨论了对所发现变化的解释可能性,并得出结论,颈动脉搏动图和心尖搏动图的这些变化可作为诊断收缩中期喀喇音-收缩晚期心尖部杂音综合征的辅助无创伤性方法。