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[扁桃体源性心脏病和原发性风湿性心肌炎的心电图及心音图变化]

[Electro- and phonocardiographic changes in tonsillogenic cardiopathies and primary rheumocarditis].

作者信息

Borodina V I, Petrova E M, Lozovoĭ V P, Al'perin L B, Mikhaĭliuk V I

出版信息

Kardiologiia. 1980 Nov;20(11):39-43.

PMID:7003192
Abstract

With the use of computers it proved possible to distinguish the most informative electro- and phonocardiographic signs in variants of tonsillogenic affection of the heart and primary rheumatic carditis as the result of which the severity of the myocardial affection could be judged. These signs are very important in the choice of the treatment and in prognosis. Cardiac-type neurocirculatory dystonias are characterized by the fewest informative signs indicative of vegetative effects produced on the heart. In tonsillogenic myocardial dystrophy, the number of informative signs and their pronounced character increase, which is evidence of more complex disorders in the heart. The signs in infectious-allergic myocarditis and primary rheumatic carditis are common in character, which makes differential diagnosis difficult and calls for further research into new diagnostic methods. According to the phonocardiogram, a systolic murmur was present in patients of all the groups that were examined, which had specific features in neurocirculatory dystonia and in tonsillogenic myocardial dystrophy. No essential differences were found in myocarditides.

摘要

事实证明,借助计算机能够区分出扁桃体源性心脏病变和原发性风湿性心脏病变体中最具信息价值的心电图和心音图体征,据此可判断心肌病变的严重程度。这些体征在治疗选择和预后判断中非常重要。心脏型神经循环性肌张力障碍的特征是,提示对心脏产生自主神经效应的信息性体征最少。在扁桃体源性心肌营养不良中,信息性体征的数量及其明显程度增加,这证明心脏存在更复杂的紊乱。感染性-过敏性心肌炎和原发性风湿性心脏病的体征在特征上有共性,这使得鉴别诊断困难,需要进一步研究新的诊断方法。根据心音图,所有接受检查的组别的患者均出现收缩期杂音,该杂音在神经循环性肌张力障碍和扁桃体源性心肌营养不良中有特定特征。心肌炎患者未发现本质差异。

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