de Mestral E, Katchaluba M, Gerster J C, Saudan Y
Schweiz Med Wochenschr. 1978 Dec 2;108(48):1886-7.
The case is presented of a 27-year old male with typical Reiter's sundrome (RS) and cardiac lesions. Eight months after the initial onset of the joint and mucosal symptoms, atrial fibrillation and signs of cardiac failure suddenly supervened. Rheumatic fever, hyperthyroidism and myocardial infarction were ruled out. Digitalization and Valsalva maneuvers produced a return to normal sinus rhythm. At the same time a diastolic murmur was heard and the diastolic pressure fell to 40 mm Hg, suggesting acute aortic insufficiency. This carditis was attributed to RS. The evolution was favourable, although a mild degree of aortic insufficiency persisted.
本文报道了一例27岁男性，患有典型的赖特综合征（RS）并伴有心脏病变。在关节和黏膜症状首次出现8个月后，突然发生心房颤动和心力衰竭体征。排除了风湿热、甲状腺功能亢进和心肌梗死。洋地黄化和瓦尔萨尔瓦动作使心律恢复为正常窦性心律。同时，听到舒张期杂音，舒张压降至40 mmHg，提示急性主动脉瓣关闭不全。这种心脏炎归因于RS。病情进展良好，尽管仍存在轻度主动脉瓣关闭不全。
