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[扩张型心肌病和慢性心肌炎患者节律与传导障碍的比较分析]

[A comparative analysis of rhythm and conduction disorders in patients with dilated cardiomyopathy and chronic myocarditis].

作者信息

Naumov V G, Gabrusenko S A, Shvarneva G G, Zhdanov V S, Belenkov Iu N

出版信息

Ter Arkh. 1995;67(9):63-6.

PMID:7495048
Abstract

Rhythm and conduction disturbances were compared for 20 patients with dilated cardiomyopathy (group 1) versus 20 patients with chronic myocarditis (group 2). The diagnosis was confirmed at coronary ventriculography and morphological examination of left and right ventricular endomyocardial biopsies. There were minor differences in the parameters studied I, though supraventricular arrhythmia varied more in group 2. The frequency of ventricular arrhythmia appeared higher in group 2 only in circulatory insufficiency stage 1-IIA. Quantitative differences in ventricular and supraventricular arrhythmias between the groups under moderate circulatory insufficiency may result from different morphological changes in the myocardium.

摘要

对20例扩张型心肌病患者(第1组)和20例慢性心肌炎患者(第2组)的节律和传导障碍进行了比较。诊断通过冠状动脉心室造影以及左右心室心内膜活检的形态学检查得以证实。尽管第2组室上性心律失常变化更大,但在研究的参数方面存在细微差异。仅在循环功能不全1-IIA期,第2组室性心律失常的发生率似乎更高。两组在中度循环功能不全时室性和室上性心律失常的定量差异可能源于心肌不同的形态学变化。

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