Maeda S, Katoh Y, Ohkawa S, Takubo K, Esaki Y
Division of Cardiology, Tokyo Metropolitan Geriatric Hospital.
J Cardiol. 1995 Jul;26(1):33-8.
Four elderly women with marked bilateral atrial dilation but no evidence of significant structural or functional cardiac abnormalities other than atrial fibrillation are described. All patients demonstrated severe cardiomegaly on chest radiographs. Three patients have remained in good condition during the follow-up of 6 to 16 years except for occasional edema or pleural effusion, which was easily treated with diuretics and/or digitalis. The other patient had had only one episode of pleural effusion and leg edema at age 90 years before she died of colon cancer at age 100 years.
本文描述了四名老年女性，她们均有明显的双侧心房扩张，但除房颤外无明显的心脏结构或功能异常。所有患者胸部X光片均显示有严重心脏肥大。三名患者在6至16年的随访期间状况良好，偶尔出现水肿或胸腔积液，通过利尿剂和/或洋地黄治疗很容易得到缓解。另一名患者在90岁时仅出现过一次胸腔积液和腿部水肿，100岁时死于结肠癌。
