Thuesen L, Møller A
Kardiologisk afd, Skejby Sygehus, Arhus N.
Nord Med. 1994;109(11):298-9.
Postmortal examinations have shown cardiac involvement in more than 50 percent of patients with AIDS. Echocardiographic studies have shown exudative pericarditis in 18-38 percent of patients with AIDS. The pericardial effusion is usually without haemodynamic consequence, but may be associated with cardiac tamponade. Dilation and hypokinesia of the left ventricle have been found in 30 per cent of patients with AIDS. The impairement of the left ventricular function is primarily seen in febrile, severely diseased AIDS patients, while ambulatory HIV-positive patients have a low prevalence of myocardial involvement. AIDS-patients should be examined by echocardiography in case shortness of breath and hypoxemia are out of proportion to the pulmonary findings.
尸检显示，超过50%的艾滋病患者有心脏受累情况。超声心动图研究表明，18% - 38%的艾滋病患者存在渗出性心包炎。心包积液通常无血流动力学影响，但可能与心脏压塞有关。30%的艾滋病患者存在左心室扩张和运动功能减退。左心室功能损害主要见于发热、病情严重的艾滋病患者，而门诊HIV阳性患者心肌受累的患病率较低。如果艾滋病患者出现呼吸急促和低氧血症，且与肺部检查结果不成比例，应进行超声心动图检查。
