Spyrou N, Foale R
St. Mary's Hospital, London, UK.
Curr Opin Cardiol. 1994 May;9(3):344-8. doi: 10.1097/00001573-199405000-00013.
Restrictive cardiomyopathy has always been a fairly common cause of cardiac death in the tropics through endomyocardial fibrosis. In temperate climates, amyloidosis is the most common form of the disease, whereas Löffler's endocarditis is quite rare. Amyloidosis is more frequently encountered as the population ages, but restrictive cardiomyopathy is still rare outside the tropics. Differentiation between cardiac restriction and constriction is still the major clinical consideration as treatment for constrictive pericarditis is easily administered.
在热带地区，限制性心肌病一直是心内膜心肌纤维化导致心脏死亡的相当常见的原因。在温带气候地区，淀粉样变性是该疾病最常见的形式，而吕弗勒心内膜炎则相当罕见。随着人口老龄化，淀粉样变性更为常见，但在热带地区以外，限制性心肌病仍然很少见。由于缩窄性心包炎的治疗易于实施，心脏限制和缩窄之间的鉴别仍然是主要的临床考量。
