Ormaetxe J M, Martínez Alday J D, Almendral J, Alfageme Beobide M, Iriarte M
Hospital Civil de Basurto, Instituto Miguel Iriarte, Bilbao, Spain.
Eur Heart J. 1993 Nov;14 Suppl J:73-5.
It is well known that pathological left ventricular hypertrophy, either primary or secondary to cardiac overload, is associated with a high incidence of ventricular arrhythmias and sudden death, and that asymptomatic ventricular arrhythmias seem to be related to a high incidence of sudden death in patients with hypertrophic cardiomyopathy and ischaemic heart disease. However, this association has not been prospectively evaluated in patients with hypertensive LVH, where other factors, such as myocardial ischaemia, can play an important role. More studies are needed in this respect before establishing therapeutic implications.
众所周知，病理性左心室肥厚，无论是原发性的还是继发于心脏负荷过重，都与室性心律失常和猝死的高发生率相关，并且无症状性室性心律失常似乎与肥厚型心肌病和缺血性心脏病患者的猝死高发生率有关。然而，这种关联在高血压性左心室肥厚患者中尚未得到前瞻性评估，在这类患者中，其他因素，如心肌缺血，可能起重要作用。在确定治疗意义之前，这方面需要更多的研究。
