Krylov A A, Onishchenko E F
Klin Med (Mosk). 1993;71(5):33-8.
The paper presents the review of the literature data and the results of the authors' own experience in the aspects of the origin and clinical interpretation of "innocent" cardiac murmurs (ICM). It was suggested that ICM were a regular phenomenon in the majority of the young people. Contradictions in current views on the problem of ICM appearance were discussed from the point of view of the leading importance of disproportion in the development of the major vessels and cardiac cavities, systolic regurgitation at atrioventricular valvular dysfunction, hyperkinetic cardiac effects. The paper presents the data which permit one to consider morphofunctional features of intracardiac structures violating the uniformity and equality in the cardiac release tracts as leading causes of ICM appearance. Pathogenetic unity of ICM and organic murmurs was distinguished as the manifestation of murmuring turbulent flows. Principle difference between the leading mechanisms of these murmurs occurrence was discussed as well.
本文介绍了关于“无害性”心脏杂音（ICM）的起源及临床解读方面的文献数据综述以及作者自身经验的结果。研究表明，ICM在大多数年轻人中是一种常见现象。从大血管和心腔发育不均衡、房室瓣功能障碍时的收缩期反流、心脏高动力效应的主导重要性角度，讨论了当前关于ICM出现问题观点中的矛盾之处。本文呈现的数据使人们能够将破坏心脏射血通道均匀性和平等性的心内结构的形态功能特征视为ICM出现的主要原因。ICM与器质性杂音的发病机制统一性被视为杂音湍流的表现。还讨论了这些杂音产生的主要机制之间的主要差异。
