Sicolo N, Bui F, Sicolo M, Varotto L, Martini C, Macor C, Federspil G
Cattedra di Endocrinologia, Università di Padova, Italy.
J Endocrinol Invest. 1993 Feb;16(2):123-7. doi: 10.1007/BF03347663.
In order to study "acromegalic cardiomyopathy", cardiac function was examined, using gated radionuclide ventriculography, in 18 acromegalic patients and 21 control subjects with no clinical evidence of cardiac involvement. In these acromegalic subjects, while the Ejection Fraction (EF) did not appear to be significantly different, the Peak Filling Rate (PFR) was reduced while the Time to Peak Filling Rate (TPFR) resulted significantly greater than in control subjects. These findings indicate that chronic growth hormone (GH) hypersecretion, as observed in acromegaly, deteriorate the cardiac ventricular relaxation (diastolic phase) while it has no influence on contractility (systolic phase).
为了研究“肢端肥大症性心肌病”,我们使用门控放射性核素心室造影术对18例肢端肥大症患者和21例无心脏受累临床证据的对照者进行了心功能检查。在这些肢端肥大症患者中,虽然射血分数(EF)似乎没有显著差异,但峰值充盈率(PFR)降低,而达到峰值充盈率的时间(TPFR)显著长于对照者。这些发现表明,如肢端肥大症中所观察到的慢性生长激素(GH)分泌过多会损害心室舒张(舒张期)功能,而对收缩性(收缩期)没有影响。