Mlczoch J, Djawan S, Probst P, Djawan O
Wien Klin Wochenschr. 1976 Apr 2;88(7):238-42.
No correlation was found between the presence of a diastolic murmur in about 50% of patients with artrial septal defect and the calculated shunt volume. A significant correlation was found in respect to the age of the patient, the majority of the murmurs being found in young patients and especially in young patients with tachycardia. Similar murmurs were found in healthy persons and, hence, a functional stenosis of the AV-valve ring could be the reason for this diastolic murmur, which may occur more frequently in patients with atrial septal defect on account of an alteration in the blood stream patterns.
在约50%的房间隔缺损患者中,舒张期杂音的存在与计算出的分流量之间未发现相关性。在患者年龄方面发现了显著相关性,大多数杂音出现在年轻患者中,尤其是伴有心动过速的年轻患者。在健康人身上也发现了类似的杂音,因此,房室瓣环的功能性狭窄可能是这种舒张期杂音的原因,由于血流模式的改变,这种杂音在房间隔缺损患者中可能更频繁地出现。