摘要
目的:探讨心脏淀粉样变的临床特点及诊断。 方法:对5例心脏淀粉样变患者的临床特点、辅助检查及确诊方法进行分析。 结果:全部患者均为多系统病变伴心力衰竭,可伴限制型心肌病表现、体位性低血压、心律失常,超声心动图示心室壁增厚而心腔大小正常。 结论:对出现以上症状、体征及辅助检查结果者,拟诊为心脏淀粉性变性,确诊靠病理学检查。
Objective:To analyse man ifestations,diagnosis of cardiac amyloid osis. Methods:The diognosis of cardiac amylo idosis was established in 5 patients by autopsy and biopsy,and their clincal man ifestations,accessory examinations and d iagnostic methods were analysed. Results:All the patients had cardiac d ysfunction.Four presented with restricti ve cardiomyopathy.Tow had postural hypot ension but hypertension previously.ECG s howed low QRS voltages,arrhythmias and i schemic ST-T changes.Echocardiography sh owed symmertrical thickness of left vent ricle but normal size of chambers. Conclusion:Cardiac amyloidosis should be suspected in patients with clinical m anifestations and examination results me ntioned above. Biopsy is required for corr ect diagnosis.
出处
《中国循环杂志》
CSCD
北大核心
2001年第4期294-295,共2页
Chinese Circulation Journal