摘要
目的 :探讨获得性免疫缺陷综合征 (AIDS)的心脏损伤及相应的心电图改变。方法 :回顾性分析 1995～ 2 0 0 0年间收治的 2 5例 A IDS患者的临床资料 ,并结合文献复习。结果 :2 5例患者心电图表现分别为窦性心动过速、束支传导阻滞、Q- T间期延长及 ST- T改变 ;超声心动图提示心脏增大 ,射血分数降低 ,临床上多死于循环、呼吸衰竭。结论 :心脏损伤是人类免疫缺陷病毒感染的相关心肌病变 ,也是 AIDS致死的主要原因 ,尽早地对A IDS患者进行心电图及超声心动图监测 ,对治疗及改善预后有着重要的作用。
Objective:To evaluate myocardial injury and corresponding electrocardiogram (ECG) changes in patients with acquired immunodeficiency syndrome (AIDS). Method:We retrospectively analysed clinical data of 25 patients with AIDS in recent six years combined with review of the literature. Result:ECG manifestations varied,including sinus tachycardia,branch block, elongation of Q T interval or ST T changes etc.Echocardiography indicated cardiac enlargement, ejection fraction decreasing. In clinics, most of the patients died of respiratory or circulation failure. Conclusion:Cardiac involvement is related to myocardial injury in human immunodeficiency virus (HIV) infection, and is an important cause of deaths in patients with AIDS. So ECG and echocardiography screening in patients with AIDS as early as possible is very important to treatment and improveing prognosis.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2001年第5期209-210,共2页
Journal of Clinical Cardiology
