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回顾分析一大系列充血性心力衰竭成年患者中扩张型心肌病的不同病因。 方法 作者对673例疑由扩张型心肌病引起的充血性心力衰竭患者进行回顾性分析,包括病史、体格检查、血生化常规、心电图和超声心动图。病史涉及与心肌病有关的特殊问题,如每天酒精的摄人量、甲状腺功能、抗核抗体、尿苯乙醇胺和去甲肾上腺素水平。对病史中提示心肌缺血或2项以上心血管危险因素者(年龄>75岁、高血压、高血脂、家族史及糖尿病等)进行冠状动脉造
A retrospective analysis of a large series of congestive heart failure in adult patients with different causes of dilated cardiomyopathy. Methods The authors retrospectively analyzed 673 patients with suspected congestive heart failure due to dilated cardiomyopathy, including medical history, physical examination, blood biochemical routine, electrocardiogram, and echocardiography. The medical history relates to specific problems associated with cardiomyopathy such as daily intake of alcohol, thyroid function, antinuclear antibodies, urotethanolamine and norepinephrine levels. On the history of myocardial ischemia prompted or two or more cardiovascular risk factors (age> 75 years, hypertension, hyperlipidemia, family history and diabetes, etc.) made of coronary artery