Dilated cardiomyopathy associated with haemolytic uraemic syndrome.
Dilated cardiomyopathy associated with haemolytic uraemic syndrome.
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扩张型心肌病与溶血性尿毒症综合征相关。
DOI：
10.1136/hrt.57.2.181
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发表时间：
1987
影响因子：
--
通讯作者：
J. V. D. Giovanni
中科院分区：
文献类型：
--
作者：
Joanna Poulton;Cat Taylor;J. V. D. Giovanni
两名患有溶血尿毒症综合征的儿童在没有高血压、液体或电解质紊乱的情况下发生了扩张型心肌病。这些病例表现为急性左心室衰竭。超声心动图显示左心室扩张和收缩力减弱。心室壁也持续增厚。另外 12 名患有溶血尿毒综合征的儿童接受了前瞻性超声心动图检查。其中 11 例没有表现出心肌病的证据，其中 1 例出现短暂性扩张和收缩力降低，但没有临床症状。扩张型心肌病是溶血性尿毒综合征的一种罕见但重要的肾外表现，最好通过超声心动图来证明。
In two children with the haemolytic uraemic syndrome dilated cardiomyopathy occurred in the absence of hypertension, or fluid or electrolyte disturbance. These cases presented with acute left ventricular failure. Echocardiography showed left ventricular dilatation and reduced contractility. There was also ventricular wall thickening, which persisted. Twelve other children with haemolytic uraemic syndrome had prospective echocardiography. Eleven of them showed no evidence of cardiomyopathy and in one transient dilatation and reduced contractility developed without clinical signs. Dilated cardiomyopathy is a rare but important extrarenal manifestation of the haemolytic uraemic syndrome and is best demonstrated by echocardiography.