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我们对有较明显心脏症状及 ECG 异常而临床无心脏扩大和心力衰竭的病人采用了心内膜心肌活检(EMB),部分病例的病理组织形态学所见结合临床资料可支持扩张型心肌病(DCM),这些病人应属于 DCM 早期阶段。本文提示 EMB 对 DCM 早期的诊断具有重要辅助价值。鉴于 DCM 晚期预后不良,因此早期发现对改善 DCM 预后具有独特意义。
Endocardial biopsy (EMB) is used in patients with clinically heart-free enlargement and heart failure who have more pronounced cardiac and ECG abnormalities. In some cases, histopathological findings combined with clinical data support dilated cardiomyopathy DCM), these patients should belong to the early stages of DCM. This article suggests that EMBs have important adjunctive value in the early diagnosis of DCM. Given the poor prognosis of advanced DCM, early detection is of unique interest in improving the prognosis of DCM.