Læknaneminn - 01.10.1988, Blaðsíða 37

alltaf á blóðþynningu. Eins og áður hefur komið fram
fær alltaf viss hluti sjúklinganna illviðráðanlega
hjartaþelsbólgu. Því hafa sumir viljað setja þessa
sjúklinga á fyrirbyggjandi sýklalyfjameðferð, en sú
meðferð er þó ekki almennt viðurkennd. Ef um
alvarlega míturlokuleka með hjartabilun er að ræða þarf
oft að setja gerviloku í þessa sjúklinga.
Lokaorð.
Kölkun í míturlokuhring hjartans er algengur
hrömunarsj úkdómur í eldra fólki. Sj úkdómurinn getur
einnig sést hjá yngri einstaklingum sem hafa truflun á
kalkefnaskiptum eða eru með óeðlilega bandvefs-
sarnsetningu. Aðeins hluti einstaklinga með kím hefur
einkenni þess. Fylgikvillar og einkenni sjúkdómsins
eru hins vegar alvarleg: blóðrek, hjartsláttartruflanir,
leiðslurof íhjartaoghjartaþelsbólga. Þessirfylgikvillar
eru í mörgum tilfellum lífshættulegir. Því skyldi leita
eftir og hafa kím í huga hjá einstaklingum með
áðurnefnd einkenni. Með tilkomu tvívíddar—
ómskoðunar af hjarta hefur opnast greið leið til
greiningar. Með bættum meðferðarmöguleikum s.s.
með gangráðsísetningum hefur nákvæm greining á
fyrirbærinu meiri tilgang fyrir sjúklinginn.
Við þökkum Dr. Þorkeli Guðbrandssyni góðar
ábendingar og yfirlestur handrits.
Heimildir.
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Comparison with age- and sex- matched control subjects.
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LÆKNANEMINN ^988-41. árg.
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