CAJ | 학술논문

　　目的：探讨肾上腺意外瘤中醛固酮瘤的左心室肥厚情况。方法：肾上腺意外瘤中醛固酮瘤患者21例(A组)和有症状的醛固酮瘤患者30例(B组)，分别记录一般临床资料和生化指标，并进行超声心动图检查。对两组患者的临床特征、生化检测结果和左心室肥厚程度进行比较分析。结果：(1) B组左室后壁厚度、LVM、LVMI高于A 组。(2)醛固酮瘤患者LVMI与立位血浆醛固酮独立相关。(3)B组左室肥厚发生率高于A组。结论：肾上腺意外瘤中醛固酮瘤的醛固酮分泌轻度升高可导致左心室肥厚。
　　목적：탐토신상선의외류중철고동류적좌심실비후정황。방법：신상선의외류중철고동류환자21례(A조)화유증상적철고동류환자30례(B조)，분별기록일반림상자료화생화지표，병진행초성심동도검사。대량조환자적림상특정、생화검측결과화좌심실비후정도진행비교분석。결과：(1) B조좌실후벽후도、LVM、LVMI고우A 조。(2)철고동류환자LVMI여립위혈장철고동독립상관。(3)B조좌실비후발생솔고우A조。결론：신상선의외류중철고동류적철고동분비경도승고가도치좌심실비후。
Objective To investigate the left ventricular hypertrophy in patients with aldosteronoma in a-drenal incidentaloma.Methods 21 patients with aldosteronoma in adrenal incidentaloma (group A) were evaluated, all of whom were recorded clinical data, biochemical indicators, and examined by echocardiography. These data were compared with those of 30 typical aldosteronoma (group B). Results ⑴Group B patients had significant greater left ventricular posterior wall thickness (PWd), LVM, LVMI compared with group A patients. ⑵Multiple regression analysis showed a correlation between LVMI and upright plasma aldosterone in aldosteronoma(P<0.05). 3)the incidence of left ventricular hypertrophy in group 2 was higher than in group 1 (P<0.05). Conclusion aldos-teronoma in adrenal incidentaloma, whose aldosterone secretion mild elevated could lead to left ventricular hyper-trophy.