CONTEMPORARY MASKS OF THE MYOCARDITIS (FROM CLINICAL SIGNS TO DIAGNOSIS)

Российский кардиологический журнал

O. V. Blagova¹  A. V. Nedostup¹ 

[1] The Faculty Therapeutic Clinic n.a. Vinogradov of the Sechenov First MSMU, Moscow, Russia;

关键词: myocarditis;    idiopathic arrhythmias;    dilated cardiomyopathy;    infarction­like type;    microvascular angina;    endomyocardial biopsy;   

DOI  :  10.15829/1560-4071-2014-5-13-22

来源: DOAJ

【 摘 要 】

Contemporary myocarditis classifications are usually made up by morphological criteria due to a critical role of biopsy in its diagnostic. However in general medical practice this method is quite rare, though in the real practice internists and cardiologists meet this disease more and more ofted, including its non-classical forms.Clear connection of cardial symptomathic with an infection is the most specific sign of myocarditis, though its absence does not rule out the diagnosis. Using biopsy and complex algorhythm of diagnostics developed on the basis of biopsy we have usually seen these types: 1. Latent (without decompensation and general inflammatory changes) myocarditis in patients with so-called idiopathic rhythm and conduction disorders including atrial fibrillation; 2. Various clinical course and immunity-involvement types in patients with the dilated cardiomyopathy; 3. Paraneoplastic myocarditis; 4. Myocarditis with infarction-like manifesting (as acute and benevolent in its course and prognosis, as chronic with the outcome into severe heart failure), microvascular angina, and combination of myocarditis with coronary

【 授权许可】

Unknown