Kubel M, Trenckmann H
Z Gesamte Inn Med. 1975 Nov 1;30(21):713-5.
Heart insufficiency, cardiomegaly and pathological changes of the ECG after exclusion of coronary heart disease, congenital or acquired vitia cordis and hypertension of the greater or lesser circulatory system result in the diagnosis cardiomyopathy with the liability of further differential-diagnostic demarcation. If causes of a secondary cardiomyopathy can be detected, a causal therapy is often possible, as to the remaining group of the idiopathic cardiomyopathies one must for the time being limit to an exclusively symptomatic treatment (protective therapy, limitation of the fluid supply, glycosides, diuretics, medicamentous and electric therapy of disturbances of the rhythm).
排除冠心病、先天性或后天性心脏缺陷以及大循环或小循环系统高血压后,出现心脏功能不全、心脏肥大和心电图病理改变,可诊断为心肌病,且有进一步进行鉴别诊断的必要。如果能检测到继发性心肌病的病因,通常可以进行病因治疗,而对于其余的特发性心肌病组,目前必须仅限于进行对症治疗(保护性治疗、限制液体摄入、使用糖苷类药物、利尿剂、心律失常的药物和电治疗)。