Rapoport Ia L
Arkh Patol. 1977;39(4):11-21.
The author criticizes the tendency to broaden continuously the notion of "cardiomyopathy" and the attempts to cover by this term almost all etiological and pathogenetic variants of myocardial lesions. Classification of these variants by two groups is proposed: 1) idiopathic cardiomyopathies, etiology of which are either not known, or not established yet; 2) symptomatic cardiomyopathies the causes of which are known. The first group comprises congestive and hypertrophic cardiomyopathies. Their essential clinico-anatomical features and considerations concerning pathogenesis are set forth. Every variant of the second group of cardiomyopathies (symptomatic) is analysed separately according to the character of the pathogenic agent. The need for comprehensive study of myocardial pathology in the so-called cardiomyopathies is emphasized.
作者批评了不断扩大“心肌病”概念的趋势，以及试图用这个术语涵盖几乎所有心肌病变的病因和发病机制变体的做法。提出将这些变体分为两组：1）特发性心肌病，其病因尚不清楚或尚未确定；2）症状性心肌病，其病因已知。第一组包括充血性和肥厚性心肌病。阐述了它们的基本临床解剖特征以及关于发病机制的思考。根据病原体的特征，分别对第二组心肌病（症状性）的每个变体进行了分析。强调了对所谓心肌病中心肌病理学进行全面研究的必要性。
