Vikhert A M, Tsyplenkova V G
Ter Arkh. 1991;63(9):128-33.
The authors summarize experience gained with a study of biopsy specimens obtained on endomyocardial biopsies from 88 patients with a clinical diagnosis of dilated cardiomyopathy. The diagnostic value of the study was equal to 70%. Dilated cardiomyopathy largely masked myocarditis and alcoholic cardiomyopathy which were diagnosed morphologically in 30 and 13% of the patients, respectively. No morphological alterations which would allow one to change the clinical diagnosis of dilated cardiomyopathy were discovered in 26% of cases. It has been shown that endomyocardial biopsy is an important tool of diagnosis. In order to introduce it on a broader scale, it is necessary that quantitative uniform criteria for the diagnosis of endomyocardial diseases, primarily myocarditis, be elaborated.
作者总结了对88例临床诊断为扩张型心肌病患者进行心内膜心肌活检所获活检标本的研究经验。该研究的诊断价值为70%。扩张型心肌病在很大程度上掩盖了心肌炎和酒精性心肌病，分别在30%和13%的患者中通过形态学诊断出来。在26%的病例中未发现能改变扩张型心肌病临床诊断的形态学改变。已表明心内膜心肌活检是一项重要的诊断工具。为了更广泛地应用它，有必要制定心内膜疾病（主要是心肌炎）诊断的定量统一标准。
