Amorim D S
Heart Vessels Suppl. 1985;1:79-82. doi: 10.1007/BF02072367.
The results presented here show the inadequate attention that has been paid to myocarditis as a clinical entity and to employing endomyocardial biopsy examination as a valuable tool for diagnostic and research purposes. The results must be interpreted with caution, as otherwise false conclusions may be drawn as far as the epidemiological profile of cardiovascular diseases in Brazil is concerned. The data are likely to be influenced by the striking regional differences in development which are reflected in the scientific output. The high incidence of positive serology in patients in endemic areas of Trypanosoma cruzi infection is a further complication. It is possible that Chagas' disease may be overestimated clinically, decreasing therefore the interest in clarifying diseases with comparable clinical features. Myocarditis (excluding a protozoal etiology) and dilated (congestive) cardiomyopathy may serve as examples. Considering these various points, together with the complex and multi-disciplinary requirements of obtaining and interpreting catheter biopsies of the heart explains the limited clinical application of this technique in Brazil.
此处呈现的结果表明，心肌炎作为一种临床实体以及将心内膜心肌活检检查用作诊断和研究的宝贵工具，一直未得到充分重视。必须谨慎解读这些结果，否则就巴西心血管疾病的流行病学概况而言，可能会得出错误结论。这些数据可能受到发展中显著的地区差异影响，这种差异反映在科研产出上。克氏锥虫感染流行地区患者血清学阳性率高是另一个复杂因素。临床上恰加斯病可能被高估，因此降低了对明确具有类似临床特征疾病的兴趣。心肌炎（不包括原生动物病因）和扩张型（充血性）心肌病可能就是例子。考虑到这些不同点，再加上获取和解读心脏导管活检的复杂多学科要求，就解释了该技术在巴西临床应用有限的原因。
