Sumarokov A V, Moiseev V S, Shelepin A A, Stiazhkin V Iu
Ter Arkh. 1984;56(9):75-81.
Echocardiography and immunological tests were applied to follow and examine 100 patients with grave non-coronarogenic myocardial lesions. Of these, 14 patients had hypertrophic cardiomyopathy (CMP) of the obstructive type, 21 hypertrophic non-obstructive CMP (symmetrical, apical, septal), 15 congestive CMP, 34 nonspecific myocarditis, and 16 alcoholic lesion of the heart. Congestive CMP, nonspecific myocarditis, and alcoholic lesion of the heart were characterized by some symptoms in common: dilatation of heart chambers, heart insufficiency, arrhythmias, thromboembolism. Myocarditis can be diagnosed according to the common and laboratory signs of inflammation, appearance of inflammatory pathology in other organs, changes in the immunological characteristics (reduction in the leukocyte migration index under the effect of cardiomyocyte membrane antigen), therapteutic effect of steroidal therapy. Alcoholic lesion of the heart can be recognized on case history specification (including the questioning of the subjects having relations with the patient), and identification of other symptoms of alcoholism. The possibility of making differential diagnosis of the diseases under consideration has been demonstrated.
应用超声心动图和免疫学检测对100例严重非冠状动脉性心肌病变患者进行随访和检查。其中，14例为梗阻性肥厚型心肌病（CMP），21例为非梗阻性肥厚型CMP（对称性、心尖部、室间隔性），15例为充血性CMP，34例为非特异性心肌炎，16例为酒精性心脏损害。充血性CMP、非特异性心肌炎和酒精性心脏损害具有一些共同症状：心腔扩大、心力衰竭、心律失常、血栓栓塞。心肌炎可根据炎症的常见和实验室体征、其他器官炎症病理的出现、免疫特征的变化（在心肌细胞膜抗原作用下白细胞迁移指数降低）以及甾体治疗的治疗效果进行诊断。酒精性心脏损害可根据病史详述（包括询问与患者有关系的人员）以及其他酒精中毒症状来识别。已证明了对所考虑疾病进行鉴别诊断的可能性。
