Paleev N R, Ianovskaia M O, Gurevich M A, Surovikina M S
Kardiologiia. 1977 Sep;17(9):84-8.
The state of the blood plasma kallikrein-kinin system in infectious-allergic myocarditis was studied for the first time. Biological methods for the determination of kallikrein, kininogen, kininases, and free kinins were used. Changes in the activity of the kinin system were revealed in 92% of 38 individuals examined: activation in the first 2-4 months and exhaustion later (in 6-8 months). It was shown that the generally accepted clinico-laboratory criteria on myocarditis are not always informative. Determination of the components of the plasma kinin system is suggested as an additional diagnostic test. The use of kinin antagonists and inhibitors of the kinin system in the complex of drug therapy in infectious-allergic myocarditis is recommended.
首次对感染性过敏性心肌炎患者血浆激肽释放酶-激肽系统的状态进行了研究。采用生物学方法测定激肽释放酶、激肽原、激肽酶和游离激肽。在38名受检者中有92%发现激肽系统活性发生变化:最初2-4个月激活,随后(6-8个月)耗竭。结果表明,心肌炎普遍接受的临床实验室标准并不总是具有诊断意义。建议测定血浆激肽系统的成分作为一项辅助诊断检测。推荐在感染性过敏性心肌炎的药物治疗组合中使用激肽拮抗剂和激肽系统抑制剂。