Olsen E G
MMW Munch Med Wochenschr. 1976 Jun 4;118(23):735-40.
The definition and clinical classification of the cardiomyopathies which the author uses are briefly mentioned, macroscopic, histologic, histochemical and electron microscopic appearances of the three clinical groups are described in detail. Classification is made into: 1. Congestive cardiomyopathy, 2a. hypertrophic cardiomyopathy with obstruction, 2b. hypertrophic cardiomyopathy without obstruction, 3. obliterative or restrictive cardiomyopathy. Löffler's endocarditis parietalis fibroplastica and endomyocardial fibrosis are examples which are compared with eosinophilic myocarditis and pathological evidence that the two diseases belong to the same disease process. The etiological possibilities of the cardiomyopathies are mentioned. Useful diagnostic information is obtained by myocardial biopsy in 68%.
简要提及了作者所采用的心肌病的定义和临床分类,详细描述了三个临床组的大体、组织学、组织化学和电子显微镜表现。分类如下:1. 充血性心肌病;2a. 梗阻性肥厚型心肌病;2b. 非梗阻性肥厚型心肌病;3. 闭塞性或限制性心肌病。将洛弗勒纤维增生性心内膜炎和心内膜心肌纤维化作为例子与嗜酸性粒细胞性心肌炎进行比较,并提供病理证据表明这两种疾病属于同一疾病过程。还提及了心肌病的病因可能性。68%的患者通过心肌活检获得了有用的诊断信息。