Lins M, Alexander H, Muurling S, Herrmann G, Maisch B, Simon R
Klinik für Kardiologie, Christian-Albrechts-Universität zu Kiel.
Z Kardiol. 1997 Apr;86(4):292-7. doi: 10.1007/s003920050061.
Endomyocardial biopsy is an established technique to distinguish between myocarditis and dilated cardiomyopathy. Even when clinical symptoms for myocarditis are lacking, immunohistologic findings may establish a clear diagnosis. For treatment, however, an early diagnosis is mandatory. We report on a 44 year old patient who was admitted with the echocardiographic diagnosis of dilated cardiomyopathy. He underwent diagnostic angiocardiography and endomyocardial biopsy. The latter demonstrated an active myocarditis. At the time of read-mission, 2 weeks later, the patient had deteriorated. Now, additional to a symptomatic therapy, prednisolone, azathioprine and human immunoglobulin G were given and patient conditions improved dramatically. The use of endomyocardial biopsy seems recommendable in order to define patients diagnosis and their results may be necessary to decide patients therapy.
心内膜心肌活检是一种用于区分心肌炎和扩张型心肌病的成熟技术。即使缺乏心肌炎的临床症状，免疫组织学检查结果也可能明确诊断。然而，对于治疗而言，早期诊断至关重要。我们报告了一名44岁的患者，因超声心动图诊断为扩张型心肌病而入院。他接受了诊断性心血管造影和心内膜心肌活检。后者显示为活动性心肌炎。两周后再次入院时，患者病情恶化。此时，除了对症治疗外，还给予了泼尼松龙、硫唑嘌呤和人免疫球蛋白G，患者病情显著改善。为明确患者诊断，心内膜心肌活检的应用似乎是可取的，其结果对于决定患者的治疗可能是必要的。
