Brandt G
Dtsch Med Wochenschr. 1976 Aug 13;101(33):1209-13. doi: 10.1055/s-0028-1104242.
"Cardiomyopathy", a term formerly used for heart muscle disease of unknown aetiology, is at present applied to all myocardial diseases other than coronary-heart disease. This definition includes many different forms of metabolic disorders of heart muscle. Four manifestations of metabolic myocardial disease, differing in their aetiology and pathogenesis are distinguished: (1) "transport" myocardosis, (2) "arthrocytotic" myocardosis, (3) myocardia, and (4) idiopathic cardiomyopathy. They are differentiated by combined morphological and quantitative mineral examination. "Transport" myocardosis is the most common form and its particular aetiology can be further specified. Cause of death in patients with metabolic disorders often remains undiscovered even at autopsy. Combination of histological and quantitative mineral analysis of myocardium can further define the particular form.
“心肌病” 一词曾用于病因不明的心肌疾病,目前适用于除冠心病以外的所有心肌疾病。这一定义包括许多不同形式的心肌代谢紊乱。代谢性心肌病有四种表现形式,其病因和发病机制各不相同:(1)“转运性” 心肌症,(2)“关节细胞性” 心肌症,(3)心肌病,以及(4)特发性心肌病。它们通过形态学和定量矿物质检查相结合来区分。“转运性” 心肌症是最常见的形式,其具体病因可进一步明确。即使在尸检时,代谢紊乱患者的死因往往仍未被发现。心肌组织学和定量矿物质分析相结合可以进一步确定具体形式。