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Is the diagnosis of myocarditis a kazus for the doctor?

Abstract

The review provides a modern approach to the diagnosis of myocarditis and its applicability for the conditions of routine medicine practice. Diagnostic work-up in myocarditis is multistage and requires integration of clinical symptoms, laboratory and imaging data. However, the results of the endomyocardial biopsy are crucial for the diagnosis of myocarditis. This diagnostic algorithm usually is not possible for the internist. But the impossibility of carrying out endomyocardial biopsy should not lead to the rejection of the clinical diagnosis of myocarditis. 

About the Authors

E. A. Temnikova
ФГБОУ ВО ОмГМУ МЗ РФ
Россия


A. I. Kondratiev
ФГБОУ ВО ОмГМУ МЗ РФ
Россия


M. V. Temnikov
ФГБВОУ ВО ВМА им. С. М. Кирова Минобороны РФ
Россия


References

1. Заболеваемость взрослого населения России в 2017 году. Статистический сборник 2017 года Министерства здравоохранения Российской Федерации. [Электронный ресурс]. URL: https://www.rosminzdrav. ru/ministry/61/22/stranitsa-979/statisticheskie-i-informatsionnye-materialy/statisticheskiy-sbornik-2017-god. (Дата обращения 04.01.2019).

2. Caforio A. L. et al. European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases // Eur. Heart. J. 2013. Vol. 34 (33). Sep. (7). P. 2636–2648.

3. Kindermann I. et al. Update on myocarditis // J. Am. Coll. Cardiol. 2012. Vol. 59 (9). Feb (28). P. 779–792.

4. Национальное общество по изучению сердечной недостаточности и заболеваний миокарда. Клинические рекомендации. Миокардиты. 2016. [Электронный ресурс]. URL: http://cr.rosminzdrav.ru/#!/ischemia/131. (Дата обращения 01.12.2018).

5. Richardson P. et al. Report of the 1995 World Health Organization/International Society and Federation of Cardiology Task Force on the Definition and Classification of cardiomyopathies // Circulation. 1996. Vol. 93 (5). Mar. (1). P. 841–842.

6. Hufnagel G. et al. The European study of Epidemiology and Treatment of Cardiac Inflammatory Diseases (EsETCID). First epidemiological results // Herz. 2000. Vol. 25 (3). Р. 279–285.

7. Sagar S. et al. Myocarditis // Lancet. 2012. Vol. 379 (9817). Feb (25). P. 738–747.

8. Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013 // Lancet. 2015. Vol. 386 (9995). Aug (22). Р. 743–800.

9. Kyto V., Sipila J., Rautava P. Gender differences in myocarditis: A nationwide study in Finland // Eur Heart J. 2013. Vol. 34. Р. 15.

10. Caforio A. L. et al. A prospective study of biopsy-proven myocarditis: prognostic relevance of clinical and aetiopathogenetic features at diagnosis // Eur Heart J. 2007. Vol. 28 (11). Jun (6). Р. 1326–1333.

11. Magnani J. W. et al. Survival in biopsy-proven myocarditis: a long-term retrospective analysis of the histopathologic, clinical, and hemodynamic predictors // Am Heart J. 2006. Vol. 151. Р. 463–470.

12. Fairweather D. et al. Sex and gender differences in myocarditis and dilated cardiomyopathy/ D. Fairweather [et al.] // Current problems in cardiology journal. 2013. Vol. 38. Р. 7–46.

13. Dennert R., Crijns H. J., Heymans S. Acute viral myocarditis // Eur. Heart. J. 2008. Vol. 29 (17). Sep. (9). P. 2073–2082.

14. K?hl U. et al. High prevalence of viral genomes and multiple viral infections in the myocardium of adults with «idiopathic» left ventricular dysfunction // Circulation. 2005. Vol. 111 (7). Feb. (22). P. 887–893.

15. Fung G. et al. Myocarditis // Circ. Res. 2016. Vol. 118 (3). Feb 5. P. 496–514.

16. Yilmaz A. et al. A geographical mystery: do cardiotropic viruses respect national borders? // J. Am. Coll. Cardiol. 2008. Vol. 52 (1). Jul (1). P. 82.

17. Matsumori A. et al. Myocarditis and heart failure associated with hepatitis C virus infection // J. Card. Fail. 2006. Vol. 12 (4). May (5). P. 293–298.

18. Cooper L. T. Jr. et al. The global burden of myocarditis: part 1: a systematic literature review for the Global Burden of Diseases, Injuries, and Risk Factors 2010 study // Glob Heart. 2014. Vol. 9 (1). Mar (3). Р. 121–129.

19. Andr?oletti L. et al. Active Coxsackieviral B infection is associated with disruption of dystrophin in endomyocardial tissue of patients who died suddenly of acute myocardial infarction // J Am Coll Cardiol. 2007. Vol. 50 (23). Dec (4). Р. 2207–2214.

20. Mason J. W. Myocarditis and dilated cardiomyopathy: an inflammatory link // Cardiovasc Res. 2003. Vol. 60 (1). Oct (15). Р. 5–10.

21. Liu P. Viral myocarditis: balance between viral infection and immune response // Can J Cardiol. 1996. Vol. 12. Oct (10). Р. 935–943.

22. Huber S. A., Gauntt C. J., Sakkinen P. Enteroviruses and myocarditis: viral pathogenesis through replication, cytokine induction, and immunopathogenicity // Adv Virus Res. 1999. Vol. 51. Р. 35–68.

23. Liu P. P., Mason J. W. Advances in the understanding of myocarditis // Circulation. 2001. Vol. 104 (9). Aug (28). Р. 1076–1082.

24. Maisch B. et al. Definition of inflammatory cardiomyopathy (myocarditis): on the way to consensus // Herz. 2000. Vol. 25 (3). May (5). Р. 200–209.

25. Marholdt H. et al. Presentation, patterns of myocardial damage, and clinical course of viral myocarditis // Circulation. 2006. Vol. 114. Р. 1581.

26. K?hl U., Pauschinger M., Bock T. Parvovirus B19 mimicking acute myocardial infarction // Circulation. 2003. Vol. 108. P. 945–950.

27. Kumar A. et al. Acute myocarditis triggering coronary spasm and mimicking acute myocardial infarction // World Journal of Cardiology. 2014. Vol. 6. Sep (9). P. 1045–1048.

28. Leone O. et al. 2011 consensus statement on endomyocardial biopsy from the Association for European Cardiovascular Pathology and the Society for Cardiovascular Pathology // Cardiovasc Pathol. 2012. Vol. 21 (4). Jul-Aug. Р. 245–274.

29. Aretz H. T. et al. Myocarditis: A histopathologic definition and classification // Am J Cardiovasc Pathol. 1987. Vol. 1 (1). Р. 3–14.

30. Палеев Н. Р., Палеев Ф. Н. Некоронарогенные заболевания миокарда и их классификация // Российский кардиологический журнал. 2009. № 3. С. 5–9.

31. Lieberman E. B. et al. Clinicopathologic description of myocarditis // J. Am Coll. Cardiol. 1991. Vol. 18. Jul (7). P. 1617–1626.

32. Cooper L. T. et al. The role of endomyocardial biopsy in the management of cardiovascular disease: a scientific statement from the American Heart Association, the American College of Cardiology, and the European Society of Cardiology // Circulation. 2007. Vol. 116. Р. 2216.

33. Благова О. В. с соавт. ДКМП как клинический синдром: результаты нозологической диагностики с применением биопсии миокарда и дифференцированного лечения у вирус- позитивных и вирус-негативных больных // Российский кардиологический журнал. 2016. № 1. С. 7–19.


Review

For citations:


Temnikova E.A., Kondratiev A.I., Temnikov M.V. Is the diagnosis of myocarditis a kazus for the doctor? Lechaschi Vrach. 2019;(2):30. (In Russ.)

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