Tom 12, Nr 3 (2017)
NIEWYDOLNOŚĆ SERCA
Opublikowany online: 2017-08-02
Wyświetlenia strony
1063
Wyświetlenia/pobrania artykułu
19477
Zapalenie mięśnia sercowego
Kardiol Inwazyjna 2017;12(3):47-58.
Streszczenie
Zapalenie mięśnia sercowego (ZMS) powstaje w wyniku zakażeń, działania leków, toksycznych substancji lub jest związane z chorobami autoimmunologicznymi. Etiologia wirusowa jest najczęstszą przyczyną ZMS. Obecnie parwowirus B19, human herpesvirus 6 (HHV-6) i cytomegalowirus są najczęściej wykrywanymi wirusami w miokardium objętym procesem zapalnym. Ze względu na niespecyficzne objawy, rozpoznanie ZMS może być problematyczne. Ponadto nieinwazyjne metody obrazowania, takie jak echokardiografia i rezonans magnetyczny serca nie pozwalają na postawienie ostatecznej diagnozy. Złotym standardem w rozpoznaniu ZMS pozostaje biopsja endomiokardialna. Pozwala ona na ocenę histologiczną, immunohistochemiczną i molekularną. Identyfikacja czynnika etiologicznego jest istotna, ponieważ umożliwia włączenie specyficznego leczenia przeciwwirusowego, które poprawia rokowanie.
Słowa kluczowe: zapalenie mięśnia serowego
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