Abstract
Enteroviruses have been identified through in situ hybridization techniques in biopsies from up to 50% of myocarditis and 30% of dilated cardiomyopathy patients [1–3]. The prevalence of viral genomic material in the heart implies an etiological role for enteroviruses in the disease process. A major controversy, however, is whether the virus is the predominant pathogenic element in the disease, or whether the virus acts primarily as a trigger for the induction of immunopathogenic (either autoimmune or virus-immune) myocyte injury. The answer to this question impacts directly on the development of effective therapies for myocarditis and dilated cardiomyopathy.
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Huber, S.A., Hamrell, B.B., Knowlton, K.U. (1997). Lessons from Animal Models of Viral Myocarditis. In: Schultheiss, HP., Schwimmbeck, P. (eds) The Role of Immune Mechanisms in Cardiovascular Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60463-8_4
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DOI: https://doi.org/10.1007/978-3-642-60463-8_4
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