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Allgemeine Übersicht

  • P. Schölmerich
Part of the Handbuch der inneren Medizin book series (INNEREN, volume 9 / 5)

Zusammenfassung

Ansätze zur Definition und Klassifikation entzündlicher Herzmuskelerkrankungen haben eine lange Historie, ohne daß bis heute eine generell akzeptierte Festlegung möglich gewesen wäre. Die Problematik bezieht sich auf ätiologische, pathogenetische, pathologisch-anatomische und erst recht klinische Befunde (Doerr 1971; Doerr et al. 1974; Poche 1982). Eine Expertengruppe der WHO hat 1980 den Vorschlag einer Klassifikation formuliert, die die Gesamtheit von Herzmuskelerkrankungen in Kardiomyopathien (als primäre oder idiopathische Krankheitsformen) und spezifische Herzmuskelerkrankungen differenziert. Für die letztere Gruppe wird auch vielfach die Bezeichnung sekundäre Herzmuskelerkrankung benutzt. Die Einteilung geht teils von nosologischen, teils aber auch von pathologisch-anatomischen Gesichtspunkten aus. Zum Bereich der entzündlichen Herzmuskelerkrankungen sind die infektiösen Myokarditiden, die entzündlichen Myokardveränderungen bei Kollagenkrankheiten und die toxisch-allergischen Reaktionen am Myokard zu rechnen. Als Sonderformen werden noch infiltrative und granulomatöse Erkrankungen wie Sarkoidose und Leukämie, als nicht klassifizierbar die Fiedler-Myokarditis und die infantile Endokardfibrose aufgeführt.

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© Springer-Verlag Berlin Heidelberg 1989

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  • P. Schölmerich

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