Observation of 40 patients with drug myocarditis developing in the presence of acute manifestations of drug allergy, and morphological examination of the myocardium of 15 patients who had died of different manifestations of allergy and drug myocarditis show that drug myocarditis develops quite often in acute manifestations of allergy. This is confirmed by the clinical symptoms, the electrocardiographic findings and the results of immunological study with the use of the leukocyte migration inhibition test with the cardiac antigen. In contrast to persons of the control groups, patients with drug myocarditis showed positive results beginning with the 4th-5th day of the development of the pathological process in the myocardium. The migration index was 40.6% on the average (normal value 80%). The morphological findings indicated the development of delayed and immediate allergic processes in the heart manifested by reaction of the myocardiocytes, stroma and vessels. The degree of severity and character of the morphological changes corresponded to the clinical picture of myocarditis.

Adult↗

PubMed1979

[Alcoholic damage of the myocardium].

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Adolescent↗

PubMed1978

[Role of myocardial lesiosn in thanatogenesis in bronchial asthma].

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Adolescent↗

PubMed1978

[Change in the index of neutrophil damage in infectious allergic myocarditis and its sequelae].

The reaction of damage to the blood neutrophils (the IND test) by a soluble cardiac antigen was studied in 10 healthy individuals, in 15 persons with infectious-allergic myocarditis and in 13 persons with myocarditic cardiosclerosis. Autoallergic shifts in relation to the cardiac antigen were revealed in half of the patients with infectious-allergic myocarditis and in one third of persons with myocarditic cardiosclerosis. The shifts were more marked in patients with infectious-allergic myocarditis.

Adolescent↗

PubMed1978

[Myocardial lesions in Goodpasture's syndrome].

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Aged↗

PubMed1978

[Difficulties in diagnosis of infectious-allergic myocarditis].

The work is based on observations over 168 patients with infectious-allergic myocarditis. The principal clinical, instrumental-laboratory, and morphologic criteria of this disease are discussed. The contractile function of the myocardium and central hemodynamics were studied. Intravital puncture biopsy of the myocardium was employed for the first time in this disease. Clinico-morphologic variants of infectious-allergic myocarditis are distinguished.

Adult↗

PubMed1976