А.С. Войделевич, Ж.В. Колядич, Н.П. Митьковская
РНПЦ онкологии и мед. радиологии им. Н.Н. Александрова, УО «Белорусский государственный медицинский университет»
Высокая распространенность хронического тонзиллита (ХТ) среди населения позволяет назвать данное заболевание социально значимым. В связи с полиморфностью данной патологии, а также высоким риском возникновения и развития метатонзиллогенных заболеваний и осложнений, проблемой ХТ занимаются врачи различных специальностей (оториноларингологи, кардиологи, ревматологи, иммунологи, терапевты), что указывает на мультидисциплинарный характер ХТ. В данной статье изложены общие представления о ХТ (классификация, этиология, механизмы патогенеза, тактика лечения, тонзиллогенные осложнения). Акцентировано внимание на изучение тонзиллогенных поражений сердца (тонзиллогенной кардиомиопатии), механизмов их развития и методов диагностики. Из проведенного обзора следует, что тонзиллэктомия является единственным эффективным методом лечения, а также предупреждения развития метатонзиллогенных заболеваний и осложнений ХТ.
ключевые слова: хронический тонзиллит, тонзиллогенная кардиомиопатия, тонзиллэктомия
для цитирования: А. С. Войделевич, Ж. В. Колядич, Н. П. Митьковская. Тонзиллогенная кардиомиопатия: нерешенные вопросы диагностики и лечения. Неотложная кардиология и кардиооваскулярные риски, 2019, Т. 3, № 1, С. 576–581
Tonsilogenic cardiomyopathy: unsolved issues in diagnosis and treatment
A. S. Vaidzelevich, Zh. V. Kolyadich, N. P. Mitkovskaya
High prevalence of chronic tonsillitis among the population makes it possible to call this disease socially significant. Due to the polymorphism of this pathology, as well as a high risk of occurrence and development of metatonsilogenic diseases and complications, doctors of various specialties (otorhinolaryngologists, cardiologists, rheumatologists, immunologists, therapists) deal with the problem of chronic tonsillitis, which indicates a multidisciplinary nature of chronic tonsillitis. This article outlines the general concepts of chronic tonsillitis (classification, etiology, pathogenesis mechanisms, treatment tactics, tonsilogenic disorders). Attention is focused on the study of tonsillogenic lesions of the heart (tonsillogenic cardiomyopathy), the mechanisms of their development and diagnostic methods. From the review it follows that tonsillectomy is the only effective method of treatment, as well as prevention of the development of metatonsilogenic complications of chronic tonsillitis.
keywords: chronic tonsillitis, tonsillogenic cardiomyopathy, tonsillectomy
for references: S. Vaidzelevich, Zh. V. Kolyadich, N. P. Mitkovskaya. Tonsilogenic cardiomyopathy: unsolved issues in diagnosis and treatment Neotlozhnaya kardiologiya i kardioovaskulyarnye riski [Emergency cardiology and cardiovascular risks], 2019, vol. 3, no. 1, pp. 576–581
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