Tonsilogenic cardiomyopathy: unsolved issues in diagnosis and treatment
Abstract
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.
About the Authors
A. S. Vaidzelevich
Military unit number 20193
Belarus
Belarus
Zh. V. Kolyadich
Republic Scientific-Practical Center of Oncology and Medical Radiology named after N.N. Aleksandrov
Belarus
Belarus
N. P. Mitkovskaya
Belarusian State Medical University
Belarus
Belarus
References
1. Ovchinnikov A.Yu., Gabedava V.A., Svet A.V., Doletskiy A.A. O neobkhodimosti kardiologicheskogo skrininga u bol’nykh khronicheskim tonzillitom [On the need for cardiac screening in patients with chronic tonsillitis]. Effektivnaya farmakoterapiya. Pul’monologiya i otorinolaringologiya, 2010, no. 1, pp. 67–71. (in Russian).
2. Bykova V.P. Sovremennyye predstavleniya o strukture i funktsii mindalin limfadenoidnogo glotochnogo kol’tsa [Modern ideas about the structure and function of the tonsils of the lymphadenoid pharyngeal ring]. Aktual’naya otorinolaringologiya, 2002, no. 4, pp. 2–11. (in Russian).
3. Mal’ceva G.S., Burova L.A. B-gemoliticheskie streptokokki v jetiologii hronicheskogo tonzillita [B-hemolytic streptococci in the etiology of chronic tonsillitis]. Ros Otorinolaringologija, 2008, suppl. 3, pp. 65–69. (in Russian).
4. Lopatin A.S., Var v yanskaya A.V., Kaspranskaya G.R. Spravochnik otorinolaringologa [Reference otolar yngologist]. Moscow, GEOTAR-Media, 2018, 336 p. (in Russian).
5. Yalymova D.L., Vishnyakov V.V., Talalayev V.N. Khronicheskiy tonzillit: diagnostika, klassifikatsiya, lecheniye [Chronic tonsillitis: diagnosis, classification, treatment]. Spravochnik poliklinicheskogo vracha, 2014, no. 8, pp. 29–31. (in Russian).
6. Burton M.J., Glasziou P.P. Tonsillectomy or adeno-tonsillectomy versus non-surgical treatment for chronic/recurrent acute tonsillitis. Cochrane Database Syst Rev, 2009, vol. 21, no. 1, pp. CD001802. doi: 10.1002/14651858.CD001802.pub2.
7. Bykova V.P. Morphofunctional characteristics of the immunoregulatory compartment in human palatine and pharyngeal tonsils in the aspect of the innate immunity. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae, 2009, vol. 15, no. 4, pp. 15–23.
8. Melio F., Berge L. Upper respiratory tract infections In Marx J., Walls R., Hockberger R. Rosen’s Emergency Medicine Concepts and Clinical Practice. Elsevier Health Sciences, 2010, pp. 913–926.
9. Khasanov S.A., Asrorov A.A., Vokhidov U.N. Rasprostranennost’ khronicheskogo tonzillita v sem’ye i yego profilaktika [The prevalence of chronic tonsillitis in the family and its prevention]. Vestnik otorinolaringologii, 2006, no. 4, pp. 38–40. (in Russian).
10. Todorovich M.M., Zvrko E.Z. Immunoregulatory cytokines and chronic tonsillitis. Bosnian J Basic Med Sciences, 2013, vol. 13, no. 4, pp. 230–236.
11. Izvin A.I. Geneticheskie aspekty hronicheskogo tonzillita [Genetic aspects of chronic tonsillitis]. Novosti otorinolaringologii i logopatologii, 2002, no. 2, pp. 90–92. (in Russian)
12. Degtyareva Ye.A., Novikova YU.YU., Kantemirova M.G., Kufa M.A., Pavlova Ye.V., Skoropupov A.A. Etapnyy podkhod k diagnostike khronicheskogo miokardita u rebenkas khronicheskim tonzillitom [A phased approach to the diagnosis of chronic myocarditis in a child with chronic tonsillitis]. Trudnyy patsiyent, 2017, no. 8–9, pp. 43–46. (in Russian).
13. Detsik YU.I., Dutka R.Ya. K diagnostike tonzillogennoy miokardiodistrofii [To the diagosis of tonsillogenic myocardial dystrophy]. Vrach. Delo, 1982, no. 6, pp. 69–72. (in Russian).
14. Marmolevskaya G.S. Nerevmaticheskiye tonzillogennyye zabolevaniya serdtsa. 2-ye izd [Non-rheumatic tonsillogenic heart disease. 2nd ed.]. Sverdlovsk, Izdatel’stvo Ural’skogo universiteta, 1988, 164 p. (in Russian).
15. Chevretton E.B., Davis J.P. Tonsillitis: its causes, management and possible complications. Int J Clin Pract. 1997, vol. 51, no. 8, pp. 485–486.
16. Kirkina N.YU., Pronina D.V., Slyudova A.I. Tonzillokardial’nyy sindrom [Tonsilocardial syndrome]. Klinicheskaya meditsina i farmakologiya, 2010, vol. 4, no. 1, pp. 42–46. (in Russian).
17. Ostropolets S.S. Miokard: struktura i funktsii v norme i patologii [Myocardium: structure and function in health and patholog]. Donetsk, Nord-Press, 2007, 208 p. (in Russian).
18. Kovalenko V.N., Nesukay Ye.G. Nekoronarogennyye bolezni serdtsa. Prakticheskoye rukovodstvo [Non-coronary heart disease. A practical guide]. Kiev, Morion, 2001, 480 p. (in Russian).
19. Leont’yeva I.V. Lektsii po kardiologii detskogo vozrasta [Lectures on children’s cardiology]. Moscow, ID «Medpraktika-M», 2005, 536 p. (in Russian).
20. Bbattacbaryya N., Kepnes L.J, Sbapiro J. Efficacy and qualitu-of-life impact of adult tonsillectomy. Arcb Otolaryngol Head Neck Surg, 2001, vol. 127, no. 11, pp. 1347–1350.
21. Mui S., Rasgon B.M., Hilsinger R.L. Efficacy of tonsillectomy for recurrent throat infection in adults. Laryngoscope, 1998, vol. 108, no. 9, pp. 1325–1328.
Review
For citations:
Vaidzelevich A.S., Kolyadich Zh.V., Mitkovskaya N.P. Tonsilogenic cardiomyopathy: unsolved issues in diagnosis and treatment. Emergency Cardiology and Cardiovascular Risks journal. 2019;3(1):576–581. (In Russ.)
Views:
20
Email this article 