Визначення та епідеміологія

Ключевые слова: 
миокардит, этиология, 
патогенез, диагностика, лечение
Diagnosis anD treatment 
of myocarDitis: recommenDations 
of Ukrainian association 
of carDiology
V. Kovalenko, E. Nesukay, S. Cherniuk, 
A. Kozliuk, R. Kirichenko
SI «NCS «M.D. Strazhesko institute of cardiology» 
NAMS of Ukraine
The recommendations are dedicated to contem-
porary aspects of epidemiology, etiology, patho-
genesis, diagnosis, etiology-based, pathogenetic 
and symptomatic treatment of myocarditis. Va rious 
pathogenetic mechanisms that cause the devel-
opment and progression of inflammatory heart di-
sease and cause dilatation and systolic dysfunction, 
lead to heart failure and the development of other 
complications of myocarditis are described in de-
tail. These recommendations present the modern 
classification of myocarditis, approved in Ukraine, 
and modern algorithms for diagnosis and clinical 
management of patients, in particular the algo-
rithm that justifies the appointment of glucocorti-
coids for patients with myocarditis. The characte-
ristics of different variants of myocarditis are also 
presented with clarifications concerning diagnosis 
and treatment. Much attention is paid to va rious ap-
proaches to the etiotropic and pathogenetic treat-
ment of myocarditis and their possible prospects. 
It is obvious that in order to standardi ze approach-
es to the diagnosis and management of acute and 
chronic myocarditis, it is necessary to conduct 
large-scale multicenter studies and create spe-
cial registries. In addition, in the current context 
of the COVID-19 pandemic, the pathological effects 
of SARS-CoV-2 as a trigger of myocarditis need fur-
ther study, in particular in terms of impact on the 
prognosis and approaches to pathogenetic thera-
py in such patients. Unification of terminology and 
approaches to diagnosis and clinical monito ring of 
patients with myocarditis can improve ma nagement 
tactics and increase the survival rate of such pa-
tients. To identify high-risk patients (with arrhyth-
mias, high probability of recurrence or transfor-
mation of myocarditis into dilated cardiomyopa-
thy) and candidates for heart transplantation, the 
most promising is the creation of special databas-
es of such patients.
key words: 
myocarditis, etiology, pathogenesis, 
diagnosis, treatment
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