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Tonzillacktomii syndrome

One of the manifestations of the impact of chronic infection foci on the heart is tonzillacktomii syndrome , or, as it is sometimes called, the disease Egorova,named after the scientist who described the pathological changes of heart tonirovannogo and odontogenic origin in 1928
The term "tonzillacktomii syndrome" you should understand the reaction of the cardiovascular system toxicity emanating from chronic infections in the tonsils. Tonzillacktomii syndrome is a combination of chronic tonsillitis with various changes of cardiovascular system, in particular with the reflex, dystrophic and (or) inflammatory (not rheumatic) changes in the myocardium. Similar changes of the myocardium and the cardiovascular system may take place in the presence of chronic foci of infection not only in the tonsils, but in any other part of the human body.
Changes in the cardiovascular system are observed in 80-90 % of these patients. However, tonzillacktomii syndrome takes the main place among the lesions caused by different chronic infections.
Neuroreflectory the relationship between the tonsils and heart proven currently experimentally. This gave rise to talk about consilierilor reflex, however, the term "tonzillacktomii syndrome", i.e. violations of the cardiovascular system because of chronic tonsillitis, has firmly entered the lexicon of doctors.
A variety of changes in cardiovascular system at the centers of a chronic infection allowed a number of authors suggest other designations such a pathological condition - "tonsillar disease, focal cardialny syndrome, chronostasis", etc.
The Plenum of the all-Union society of rheumatology suggested that the term "tonsillar myocardiopathy and tonsillar myocarditis". However, a diagnosis of miocardiopatia devoid of concrete contents, and myocarditis not always the case when intoxication of the centers of a chronic infection. In addition, it does not account for the defeat of the vascular system arising from such intoxication, in particular, changes in blood pressure in the large and small circulation. Therefore, in our opinion, the right to retain the term "tonzillacktomii syndrome".
A variety of diffuse and focal changes of the myocardium with chronic tonsillitis observed in 10-15 % of cases. It should be added that chronic tonsillitis contributes to myocardial degeneration due to chronic physical overstrain.
Change of heart at the centers of a chronic infection, and in particular chronic tonsillitis, considered by some authors as a kind of myocarditis. Some call it serous, other focal, non-specific, diffuse rheumatic pain, alopecia, allergic etc. are documented cases tonirovannogo interstitial myocarditis.
In the sports and medical literature you can find a description of idiopathic myocarditis type Abramov - Fiedler that occur in athletes with chronic infections during exercise and sometimes lead to death.
From this point of view is interesting event described Century N. Kovalenko (1959).
Athlete X., first class, wrestling, during angina occurring with high body temperature, intensively trained and participated in the competitions. He developed an acute myocarditis and complete dissociation cross with a heart rate of 10-12 BPM and attacks Adams-Stokes-winking. In the future, the athlete was forced to fully stop the occupation by sport.
Similar examples are numerous.
No matter how to call damage to the heart muscle while chronic infections, such a possibility does not cause doubts. This is even more obvious that changes in the heart muscle during consilierilor syndrome, histologically confirmed. Usually defined alopecia interstitial inflammation, necrosis of the muscle fibers, miles, i.e. phenomena nonspecific myocarditis and myocarditis cardiosclerosis.
The negative impact of chronic infections in the heart of an athlete, given the significant physical and emotional stress inherent in modern sports, especially significant. In many cases (Vasiliev C. S. and others, 1965,-52,3 %, Varakin, Century, 1981,- 71 %), chronic tonsillitis are defined certain pathological changes in the ECGshowing inflammatory or degenerative changes of the myocardium, and various disorders of the heart rhythm.
Violations of the heart rhythm in chronic tonsillitis is very diverse. According to I. D. Dmitrieva (1969), in addition to arrythmia different nature (single, politopnaya from different departments, bi - and FREQ, and so on), are also violations conductivity, dissociation with the interference etc.