本病在近20年才得到公认。现主要根据日文资料就本病的临床问题现况作一简介。病因原发性心肌病的病因尚未弄清楚。下列因素可能与发病有关:①病毒感染:有人认为病毒感染与充血型心肌病关系较大,病毒以柯萨奇B族为主,实验性心肌病的资料支持这一看法。②遗传因素:肥厚型心肌病与遗传的关系较大,这类病人有家族史者较多。③有人认为妊娠分娩是一个因素,认为产后心脏病是一种原发性心肌病。④长期饮酒可引起酒精性心肌病,这在日本屡有报导。也有人提出本病与高 The disease has not been recognized for nearly 20 years. Now based mainly on Japanese information on the clinical status of the disease make an introduction. Etiology The etiology of primary cardiomyopathy has not yet been clarified. The following factors may be related to the incidence: ① virus infection: Some people think that the virus infection and congestive heart disease is greater, the virus coxsackievirus B group, experimental cardiomyopathy data support this view. ② genetic factors: hypertrophic cardiomyopathy and genetic relationship is larger, such patients have more family history. ③ Some people think that pregnancy and childbirth is a factor that postpartum heart disease is a primary cardiomyopathy. ④ long-term alcohol consumption can cause alcoholic cardiomyopathy, which is frequently reported in Japan. Some people raised the disease and high