The study represents a summary of the latest experience, definitions, classification and diagnostics in cardiomyopathologic diseases. The main attention is drawn to the pathogenesis of cardiomyopathies, especially regarding the metabolic disturbances of the cardiac muscle on the mitochondrial level: the disturbances of oxidative and related energetic processes which the authors have registered in coincidence with the cardiomyopathological alcohol and smoking experimental model. The conclusion includes a notice about the prospective possibility for human cardiology to study these metabolic disturbances in endomyocardial biopsies in order to assess the diagnosis in early thus still reversible stages.
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