Acute septic cardiomyopathy is - to our present knowledge - the heart
disease most strongly interrelated with cytokines. Myocardial depressi
on by cytokines is characterized by their pleiotropic actions mediatin
g not only impairment of one, but several inotropic cascades. Informat
ion concerning the relevance of cytokines in non-septic heart diseases
is - a present - scarce: Concepts emerge in cases of myocarditis, hea
rt failure and cardiomyopathies, acute coronary syndromes, systemic in
flammatory response due to cardiopulmonary bypass, heart transplant re
jection and Kawasaki disease. Conclusion: Cytokines are involved in he
art diseases.