Haas G J
MidOhio Cardiology Consultants, 3545 Olentangy River Road, Suite 325, Columbus, OH 43124, USA.
Cardiol Rev. 2001 Mar-Apr;9(2):88-95. doi: 10.1097/00045415-200103000-00007.
The evaluation and management of acute myocarditis remain two of the most difficult challenges that general internists and cardiologists face today. Although the majority of cases are subclinical and self-limited, the true prevalence of myocarditis in the general population is unknown. In its most severe form, patients with myocarditis may present with rapidly progressive heart failure, cardiogenic shock, or complex arrhythmia. Indeed, acute myocarditis should be in the differential diagnosis of acute heart failure, particularly in young and previously healthy individuals.
急性心肌炎的评估与管理仍是普通内科医生和心脏病专家如今面临的两个最具挑战性的难题。尽管大多数病例为亚临床型且具有自限性，但普通人群中心肌炎的真实患病率尚不清楚。在其最严重的形式中，心肌炎患者可能会出现快速进展的心力衰竭、心源性休克或复杂心律失常。事实上，急性心肌炎应列入急性心力衰竭的鉴别诊断之中，尤其是在年轻且既往健康的个体中。
