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[心肌炎]

[Myocarditis].

作者信息

Vítovec J, Lipoldová J

机构信息

I. interní kardio-angiologická klinika Lékarské fakulty MU a FN u sv. Anny Brno.

出版信息

Vnitr Lek. 2009 Sep;55(9):702-9.

Abstract

Myocarditis is a disorder with a wide range of symptoms spanning from light breathlessness or chest pain, ceasing without specific treatment, through cardiogenic shock, requiring left ventricular assistance, to sudden death. Dilated cardiomyopathy with chronic cardiac failure might be the very consequence of the precedent myocarditis. Myocarditis is the most frequently caused by viral infections, less frequently by specific infections, toxic or hypersensitivity reactions to medicines, giant cell myocarditis or sarcoidosis. Prognosis and treatment differ according to the cause, clinical or haemodynamic signs inform decision-making on care provided by cardiology centres, including decisions on execution and interpretation of myocardial biopsy. The present overview aims to provide practical guidance on diagnosis and treatment of myocardial inflammation.

摘要

心肌炎是一种具有广泛症状的疾病,从轻微的呼吸急促或胸痛(无需特殊治疗即可缓解),到需要左心室辅助的心源性休克,再到猝死。伴有慢性心力衰竭的扩张型心肌病可能正是先前心肌炎的后果。心肌炎最常见的病因是病毒感染,较少见的病因是特定感染、对药物的毒性或过敏反应、巨细胞心肌炎或结节病。预后和治疗因病因不同而异,临床或血流动力学体征为心脏病中心提供的护理决策提供依据,包括心肌活检的实施和解读决策。本综述旨在为心肌炎症的诊断和治疗提供实用指导。

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