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在社区中寻找肥厚型心肌病:为什么这很重要?

Looking for hypertrophic cardiomyopathy in the community: why is it important?

机构信息

CMSR Veneto Medica, Via Vicenza 204, 36077, Altavilla Vicentina (VI), Italy.

出版信息

J Cardiovasc Transl Res. 2009 Dec;2(4):392-7. doi: 10.1007/s12265-009-9135-4. Epub 2009 Oct 20.

DOI:10.1007/s12265-009-9135-4
PMID:20559997
Abstract

Hypertrophic cardiomyopathy (HCM) is an epidemiologically relevant, worldwide spread condition which is frequently perceived as a rare disease. This misconception might be supported by some characteristics of HCM such as its incomplete penetrance and variable age at onset and by the fact that many patients remain asymptomatic for a long course of the disease and are thus unlikely to seek for medical evaluation. Multiple evidences suggest that early diagnosis of HCM is important, not only because it allows the patients to be addressed to appropriate diagnostic work-out and to adequate therapeutical options but because it may trigger the screening of family members with the potential of further, new diagnosis of HCM in previously unsuspected individuals. Increased awareness of the disease among physicians working in community-based hospitals and in outpatients facilities, and a facilitated communication and access to tertiary referral centers, will result into a wider knowledge of the spectrum of the disease, a better access to the state-of-the-art management options for patients, and to a more diffuse practice of genetic evaluation of HCM families.

摘要

肥厚型心肌病(HCM)是一种具有流行病学意义的、广泛存在的疾病,通常被认为是一种罕见疾病。这种误解可能是由于 HCM 的一些特征所致,如不完全外显率和发病年龄的可变性,以及许多患者在疾病的很长一段时间内无症状,因此不太可能寻求医疗评估。多项证据表明,HCM 的早期诊断很重要,不仅因为它可以使患者接受适当的诊断检查和治疗选择,还因为它可能引发对有潜在新诊断的 HCM 家族成员的筛查。提高社区医院和门诊设施中医生对该病的认识,以及促进与三级转诊中心的沟通和联系,将使更多人了解该病的范围,为患者提供更好的先进管理方案,并更广泛地对 HCM 家族进行遗传评估。

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Looking for hypertrophic cardiomyopathy in the community: why is it important?在社区中寻找肥厚型心肌病:为什么这很重要?
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本文引用的文献

1
Hypertrophic cardiomyopathy phenotype revisited after 50 years with cardiovascular magnetic resonance.50年后通过心血管磁共振对肥厚型心肌病表型的再评估
J Am Coll Cardiol. 2009 Jul 14;54(3):220-8. doi: 10.1016/j.jacc.2009.05.006.
2
Diagnostic, prognostic, and therapeutic implications of genetic testing for hypertrophic cardiomyopathy.肥厚型心肌病基因检测的诊断、预后及治疗意义
J Am Coll Cardiol. 2009 Jul 14;54(3):201-11. doi: 10.1016/j.jacc.2009.02.075.
3
Comparison of U.S. and Italian experiences with sudden cardiac deaths in young competitive athletes and implications for preparticipation screening strategies.
美国和意大利年轻竞技运动员心源性猝死经历的比较及其对赛前筛查策略的启示。
Am J Cardiol. 2009 Jul 15;104(2):276-80. doi: 10.1016/j.amjcard.2009.03.037. Epub 2009 May 18.
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Myofilament protein gene mutation screening and outcome of patients with hypertrophic cardiomyopathy.肥厚型心肌病患者的肌丝蛋白基因突变筛查及结果
Mayo Clin Proc. 2008 Jun;83(6):630-8. doi: 10.4065/83.6.630.
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Use of tissue Doppler to distinguish discrete upper ventricular septal hypertrophy from obstructive hypertrophic cardiomyopathy.利用组织多普勒成像区分离散性室间隔上部肥厚与梗阻性肥厚型心肌病。
Am J Cardiol. 2008 May 15;101(10):1498-503. doi: 10.1016/j.amjcard.2008.01.027. Epub 2008 Mar 17.
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Electrocardiograms should be included in preparticipation screening of athletes.心电图应纳入运动员参赛前筛查。
Circulation. 2007 Nov 27;116(22):2616-26; discussion 2626. doi: 10.1161/CIRCULATIONAHA.107.733519.
7
An electrocardiogram should not be included in routine preparticipation screening of young athletes.心电图不应纳入年轻运动员的常规赛前筛查。
Circulation. 2007 Nov 27;116(22):2610-4; discussion 2615. doi: 10.1161/CIRCULATIONAHA.107.711465.
8
Classification of the cardiomyopathies: a position statement from the European Society Of Cardiology Working Group on Myocardial and Pericardial Diseases.心肌病的分类:欧洲心脏病学会心肌和心包疾病工作组的立场声明
Eur Heart J. 2008 Jan;29(2):270-6. doi: 10.1093/eurheartj/ehm342. Epub 2007 Oct 4.
9
Determinants for clinical diagnosis of hypertrophic cardiomyopathy.肥厚型心肌病临床诊断的决定因素。
Am J Cardiol. 2006 Dec 1;98(11):1507-11. doi: 10.1016/j.amjcard.2006.07.029. Epub 2006 Oct 12.
10
Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program.实施赛前筛查计划后年轻竞技运动员心源性猝死的趋势
JAMA. 2006 Oct 4;296(13):1593-601. doi: 10.1001/jama.296.13.1593.