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自身免疫性疾病、其药理学治疗与心血管系统。

Autoimmune diseases, their pharmacological treatment and the cardiovascular system.

机构信息

Department of Cardiology and Intensive Therapy, Heliodor Swiecicki University Hospital, Poznan, Poland Department of Cardiology and Intensive Therapy, Poznan University of Medical Sciences, Poznan, Poland.

出版信息

Cardiol J. 2013;20(6):569-76. doi: 10.5603/CJ.2013.0156.

Abstract

Cardiovascular system involvement is a frequent complication of autoimmune diseases (AD) such as systemic lupus erythematosus, scleroderma, rheumatoid arthritis, spondyloarthropaties or psoriatic arthritis. The most common forms of such involvement are pericarditis, myocarditis, accelerated atherosclerosis resulting in myocardial infarction or stroke, arrhythmias, conduction abnormalities or congestive heart failure. Some of these manifestations may be dramatic in their course and ultimately fatal. The treatment of AD may further affect the cardiovascular system and result in a lower quality of life, higher mortality and increased cost of healthcare. The aim of this review is to discuss possible cardiac complications of various AD and the related treatment of these diseases.

摘要

心血管系统受累是系统性红斑狼疮、硬皮病、类风湿关节炎、脊柱关节病或银屑病关节炎等自身免疫性疾病(AD)的常见并发症。这种累及的最常见形式有心包炎、心肌炎、加速动脉粥样硬化导致心肌梗死或中风、心律失常、传导异常或充血性心力衰竭。其中一些表现可能在病程中很严重,最终导致死亡。AD 的治疗可能会进一步影响心血管系统,导致生活质量下降、死亡率增加和医疗保健成本增加。本综述的目的是讨论各种 AD 的可能心脏并发症以及这些疾病的相关治疗。

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