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结核性心肌炎的模式与临床表现:病例系统评价

Patterns and clinical manifestations of tuberculous myocarditis: a systematic review of cases.

作者信息

Michira Brian Nyasani, Alkizim Faraj Omar, Matheka Duncan Mwangangi

机构信息

School of Medicine, University of Nairobi, Nairobi 00100, Kenya.

School of Medicine, University of Nairobi, Nairobi 00100, Kenya ; Department of Medical Physiology, University of Nairobi, Nairobi 00100, Kenya.

出版信息

Pan Afr Med J. 2015 Jun 12;21:118. doi: 10.11604/pamj.2015.21.118.4282. eCollection 2015.

Abstract

Tuberculosis is a rare cause of myocarditis. It is however associated with a high mortality when it occurs and is often diagnosed at post-mortem. Tuberculous myocarditis prevalence in males is twice that in females. Most of the reported cases of tuberculous myocarditis are predominantly in immunocompetent patients. Out of the reported fatalities (sudden cardiac deaths), eighty one percent (81%) occur in the 'young' patients (below 45years). Antituberculosis drug therapy does not appear to offer mortality benefit against sudden cardiac deaths.

摘要

结核病是心肌炎的罕见病因。然而,当其发生时,死亡率很高,且往往在尸检时才被诊断出来。男性结核性心肌炎的患病率是女性的两倍。大多数已报道的结核性心肌炎病例主要发生在免疫功能正常的患者中。在已报道的死亡病例(心源性猝死)中,81%发生在“年轻”患者(45岁以下)。抗结核药物治疗似乎对心源性猝死没有降低死亡率的益处。

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