Ho Gregory, Peng Ed, Hermuzi Antony, Hasan Asif
1 Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.
2 Department of Paediatric Cardiac Surgery, Cardiopulmonary Transplant Unit, Freeman Hospital, Newcastle Upon Tyne NE7 7DN, United Kingdom.
World J Pediatr Congenit Heart Surg. 2018 May;9(3):360-363. doi: 10.1177/2150135116678415. Epub 2017 Feb 27.
Cardiomyopathy may have a variety of causes and may lead to significant morbidity. Often, there is no "perfect" treatment. New investigative techniques may add insight but retain the possibility of uncertainty. The distinction between restrictive cardiomyopathy and pericardial constriction may be challenging, particularly when considering the incidence of these entities. This distinction may significantly impact patient management and this is becoming increasingly important in the context of donor organ austerity. We present a case of a 17-year-old male to illustrate the overlap highlighting this debate and our subsequent management.
心肌病可能有多种病因,并可能导致严重的发病情况。通常,不存在“完美”的治疗方法。新的研究技术可能会提供一些见解,但仍存在不确定性。限制型心肌病与心包缩窄之间的鉴别可能具有挑战性,尤其是考虑到这些疾病的发病率时。这种鉴别可能会对患者的管理产生重大影响,在供体器官短缺的背景下,这一点变得越来越重要。我们报告一例17岁男性病例,以说明这种重叠情况,突出这一争议以及我们随后的处理方法。