Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Hospital, Milan, Italy; Vita-Salute San Raffaele University, Milan, Italy.
Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Hospital, Milan, Italy.
Heart Rhythm. 2019 May;16(5):793-801. doi: 10.1016/j.hrthm.2018.11.024. Epub 2018 Nov 24.
Many kinds of arrhythmias may occur in patients with myocarditis at any stage of the disease. However, compared to the other clinical presentations, arrhythmic myocarditis has been poorly described in the literature. Arrhythmias occurring in either ongoing or previous myocardial inflammation are complex and heterogeneous, and the disease itself is often underdiagnosed, thus limiting data collection and interpretation. However, different from the other clinical presentations, arrhythmic myocarditis requires specific diagnostic, prognostic, and therapeutic considerations. The aim of this review is to critically summarize the state of the art on myocarditis presenting with arrhythmias in terms of epidemiology, etiology, diagnosis, prognosis, and treatment.
许多类型的心律失常可能发生在心肌炎患者的任何疾病阶段。然而，与其他临床表现相比，心律失常性心肌炎在文献中描述得很少。发生在持续性或先前心肌炎症中的心律失常复杂且具有异质性，而且疾病本身往往被漏诊，从而限制了数据的收集和解释。然而，与其他临床表现不同，心律失常性心肌炎需要特定的诊断、预后和治疗考虑。本综述的目的是批判性地总结心律失常性心肌炎在流行病学、病因、诊断、预后和治疗方面的最新进展。
