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与猝死相关的心肌病——致心律失常性右心室心肌病、心律失常性心肌病和运动诱导性心肌病。

Sudden death related cardiomyopathies - Arrhythmogenic right ventricular cardiomyopathy, arrhythmogenic cardiomyopathy, and exercise-induced cardiomyopathy.

机构信息

Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America.

Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America; Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America.

出版信息

Prog Cardiovasc Dis. 2019 May-Jun;62(3):217-226. doi: 10.1016/j.pcad.2019.04.002. Epub 2019 Apr 17.


DOI:10.1016/j.pcad.2019.04.002
PMID:31004608
Abstract

Sudden cardiac death (SCD) is a devastating possible outcome of all cardiomyopathies. The risk of SCD is increased in patients with structural heart disease and continues to increase as ventricular dysfunction worsens. There is, however, a subset of cardiomyopathy, so-called "arrhythmogenic cardiomyopathy" (ACM), that carries an inherent propensity for arrhythmia in all stages of the disease, even preceding ventricular dysfunction. The aim of this review is to identify cardiomyopathies, other than ischemic and dilated cardiomyopathies, that are associated with ventricular arrhythmias (VAs) and SCD. We discuss prevalence, diagnosis, natural history and management of arrhythmogenic right ventricular dysplasia/cardiomyopathy, ACM, and exercise-induced cardiomyopathy, with emphasis on the morbidity and mortality of VAs associated with these cardiomyopathies and how they can be mitigated through lifestyle modification, medical management, and implantation of cardioverter defibrillators.

摘要

心脏性猝死(SCD)是所有心肌病的一种毁灭性的可能结局。结构性心脏病患者发生 SCD 的风险增加,随着心室功能障碍的恶化,这种风险持续增加。然而,有一种心肌病,所谓的“心律失常性心肌病”(ACM),在疾病的所有阶段都存在固有发生心律失常的倾向,甚至在心室功能障碍之前就存在。本综述的目的是确定除缺血性和扩张型心肌病以外的与室性心律失常(VA)和 SCD 相关的心肌病。我们讨论了致心律失常性右心室发育不良/心肌病、ACM 和运动诱导型心肌病的患病率、诊断、自然病史和管理,重点是这些心肌病相关的 VA 的发病率和死亡率,以及如何通过生活方式改变、药物治疗和植入心脏复律除颤器来减轻 VA。

相似文献

[1]
Sudden death related cardiomyopathies - Arrhythmogenic right ventricular cardiomyopathy, arrhythmogenic cardiomyopathy, and exercise-induced cardiomyopathy.

Prog Cardiovasc Dis. 2019-4-17

[2]
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Circ Res. 2017-9-15

[3]
Arrhythmic risk prediction in arrhythmogenic right ventricular cardiomyopathy: external validation of the arrhythmogenic right ventricular cardiomyopathy risk calculator.

Eur Heart J. 2022-8-21

[4]
Risk stratification for ventricular arrhythmias and sudden cardiac death in arrhythmogenic right ventricular cardiomyopathy: an update.

Expert Rev Cardiovasc Ther. 2019-9

[5]
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[6]
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Circulation. 2017-11-21

[7]
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Rev Recent Clin Trials. 2015

[8]
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Card Electrophysiol Clin. 2023-9

[9]
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Curr Cardiol Rep. 2016-6

[10]
Predicting Sudden Cardiac Death in Genetic Heart Disease.

Can J Cardiol. 2022-4

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[2]
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J Physiol. 2024-10-24

[3]
Endurance Training Provokes Arrhythmogenic Right Ventricular Cardiomyopathy Phenotype in Heterozygous Desmoglein-2 Mutants: Alleviation by Preload Reduction.

Biomedicines. 2024-4-30

[4]
Inherited arrhythmias and gene therapy: Are there any ethical considerations to take into account?

World J Cardiol. 2023-12-26

[5]
MYH10 activation rescues contractile defects in arrhythmogenic cardiomyopathy (ACM).

Nat Commun. 2023-10-13

[6]
Arrhythmogenic Cardiomyopathy: from Preclinical Models to Genotype-phenotype Correlation and Pathophysiology.

Stem Cell Rev Rep. 2023-11

[7]
Cardiomyopathy and Sudden Cardiac Death Among the Athletes in Developing Countries: Incidence and Their Prevention Strategies.

Cureus. 2023-2-28

[8]
Exercise-induced right ventricular cardiomyopathy in an endurance cyclist: a case report.

Eur Heart J Case Rep. 2023-1-10

[9]
Humanized ACM Mouse Model Displays Stress-Induced Cardiac Electrical and Structural Phenotypes.

Cells. 2022-9-29

[10]
Emergency department extracorporeal membrane oxygenation as a rescue therapy for ventricular tachycardia electrical storm: a case report.

J Am Coll Emerg Physicians Open. 2020-4-22

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