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心肌病诊断的实用方法:从表型出发的路线图

[A practical approach to the diagnosis of cardiomyopathy: a roadmap from the phenotype].

作者信息

Carigi Samuela, Longhi Simone, Marzo Francesca, Merli Elisa, Bartolotti Michela, Ricci Lucchi Giulia, Gardini Elisa, Del Corso Filippo, Barbaresi Elena, Gobbi Milva, Di Giannuario Giovanna, Grosseto Daniele, Amati Silvia, Ferrara Rossella, Ottani Filippo, Piovaccari Giancarlo

机构信息

U.O. Cardiologia, Ospedale di Rimini, AUSL della Romagna.

U.O. Cardiologia, Ospedale di Forlì, AUSL della Romagna.

出版信息

G Ital Cardiol (Rome). 2020 Mar;21(3):195-208. doi: 10.1714/3306.32768.

Abstract

Cardiomyopathies are a heterogeneous group of cardiac diseases for which diagnosis and treatment are not always simple. The diagnosis of cardiomyopathy, in particular the etiology, comes from an integration between symptoms and results collected by several instrumental exams. The brain storming for the diagnosis includes also the identification of the "red flags", i.e. the pathognomonic features for each etiology that can drive the choice of appropriate diagnostic tests and therapy. In this review, we provide a step by step approach in order to help cardiologists, not specifically dedicated to cardiomyopathies, to draw the diagnosis, therapy and follow-up. This approach will be accompanied by the consultation of other specialists to discuss together the results of the exams performed and to deepen extracardiac signs and symptoms.

摘要

心肌病是一组异质性的心脏疾病,其诊断和治疗并不总是简单的。心肌病的诊断,尤其是病因诊断,来自于症状与多项仪器检查所收集结果的综合判断。诊断的集思广益还包括识别“红旗”,即每种病因的特征性表现,这些表现可指导选择合适的诊断测试和治疗方法。在本综述中,我们提供了一种循序渐进的方法,以帮助并非专门从事心肌病研究的心脏病专家进行诊断、治疗和随访。这种方法将伴随着与其他专家的会诊,共同讨论所进行检查的结果,并深入研究心外体征和症状。

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