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急性心肌炎心电图表现的预后意义:哪个最强?

Prognostic implications of the electrocardiographic findings in acute myocarditis: Which is the strongest one?

机构信息

Division of Cardiology, Department of Internal Medicine, Inje University College of Medicine, Haeundae Paik Hospital, Busan, Republic of Korea.

Division of Cardiology, Department of Internal Medicine, Inje University College of Medicine, Haeundae Paik Hospital, Busan, Republic of Korea.

出版信息

Indian Heart J. 2021 Jan-Feb;73(1):121-124. doi: 10.1016/j.ihj.2020.12.016. Epub 2020 Dec 30.

DOI:10.1016/j.ihj.2020.12.016
PMID:33714397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7961242/
Abstract

Myocarditis is an inflammatory disease of the myocardium with high morbidity and mortality; however, definite prognostic factors are still unclear. Therefore, we aimed to evaluate the predictor of clinical outcomes of acute myocarditis focusing on electrocardiographic findings. The overall result of the study consists of a total of 51 patients demonstrated that wide QRS duration is a meaningful factor for predicting the fulminant course of acute myocarditis. This finding may encourage timely mechanical support resulting in better clinical outcomes.

摘要

心肌炎是一种心肌炎症性疾病,发病率和死亡率都很高;然而,确切的预后因素仍不清楚。因此,我们旨在评估急性心肌炎患者的临床结局预测因素,重点是心电图发现。这项研究的总体结果共包括 51 例患者,表明宽 QRS 持续时间是预测急性心肌炎暴发性病程的有意义因素。这一发现可能鼓励及时进行机械支持,从而获得更好的临床结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecc7/7961242/205e8eeff2ee/figs1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecc7/7961242/0bb8e4d57ab1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecc7/7961242/205e8eeff2ee/figs1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecc7/7961242/0bb8e4d57ab1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecc7/7961242/205e8eeff2ee/figs1.jpg

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本文引用的文献

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Management of Myocarditis-Related Cardiomyopathy in Adults.成人心肌炎相关性心肌病的管理。
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The Prognostic Role of QTc Interval in Acute Myocarditis.QTc间期在急性心肌炎中的预后作用
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Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging.
超声心动图成人左心室容量和射血分数测量:美国超声心动图学会和欧洲心血管影像协会的更新建议。
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Prognostic electrocardiographic parameters in patients with suspected myocarditis.疑似心肌炎患者的预后心电图参数。
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Myocarditis.心肌炎
N Engl J Med. 2009 Apr 9;360(15):1526-38. doi: 10.1056/NEJMra0800028.
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AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: part III: intraventricular conduction disturbances: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society: endorsed by the International Society for Computerized Electrocardiology.美国心脏协会/美国心脏病学会基金会/心律学会关于心电图标准化与解读的建议:第三部分:室内传导阻滞:美国心脏协会心电图与心律失常委员会、临床心脏病学理事会、美国心脏病学会基金会及心律学会的科学声明;获国际计算机化心电图学会认可
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AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: part IV: the ST segment, T and U waves, and the QT interval: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society: endorsed by the International Society for Computerized Electrocardiology.美国心脏协会/美国心脏病学会基金会/心律学会心电图标准化与解读建议:第四部分:ST段、T波和U波以及QT间期:美国心脏协会心电图与心律失常委员会、临床心脏病学理事会、美国心脏病学会基金会和心律学会的科学声明;得到国际计算机化心电图学会认可。
Circulation. 2009 Mar 17;119(10):e241-50. doi: 10.1161/CIRCULATIONAHA.108.191096. Epub 2009 Feb 19.
8
Predictive factors of a fulminant course in acute myocarditis.急性心肌炎暴发性病程的预测因素
Int J Cardiol. 2006 Apr 28;109(1):142-5. doi: 10.1016/j.ijcard.2005.04.014.
9
Risk factors for patients developing a fulminant course with acute myocarditis.急性心肌炎患者发展为暴发性病程的危险因素。
Circ J. 2004 Aug;68(8):734-9. doi: 10.1253/circj.68.734.
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Myocarditis.心肌炎
N Engl J Med. 2000 Nov 9;343(19):1388-98. doi: 10.1056/NEJM200011093431908.