Associate Program Director, United States Naval Medical Center San Diego, San Diego, CA.
Staff Emergency Physician, United States Naval Hospital Sigonella, Sigonella, Italy.
Emerg Med Pract. 2023 Jul;25(7):1-24. Epub 2023 Jul 1.
Pericarditis and myocarditis represent a challenging set of diseases to diagnose and treat. These diseases typically present with chest pain and dyspnea in previously healthy young people, often in the weeks following a viral illness, including COVID-19. Nonetheless, the etiologies can be very diverse, including infectious, noninfectious, drug-induced, and autoimmune causes. This review focuses on the evaluation, diagnosis, and management of emergency department patients presenting with pericarditis and myocarditis and summarizes current guidelines and best-practice medical management strategies in order to avoid potential life-threatening cardiac complications.
心包炎和心肌炎是一组具有挑战性的疾病,诊断和治疗都很困难。这些疾病通常表现为胸痛和呼吸困难,发生在既往健康的年轻人中,常在病毒性疾病(包括 COVID-19)后数周出现。然而,病因可能非常多样化,包括感染性、非感染性、药物诱导性和自身免疫性原因。本综述重点介绍了急诊科心包炎和心肌炎患者的评估、诊断和管理,并总结了目前的指南和最佳医疗管理策略,以避免潜在的危及生命的心脏并发症。