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在急诊科诊断和治疗心包炎和心肌炎。

Diagnosing and treating pericarditis and myocarditis in the emergency department.

机构信息

Associate Program Director, United States Naval Medical Center San Diego, San Diego, CA.

Staff Emergency Physician, United States Naval Hospital Sigonella, Sigonella, Italy.

出版信息

Emerg Med Pract. 2023 Jul;25(7):1-24. Epub 2023 Jul 1.

Abstract

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.

摘要

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。

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