Heine Mary, Agrawal Ankit, Wensink Emma, Wang Tom Kai Ming, Klein Allan
Cleveland Clinic, Cleveland, OH, USA.
Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Curr Cardiol Rep. 2025 Mar 10;27(1):69. doi: 10.1007/s11886-025-02205-y.
Pericarditis can be a chronic and complex disease requiring years of treatment. These patients require close monitoring of labs, medications and their side effects, as well as virtual and inpatient follow up. Due to the complexity of this disease, many of these patients are treated for months and sometimes years. Our review highlights the role Advanced practice providers (APP) play in managing the complexity of these patients by providing efficient and quality care.
Multi-modality cardiac imaging is the cornerstone to the evaluation and treatment of pericardial diseases. The addition of Interleukin (IL-1) blockers or biologics (Rilonacept, Anakinra) in the last few years provides targeted therapy for these patients. Using imaging guided therapy (IGT) these complex patients require close, continuous follow up and monitoring as well as frequent medication titration. The outcomes for these pericardial patients are improved with these centers due to the specialized medical and surgical care. Advanced Practice Providers play a vital role in a pericardial center with ordering the appropriate imaging and labs, handling medication titration, and providing patient education and continuity of care for these patients. They have been shown to decrease mortality, increase quality of care, and increase medication adherence.
心包炎可能是一种慢性复杂疾病，需要数年治疗。这些患者需要密切监测实验室检查结果、药物及其副作用，以及进行线上和住院随访。由于这种疾病的复杂性，许多患者需要接受数月甚至数年的治疗。我们的综述强调了高级执业提供者（APP）通过提供高效优质的护理在管理这些患者的复杂性方面所发挥的作用。
多模态心脏成像技术是心包疾病评估和治疗的基石。在过去几年中，添加白细胞介素（IL-1）阻滞剂或生物制剂（利罗那肽、阿那白滞素）为这些患者提供了靶向治疗。对于这些复杂患者，采用影像引导治疗（IGT）需要密切、持续的随访和监测，以及频繁的药物滴定。由于专业的医疗和手术护理，这些心包疾病患者在这些中心的治疗效果得到改善。高级执业提供者在心包疾病中心发挥着至关重要的作用，他们负责安排适当的成像检查和实验室检查、处理药物滴定，并为这些患者提供患者教育和持续护理。事实证明，他们可以降低死亡率、提高护理质量并提高药物依从性。
