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Diagnóstico y tratamiento de la miocarditis aguda: una revisión
Enrico Ammirati1,2, Javid J Moslehi3
1De Gasperis Cardio Center, Transplant Center, Niguarda Hospital, Milano, Italy.
JAMA
|April 4, 2023
Resumen
La miocarditis aguda, una enfermedad inflamatoria del corazón, afecta a entre 4 y 14 de cada 100.000 personas en todo el mundo. Se necesitan más investigaciones para determinar los tratamientos óptimos más allá de la atención de apoyo y los corticosteroides para casos específicos.
Área de la Ciencia:
- Cardiología
- Inmunología
Sus antecedentes:
- La miocarditis aguda es una lesión inflamatoria repentina del miocardio con una incidencia global de 4-14 por cada 100.000 personas al año.
- Las causas comunes incluyen infecciones virales, trastornos autoinmunes, ciertos medicamentos y vacunas, siendo el dolor en el pecho el síntoma más frecuente (82-95%).
Conclusiones:
- Las intervenciones terapéuticas óptimas para la miocarditis aguda requieren una mayor investigación a través de ensayos clínicos aleatorizados.
- Las prácticas actuales, como el uso de corticosteroides, a menudo se basan en pruebas anecdóticas, lo que pone de relieve la necesidad de pautas de tratamiento basadas en pruebas.
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