心筋関わりがあるか否かの心周炎の良好な予後:多センター,前向きコホート研究の結果
Massimo Imazio1, Antonio Brucato, Andrea Barbieri
1Cardiology Department, Maria Vittoria Hospital, Via Luigi Cibrario 72, 10141 Torino, Italy. massimo_imazio@yahoo.it
Circulation
|May 28, 2013
まとめ
心筋膜炎と心周膜炎の予後は良好で,患者の90%以上が正常な心臓機能を回復します. 再発は最も一般的な合併症ですが,トロポニンのレベルは,より悪い結果を示すものではありません.
科学分野:
- 心臓病学 心臓病学
- 内科内科は,内科の内科である.
- クリニック・リサーチ 臨床研究
背景:
- 筋膜炎/心筋膜炎の自然経歴と予後はよくわかっていません.
- 以前の研究では,これらの条件の矛盾した結果が報告されています.
研究 の 目的:
- ミオペリカード炎/ペリミオカード炎の長期的な予後を評価する.
- 将来のコホートにおける合併症と回復率を評価する.
主な方法:
- 急性心膜炎または心筋膜炎症性炎症症候群と診断された486人の患者を対象とした多センター前向きコホート研究.
- 診断は,臨床基準,ECG,トロポニン濃度,心声検査,心筋MRIを用いて確認されました.
- 追跡期間の中央値は36ヶ月でした.
主要な成果:
- 筋膜炎/心膜炎の患者の90%以上は,左心室機能の正常化を達成しました.
- 死亡,心不全,または症状のある左心室機能不全は記録されていません.
- 再発性 perikarditisは最も頻繁な合併症であり,急性 perikarditisではmyopericarditis/perimyocarditisよりも頻繁に発生しました.
結論:
- 心筋膜炎症症候群は,一般的に前兆が好ましい.
- トロポニンの上昇は,急性冠状動脈症候群とは異なり,心筋膜炎/心筋膜炎の陰性予後マーカーではありません.
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