心臓炎の評価と治療: 体系的なレビュー
Massimo Imazio1, Fiorenzo Gaita2, Martin LeWinter3
1Cardiology Department, Maria Vittoria Hospital and Department of Public Health and Pediatrics, University of Torino, Torino, Italy.
JAMA
|October 14, 2015
まとめ
胸の痛みの一般的な原因である内炎は ウイルスの感染によるものです NSAIDとコルキシンによる治療は症状を制御し,再発率を大幅に減らすことができます.
科学分野:
- 心臓病科
- 内科 医学
- 感染症
背景:
- 心臓炎は最も頻繁な心臓病であり,胸の痛みの一般的な原因です.
- 先進国ではイディオパシーとウイルスが原因とされていることが大半です.
研究 の 目的:
- 循環器炎の原因,診断,治療,予防,予後に関する証拠をまとめること.
- 循環器炎の管理に関する臨床的実践を参考にする.
主な方法:
- 複数のデータベースを介して包括的な文献検索が行われました.
- 7569人の成人を対象としたメタ解析,ランダム化臨床試験,コホート研究を含む30件の研究が選択されました.
主要な成果:
- 病因には感染症と非感染症が含まれており,ウイルス感染症は先進国で最も一般的です.
- 診断は臨床的基準に依存し,特定の特徴により予後が悪くなり,入院が必要となる.
- 非ステロイド性抗炎症薬 (NSAIDs) は第一線治療法であり,コルキシンは再発を約50%減少させます.
結論:
- 循環器炎は,特にイディオパシー性またはウイルス性症例において,顕著な再発率を有する一般的な世界的な疾患である.
- NSAIDの適切な分類と治療は再入院率を下げることができます.
- コルキシンは心臓炎の再発を抑えるのに有効です.
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