急性 心筋炎 の 診断 と 治療: レビュー
Enrico Ammirati1,2, Javid J Moslehi3
1De Gasperis Cardio Center, Transplant Center, Niguarda Hospital, Milano, Italy.
JAMA
|April 4, 2023
まとめ
急性心筋炎は 炎症性心疾患で 世界中で10万人に4~14人が罹患しています サポートケアやコルチコステロイド以外の最適な治療法を特定するには,さらなる研究が必要です.
科学分野:
- 心臓病科
- 免疫学
背景:
- 急性心筋炎は,心筋の突然の炎症性損傷であり,年間10万人あたり4~14人の世界的な発生率があります.
- 一般的な原因はウイルス感染症,自己免疫疾患,特定の薬,ワクチンであり,胸痛が最も頻繁な症状である (82~95%).
結論:
- 急性心筋炎の最適な治療には,ランダム化臨床試験によるさらなる調査が必要です.
- コルチコステロイドの使用のような現在の慣行は,しばしば逸話的な証拠に基づいています.これは,証拠に基づいた治療ガイドラインの必要性を強調しています.
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