经过急性心膜炎后,缩性心膜炎的风险
Massimo Imazio1, Antonio Brucato, Silvia Maestroni
1Cardiology Department, Maria Vittoria Hospital, Torino, Italy. massimo_imazio@yahoo.it
Circulation
|August 17, 2011
概括
收缩性心膜炎 (CP) 在病毒性或异常性心膜炎后很少见,但在其他原因下更频繁. 这项研究量化了各种急性心膜炎病因的CP风险.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 狭性心膜炎 (CP) 是急性心膜炎的一种罕见但严重的并发症.
- 根据病因学分层的关于CP风险的前性数据有限.
- 了解这些风险对于患者的管理和预后至关重要.
研究的目的:
- 为了前性地评估发生率和风险发展紧缩性心膜炎 (CP) 经过急性心膜炎的第一次发作后.
- 根据急性心膜炎的潜在病因分析CP发展.
- 提供关于CP演变的长期后续数据.
主要方法:
- 500名连续患者的前性队列研究,首次出现急性心膜炎.
- 长期跟踪 (中位数72个月) 监测CP的发展.
- 病因分类包括病毒性/异质性,结缔组织疾病,瘤,结核病和性心膜炎.
主要成果:
- 在随访期间,约束性心膜炎 (CP) 在1.8%的患者 (9/500) 发病.
- 病毒性/异形性心膜炎的CP风险较低 (<0.5%),但非病毒性/非异形性心膜炎的风险显著增加 (8.3%).
- 每1000人/年发生率差异很大,从异常病/病毒病的0.76到性心周炎的52.74.
结论:
- 收缩性心膜炎 (CP) 是病毒性或异常性急性心膜炎的罕见并发症.
- 特定的病因,特别是细菌性 (性) 和结核性心膜炎,使得患上CP的风险大大增加.
- 根据病因学的风险分层对于预测急性心周炎后CP发展至关重要.
相关概念视频
Pericarditis IV: Nursing Management
375
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
375
Pericarditis III: Medical Management
362
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
362
Pericarditis II: Clinical Features and Diagnostic Tests
337
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
337
Pericarditis I: Introduction
415
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
415
Relative Risk
2.2K
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
2.2K
Factors Affecting the Risk of Infection
13.7K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
13.7K


