带有或没有心肌干扰的心膜炎的良好预后:来自多中心前性队列研究的结果
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
概括
心肌炎和心周炎的预后很好,超过90%的患者恢复正常的心脏功能. 复发是最常见的并发症,但热波水平并不表明更糟糕的结果.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
- 临床研究 临床研究
背景情况:
- 肌性心肌炎/心周炎的自然史和预后尚不清楚.
- 之前的研究报告了这些条件的相互矛盾的结果.
研究的目的:
- 评估心肌炎/心周炎的长期预后.
- 评估潜在队列中的并发症和康复率.
主要方法:
- 一个多中心的前性队列研究,对486名被诊断患有急性心周炎或心肌炎症综合征的患者进行了研究.
- 诊断证实使用临床标准,心电图,激素水平,心声学和心脏MRI.
- 平均随访时间为36个月.
主要成果:
- 超过90%的心肌炎/心周炎患者实现左心室功能正常化.
- 没有死亡,心力衰竭或症状左心室功能障碍被记录.
- 复发性心周炎是最常见的并发症,在急性心周炎中比心肌炎/心周炎更频繁.
结论:
- 心肌性炎症综合征通常有良好的预后.
- 热血素升高不是心肌炎/心周炎的负面预后标志物,与急性冠状动脉综合征不同.
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