急性心肌炎的诊断和治疗:一篇综述
Enrico Ammirati1,2, Javid J Moslehi3
1De Gasperis Cardio Center, Transplant Center, Niguarda Hospital, Milano, Italy.
JAMA
|April 4, 2023
概括
急性心肌炎是一种炎症性心脏病,全球每10万人中有4至14人罹患. 需要更多的研究来确定特定病例的支持性护理和皮质类固醇以外的最佳治疗方法.
科学领域:
- 心脏病学
- 免疫学
背景情况:
- 急性心肌炎是心肌突发性炎症,每年每10万人中发生率为4-14.
- 常见的原因包括病毒感染,自身免疫性疾病,某些药物和疫苗,胸痛是最常见的症状 (82-95%).
结论:
- 对急性心肌炎的最佳治疗措施需要通过随机临床试验进行进一步的研究.
- 目前的做法,如使用皮质类固醇,往往基于事证据,强调需要基于证据的治疗指南.
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