心脏粉样性查和心脏衰竭患者的管理与保存的喷射部分:一个国际调查
Anastasia Shchendrygina1, Nathan Mewton2, David Niederseer3
1Department of Hospital Therapy 2, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
The American journal of cardiology
|October 31, 2024
概括
心脏 Amyloidosis (CA) 在心力衰竭中被低诊断,其中保留了喷射分数 (HFpEF). 全球医生调查显示,查,诊断和治疗方法各不相同,强调需要改善教育和获得治疗方法.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 心脏粉症 (CA) 是心力衰竭 (HF) 的未被确诊的原因.
- 早期识别和治疗HF中的CA与保存的喷射分数 (HFpEF) 改善了患者的治疗结果.
- 目前在HFpEF患者中对CA的查和管理实践尚未在全球范围内标准化.
研究的目的:
- 评估全球医生对HFpEF患者的CA查和管理的方法.
- 确定医生在HFpEF中用于CA的当前诊断工具和治疗策略.
- 了解医生对CA疾病修饰疗法 (DMT) 的可用性和管理的看法.
主要方法:
- 在2023年5月至7月期间,在医生中进行了一项国际网络调查.
- 该调查收集了来自95个国家的1460名医生关于CA查,诊断和HFpEF患者的管理的数据.
- 数据分析的重点是查标准,一线诊断工具和治疗偏好.
主要成果:
- 只有10%的医生系统地查了所有HFpEF患者的CA;24%根本没有查.
- 左心室缩是最常见的查标准 (39%).
- 血清蛋白电泳与免疫固定和尿蛋白电泳或心脏MRI是常见的第一线诊断;CA DMT可供48%的医生使用.
结论:
- 在全球范围内,关于在HFpEF患者中进行CA查的必要性存在重大不确定性.
- 癌症的管理,特别是查和诊断,是高度异质的.
- 需要在HF社区中加强教育,改善获得CA特定的DMT的机会.
相关概念视频
01:22Mitral Valve Prolapse II: Assessment and Management
3
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
3
01:28Mitral Regurgitation IV: Nursing Management
3
Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
3
01:14Myocarditis III: Medical Management
2
Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
2
01:22Myocarditis IV: Nursing Management
2
Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
2
01:21Rheumatic Heart Disease III: Medical Management
3
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
3
01:20Rheumatic Heart Disease IV: Nursing Management
5
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
5