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摘要: 急性重症心肌炎(acute fulminant myocarditis,AFM)早期识别和救治是提高患者生存率和改善预后的关键。目前尚无明确的AFM诊断标准,近年研究显示,重视成人AFM的年龄分布、关注常见临床类型的特征性表现和针对性治疗、尽早采取改善血流动力学措施以及加强随访,对减少患者死亡有重要意义。Abstract: Early recognition and emergency treatment is crucial for patients with acute fulminant myocarditis(AFM) to improve their prognosis. For now, there is no clear diagnostic criteria for AFM yet, recent studies showed that more attention should be paid to the age distribution, characteristic manifestations and specific treatments of different clinical subsets, the immediate correction of hemodynamic disorders, and the management of follow-up of AFM patients, which would be helpful to reduce the death risk of these patients.
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Key words:
- acute fulminant myocarditis /
- early recognition /
- treatment /
- death risk
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[1] Sharma AN,Stultz JR,Bellamkonda N,et al.Fulminant myocarditis:epidemiology,pathogenesis,diagnosis,and management[J].Am J Cardiol,2019,124(12):1954-1960.
[2] Ammirati E,Veronese G,Bottiroli M,et al.Update on acute myocarditis[J].Trends Cardiovasc Med,2020,S1050-1738(20):30079-7.
[3] Matsuura H,Ichida F,Saji TM,et al.Clinical features of acute and fulminant myocarditis in children-2nd Nationwide Survey by Japanese Society of Pediatric Cardiology and Cardiac Surgery[J].Circ J,2016,80:2362-2368.
[4] Ammirati E,Cipriani M,Lilliu M,et al.Survival and left ventricular function changes in fulminant versus nonfulminant acute myocarditis[J].Circulation,2017,136(6):529-545.
[5] Yang H,Lu Y,Yang H,et al.Clinical characteristics and treatment effects of astragalus injection in non-pediatric patients with acute fulminant myocarditis[J].Medicine(Baltimore),2020,99(48):e23062.
[6] Arola A,Pikkarainen E,Sipila JO,et al.Occurrence and features of childhood myocarditis:a nationwide study in Finland[J].J Am Heart Assoc,2017,6(11):e005306.
[7] Schubert S,Opgen-Rhein B,Boehne M,et al.Severe heart failure and the need for mechanical circulatory support and heart transplantation in pediatric patients with myocarditis:Results from the prospective multicenter registry "MYKKE"[J].Pediatr Transpl,2019,23(7):e13548.
[8] Kyto V,Sipila J,Rautava P.The effects of gender and age on occurrence of clinically suspected myocarditis in adulthood[J].Heart,2013,99(22):1681-1684.
[9] Ammirati E,Veronese G,Brambatti M,et al.Fulminant versus acute nonfulminant myocarditis in patients with left ventricular systolic dysfunction[J].J Am Coll Cardiol,2019,74(3):299-311.
[10] Kociol RD,Cooper LT,Fang JC,et al.Recognition and initial management of fulminant myocarditis:a scientific statement from the American Heart Association[J].Circulation,2020,141(6):e69-e92.
[11] Aquaro GD,Perfetti M,Camastra G,et al.Cardiac MR with late gadolinium enhancement in acute myocarditis with preserved systolic function:ITAMY Study[J].J Am Coll Cardiol,2017,70(16):1977-1987.
[12] Caforio AL,Pankuweit S,Arbustini E,et al.Current state of knowledge on aetiology,diagnosis,management,and therapy of myocarditis:a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases[J].Eur Heart J,2013,34(33):2636-2648.
[13] Moslehi JJ,Salem JE,Sosman JA,et al.Increased reporting of fatal immune checkpoint inhibitor-associated myocarditis[J].Lancet,2018,391(10124):933.
[14] Oudemans-van Straaten HM,Spoelstra-de Man AM,de Waard MC.Vitamin C revisited[J].Crit Care,2014,18(4):460.
[15] Isogai T,Yasunaga H,Matsui H,et al.Effect of intravenous immunoglobulin for fulminant myocarditis on in-hospital mortality:propensity score analyses[J].J Card Fail,2015,21(5):391-397.
[16] Kühl U,Lassner D,Von Schlippenbach J,et al.Interferon-Beta improves survival in enterovirus-associated cardiomyopathy[J].J Am Coll Cardiol,2012,60(14):1295-1296.
[17] Lorusso R,Centofanti P,Gelsomino S,et al.Venoarterial extracorporeal membrane oxygenation for acute fulminant myocarditis in adult patients:a 5-Year multi-institutional experience[J].Ann Thorac Surg,2016,101(3):919-926.
[18] Mccarthy RE,Boehmer JP,Hruban RH,et al.Longterm outcome of fulminant myocarditis as compared with acute(nonfulminant)myocarditis[J].N Engl J Med,2000,342(10):690-695.
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