Arrhythmias in viral myocarditis and pericarditis.
Arrhythmias in viral myocarditis and pericarditis.
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DOI：
10.1016/j.ccep.2015.03.009
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发表时间：
2015-06-01
影响因子：
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通讯作者：
Prasad, Sanjay K
中科院分区：
文献类型：
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作者：
Baksi, A John;Kanaganayagam, G Sunthar;Prasad, Sanjay K
急性病毒性心肌炎和急性心包炎是一种自限性疾病，其病程为良性，可能不涉及需要进行医学评估的症状。然而，室性心律失常在病毒性心肌炎中是常见的。在没有结构性心脏病的年轻人中，心肌炎被认为是导致心源性猝死的主要原因。因此，鉴别急性心肌炎是否伴有心包炎是很重要的。然而，治疗干预是有限的和非特异性的。识别那些最容易发生危及生命的心律失常的人对降低死亡率至关重要。这篇综述总结了目前对这一具有挑战性的领域的理解，其中仍存在许多问题。
Acute viral myocarditis and acute pericarditis are self-limiting conditions that run a benign course and that may not involve symptoms that lead to medical assessment. However, ventricular arrhythmia is frequent in viral myocarditis. Myocarditis is thought to account for a large proportion of sudden cardiac deaths in young people without prior structural heart disease. Identification of acute myocarditis either with or without pericarditis is therefore important. However, therapeutic interventions are limited and nonspecific. Identifying those at greatest risk of a life-threatening arrhythmia is critical to reducing the mortality. This review summarizes current understanding of this challenging area in which many questions remain.