Резюме
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- viral syndrome (prior)
- autoimmune disease
- infectious disease
- drugs and toxins
Другие диагностические факторы
- age <50 years
- chest pain
- dyspnea
- orthopnea
- fatigue
- palpitations
- rales
- elevated neck veins
- S3 gallop
- sinus tachycardia
- atrial and ventricular arrhythmias
- tachypnea
- hepatomegaly
- syncope
- fever
- gastrointestinal issues
- rhinorrhea
- cough
- S3 and S4 summation gallop
- pericardial friction rub
- peripheral hypoperfusion
- hypotension
- altered sensorium
- lymphadenopathy
- respiratory distress
Факторы риска
- infection (non-HIV)
- HIV infection
- autoimmune/immune-mediated diseases
- peripartum and postpartum periods
- drugs and toxins
Диагностические исследования
Исследования, которые показаны в первую очередь
- 12-lead ECG
- CXR
- serum CK
- serum CK-MB
- serum troponin (I or T)
- serum B-type natriuretic peptide
- two-dimensional echocardiogram
Исследования, проведение которых нужно рассмотреть
- endomyocardial biopsy (EMB)
- coronary angiography
- 18F-fluorodeoxyglucose positron emission tomography-computed tomography (18F-FDG PET-CT)
- cardiac MRI
- viral polymerase chain reaction (PCR)
Неотложные исследования
- MRI-guided EMB
Алгоритм лечения
hemodynamically stable: no evidence of LV systolic dysfunction
hemodynamically stable: evidence of LV systolic dysfunction
hemodynamically unstable: adults
hemodynamically unstable: children
end-stage heart failure or refractory life-threatening arrhythmias
Составители
Авторы
Shriprasad R. Deshpande, MBBS, MS
Medical Director
Heart Transplant and Advanced Cardiac Therapies Program
Children's National Hospital
Associate Professor of Pediatrics
The George Washington University
Washington
DC
Раскрытие информации
SRD declares that he has no competing interests.
Bibhuti Das, MBBS, MD, FAAP, FACC
Director of Heart Failure and Heart Transplant
Pediatric Cardiology
University of Mississippi Medical Center
Jackson
MS
Раскрытие информации
BD declares that he has no competing interests.
Выражение благодарностей
Dr Shriprasad R. Deshpande and Dr Bibhuti Das would like to gratefully acknowledge Dr Katherine C. Wu, Dr James E. Harvey, and Dr Arman T. Askari, previous contributors to this topic. KCW, JEH, and ATA declare that they have no competing interests.
Рецензенты
David A. Leaf, MD, MPH
Professor of Medicine
School of Medicine
VA Greater Los Angeles Healthcare System
UCLA
Los Angeles
CA
Раскрытие информации
DAL declares that he has no competing interests.
John Charpie, MD, PhD
Associate Professor of Pediatrics
Medical Director
Pediatric Cardiothoracic Intensive Care Unit
University of Michigan Congenital Heart Center
Ann Arbor
MI
Раскрытие информации
JC declares that he has no competing interests.
Lokesh Tejwani, MD, FACC
Assistant Professor of Clinical Medicine
University of Missouri Hospitals and Clinics
Harry S. Truman VA Hospital
Columbia
MO
Раскрытие информации
LT declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
Lieberman EB, Hershkowitz A, Rose NR, et al. A clinicopathologic description of myocarditis. Clin Immunol Immunopathol. 1993 Aug;68(2):191-6. Аннотация
Law YM, Lal AK, Chen S, et al. Diagnosis and management of myocarditis in children: a scientific statement from the American Heart Association. Circulation. 2021 Aug 10;144(6):e123-35.Полный текст Аннотация
Bozkurt B, Colvin M, Cook J, et al. Current diagnostic and treatment strategies for specific dilated cardiomyopathies: a scientific statement from the American Heart Association. Circulation. 2016 Nov 3;134(23):e579-646.Полный текст Аннотация
Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2022 May 3;145(18):e895-1032.Полный текст Аннотация
Aretz HT, Billingham ME, Edwards WD, et al. Myocarditis. A histopathologic definition and classification. Am J Cardiovasc Pathol. 1987 Jan;1(1):3-14. Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Acute coronary syndrome
- Dilated cardiomyopathy
- Pericarditis
Больше ОтличияРекомендации
- 2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death
- 2022 ESC Guidelines on cardio-oncology
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