DEIC/GEMIC/SBC 2021关于心脏淀粉样变性诊断和治疗的立场声明对临床实践的重要性

M. Simões, F. Fernandes
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引用次数: 0

摘要

最新版的Arquivos Brasileiros de Cardiologia为我们带来了DEIC/ GEMIC/SBC关于心脏淀粉样变性诊断和治疗的立场声明的出版。这份文件是该领域许多专家、巴西心脏病学专家共同努力的结果,但它也包括其他专家,如神经科医生、血液学家和核医生。将这组合作者聚集在一起的需要反映了淀粉样变性的一个基本方面,即淀粉样变性是一种复杂和多方面的疾病,影响多个器官,需要几个专业的帮助进行综合管理。事实上,这是该文件的一个积极方面:它的范围和多学科性质。在此,有必要说明导致DEIC/GEMIC/SBC编写本文件的原因,以履行编写有助于更新科学和医学教育的文件的使命,为指导基于科学证据的心脏病学实践提供必要的路标。这一行动的紧迫感是清楚地认识到最近对心脏淀粉样变性(CA)概念的深刻重新表述,包括有证据表明,这是一种比以前想象的更普遍的疾病,成像方法的重大进步使非侵入性诊断成为可能,以及新的特异性治疗方法的出现,可以改变疾病的自然史(图1)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Importance of the DEIC/GEMIC/SBC 2021 Position Statement on Diagnosis and Treatment of Cardiac Amyloidosis to Clinical Practice
The latest edition of Arquivos Brasileiros de Cardiologia has brought us the publication of the Position Statement on Diagnosis and Treatment of Cardiac Amyloidosis by the DEIC/ GEMIC/SBC. This document was the result of the collaborative efforts of many experts in the area, exponents of cardiology in Brazil, but it also included other specialists, such as neurologists, hematologists and nuclear physicians. The need to bring together this group of collaborators reflects a fundamental aspect of amyloidosis, namely, a complex and multifaceted disease that affects multiple organs and requires the assistance of several specialties for comprehensive management. This was, in fact, a positive aspect of the document: its scope and multidisciplinary character. It is here appropriate to state the reasons that led the DEIC/GEMIC/SBC to produce this document, fulfilling the mission of producing documents that contribute to updating science and medical education, offering the signposts that are necessary to guide the practice of cardiology based on scientific evidence. The sense of urgency for this action was the clear perception of the recent and profound reformulation of concepts regarding cardiac amyloidosis (CA), including evidence that it is a more prevalent disease than previously imagined, the significant advance in imaging methods that has made non-invasive diagnosis possible, and the emergence of new specific treatments that can change the natural history of the disease (Figure 1).
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