欧洲工作组 2023 年心律失常性心肌病诊断标准:历史背景与主要变化回顾》。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2024-09-24 eCollection Date: 2024-09-01 DOI:10.31083/j.rcm2509348
Francesca Graziano, Alessandro Zorzi, Simone Ungaro, Barbara Bauce, Ilaria Rigato, Alberto Cipriani, Martina Perazzolo Marra, Kalliopi Pilichou, Cristina Basso, Domenico Corrado
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引用次数: 0

摘要

心律失常性心肌病(ACM)是一种以非缺血性心肌瘢痕和心室电不稳定为特征的心脏疾病。由于没有单一的金标准检测方法,诊断 ACM 仍具有挑战性,需要结合特定的标准。诊断标准于 1994 年首次定义并广泛应用,随后于 2010 年进行了修订,主要针对右心室受累,而不考虑任何类型的左心室变异或表型。多年后的2020年,为了克服以前的局限性,一份国际专家报告提出了帕多瓦标准。其主要创新之处在于引入了左心室变异的具体标准,以及使用心脏磁共振进行组织特征描述和疤痕检测。由 ACM 国际专家组成的 "总部 "于 2023 年底发布了欧洲工作组标准,对这些标准进行了最后的修改和完善,证明了这种疾病除了诊断困难外,还具有新的相关性。本综述强调了在了解心肌病病因方面取得的进展,并对新标准进行了分析。瘢痕/心律失常性心肌病 "这一术语的引入为该领域树立了一个重要的里程碑,它揭示了非缺血性心肌瘢痕(ACM 的典型特征)和心律失常易感性是众多不同表型变异(无论病因如何)的主要支柱。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The 2023 European Task Force Criteria for Diagnosis of Arrhythmogenic Cardiomyopathy: Historical Background and Review of Main Changes.

Arrhythmogenic cardiomyopathy (ACM) is a cardiac disease featured by non-ischemic myocardial scarring linked to ventricular electrical instability. As there is no single gold-standard test, diagnosing ACM remains challenging and a combination of specific criteria is needed. The diagnostic criteria were first defined and widespread in 1994 and then revised in 2010, approaching and focusing primarily on right ventricular involvement without considering any kind of left ventricular variant or phenotype. Years later, in 2020, with the purpose of overcoming previous limitations, the Padua Criteria were introduced by an international expert report. The main novel elements were the introduction of specific criteria for left ventricular variants as well as the use of cardiac magnetic resonance for tissue characterization and scar detection. The last modifications and refinement of these criteria were published at the end of 2023 as the European Task Force criteria, by a "head-quarter" of ACM international experts, proving the emerging relevance of this condition besides its difficult diagnosis. In this review, emphasizing the progress in understanding the aetiology of the cardiomyopathy, an analysis of the new criteria is presented. The introduction of the term "scarring/arrhythmogenic cardiomyopathy" sets an important milestone in this field, underlying how non-ischemic myocardial scarring-typical of ACM-and arrhythmic susceptibility could be the main pillars of numerous different phenotypic variants regardless of etiology.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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