关于心肌炎诊断和管理策略和标准的2024 ACC专家共识决策途径：美国心脏病学会解决方案监督委员会的报告

IF 21.7 1区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of the American College of Cardiology Pub Date : 2025-02-04 DOI:10.1016/j.jacc.2024.10.080

Writing Committee, Mark H. Drazner MD, MSc, FACC (Chair), Biykem Bozkurt MD, PhD, FACC (Vice Chair), Leslie T. Cooper MD, FACC (Vice Chair), Niti R. Aggarwal MD, FACC, Cristina Basso MD, PhD, Nicole M. Bhave MD, FACC, Alida L.P. Caforio MD, PhD, Vanessa M. Ferreira MD, DPhil, Bettina Heidecker MD, FACC, Amy R. Kontorovich MD, PhD, FACC, Pilar Martín PhD, MS, Gregory A. Roth MD, MPH, FACC, Jennifer E. Van Eyk PhD

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引用次数: 0

摘要

章节片段解决方案集监督委员会主席尼科尔-M. 巴韦（Nicole M. Bhave）医学博士、FACC尼蒂-R. 阿加瓦尔（Niti R. Aggarwal）医学博士、FACC卡蒂-贝茨（Katie Bates）助理护士（ARNP）、DNP约翰-P. 埃尔温（John P. Erwin）医学博士、FACCM玛莎-古拉蒂（Martha Gulati）医学博士、医学硕士、FACCDharam J. Kumbhani（医学博士、医学硕士、FACC古鲁舍-S.Panjrath, MBBS, FACCBarbara Wiggins, PharmD, FACCMegan Coylewright, MD, MPH, FACC, Ex Officio目录十大要点31.引言42.假设和拟议定义42.1.一般临床假设42.2.定义53.路径摘要图5图 1.临床疑似心肌炎的评估和管理描述为 5 步护理路径 64.路径的描述、原理和含义 74.1.心肌炎的诊断 74.1.1.临床症状 7图 2.74.2.1.心电图 74.2.2.回波和应变超声心动图 74.2.3.循环心肌钙蛋白 74.2.4.十大要点1.临床医生需要了解心肌炎的三种典型表现：胸痛、心力衰竭（HF）/休克和/或心律失常相关症状（如晕厥前或晕厥）。一般临床假设1.本 ECDP 主要针对急性心肌炎成人患者。有关儿童心肌炎的信息，请读者参阅 "2021 年美国心脏协会关于儿童心肌炎诊断和管理的科学声明 "1。本 ECDP 不涉及心肌慢性炎症浸润的情况，因为这超出了本文的范围。第一步是认识到患者的临床表现可能符合心肌炎的诊断。鉴于心肌炎有多种表现形式（图 2 和第 4.1.1 节），各种医疗机构的临床医生都需要了解这一诊断。基于全面的文献综述和专家意见，本 ECDP 旨在向临床医生介绍以下内容：1) 怀疑患有心肌炎时应遵循的现行诊断算法；2) 高级成像和 EMB 在确认心肌炎中的关键作用；3) 何时将患者转诊至高级心房颤动中心，以及针对晚期心肌炎患者的潜在疗法；4) 新的心肌炎四阶段分类，现在包括那些有心肌炎 "风险 "的患者。Gates, 首席执行官Richard J. Kovacs, MD, MACC, 首席医疗官Brendan Mullen, 高级执行副总裁Joseph M. Allen, MA, Team Leader, Science & QualityAmy Dearborn, Team Leader, Decision ScienceAshleigh M. Covington, MA, Team Lead, Decision Science DeliveryAlan Shinkar, MPH, Project Manager, Decision Science DeliveryGrace D. Ronan, Senior Production and Operations Manager, Clinical Policy Publication

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2024 ACC Expert Consensus Decision Pathway on Strategies and Criteria for the Diagnosis and Management of Myocarditis

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来源期刊

Journal of the American College of Cardiology 医学-心血管系统

CiteScore

42.70

自引率

3.30%

发文量

5097

审稿时长

2-4 weeks

期刊介绍： The Journal of the American College of Cardiology (JACC) publishes peer-reviewed articles highlighting all aspects of cardiovascular disease, including original clinical studies, experimental investigations with clear clinical relevance, state-of-the-art papers and viewpoints. Content Profile: -Original Investigations -JACC State-of-the-Art Reviews -JACC Review Topics of the Week -Guidelines & Clinical Documents -JACC Guideline Comparisons -JACC Scientific Expert Panels -Cardiovascular Medicine & Society -Editorial Comments (accompanying every Original Investigation) -Research Letters -Fellows-in-Training/Early Career Professional Pages -Editor’s Pages from the Editor-in-Chief or other invited thought leaders