活检证实病毒性心肌炎的治疗策略及预后

Treatment Strategy and Prognosis of Viral Myocarditis Confirmed by Biopsy

随着心内膜心肌活检技术的推广,研究发现部分心肌疾病会引起非缺血性心力衰竭,而其中以心肌炎、扩张型心肌病最为常见。心肌疾病的预后受到各种因子的影响,如左室射血分数、纽约心功能分级、肾小球滤过率、QT间期、病毒等。根据心肌病原学的检测结果选择特异性的治疗方案可能对预后有着重要的影响。现主要阐述在经心内膜心肌活检证实病毒性心肌炎的治疗策略及预后。

With the promotion of endomyocardial biopsy,some non-ischemic heart failures have been found to be associated with myocardial disease which myocarditis and dilated cardiomyopathy are the most common.The prognosis of myocardial disease is affected by various factors,such as left ventricular ejection fraction,New York Heart Association,glomerular filtration rate,QT interval,virus,etc.Selecting a specific treatment plan based on the results of cardiomyopathy may have an important impact on prognosis.This article mainly describes the treatment strategy and prognosis of viral myocarditis confirmed by endomyocardial biopsy.