带状疱疹与心绞痛及心肌梗死相关性研究进展

Correlations of herpes zoster with angina pectoris and myocardial infarction

带状疱疹是由水痘-带状疱疹病毒再激活引起,特点为单侧分布的水疱样皮疹,可引起多种并发症,除带状疱疹后神经痛外还可引起炎症性血管病变。带状疱疹患者不仅发生心肌梗死等心血管事件的风险增加,而且易被误诊为心绞痛、心肌梗死。了解带状疱疹与心绞痛、心肌梗死的关系有助于指导临床鉴别诊断和改善预后。本文就带状疱疹与心绞痛、心肌梗死之间的相关性及其相互作用机制的研究进展作一综述。

Herpes zoster is caused by the reactivation of varicella-zoster virus. It is characterized by one-sided vesicular rash. Herpes zoster can cause a variety of complications, not only nerve disorders as post-herpetic neuralgia, but also inflammatory vascular lesions. Patients with herpes zoster are at increased risk of myocardial infarction and other cardiovascular events, and they are prone to be misdiagnosed as angina pectoris or myocardial infarction. A further understanding of the correlations of herpes zoster with angina pectoris and myocardial infarction contributes to the guidance of the clinical differential diagnosis and improvement of the prognosis. This paper reviews the research progress of the correlations of herpes zoster with angina pectoris and myocardial infarction, and the mechanism of interaction between them.