心肌炎合并心律失常的发病机制、诊疗及预后

Pathogenesis,diagnosis,treatment and prognosis of myocarditis combined with arrhythmic

心肌炎是一种心肌局灶性或弥漫性受累的炎症性疾病,常与病毒感染相关,其临床表现复杂且缺乏特异性。心律失常是心肌炎的主要临床表现之一,可发生在心肌炎的任何阶段。研究发现心肌炎急性期出现心律失常可能会持续存在并影响患者的长期预后,因此及时准确地治疗心律失常尤为重要。目前心肌炎相关的临床研究较少,无标准的治疗方案,心肌炎合并心律失常的发病机制尚不明确。本文对近年来心肌炎合并心律失常的相关研究进展进行总结,并从流行病学、病原学、发病机制、诊断、治疗和预后等方面进行阐述。

Myocarditis is an inflammatory disease with focal or diffuse myocardial involvement,which is often associated with viral infection.Its clinical manifestations are complex and lack of specificity.Arrhythmia is one of the main clinical manifestations of myocarditis,which can occur at any stage of myocarditis.Recent studies have found that arrhythmia in the acute phase of myocarditis may persist and affect the long-term prognosis of patients,so timely and accurate treatment of arrhythmia is particularly important.However,due to the lack of relevant clinical research,there is no standard treatment for myocarditis.The pathogenesis of myocarditis combined with arrhythmia is still unclear.This paper summarizes the related research progress of myocarditis combined with arrhythmia in recent years,and expounds it from epidemiology,etiology,pathogenesis,diagnosis,treatment and prognosis.