Management of nonischemic-dilated cardiomyopathies in clinical practice: a position paper of the working group on myocardial and pericardial diseases of Italian Society of Cardiology

被引：5

作者：

Merlo, Marco ^{[1
]}

Mase, Marco ^{[1
]}

Cannata, Antonio ^{[1
]}

Zaffalon, Denise ^{[1
]}

Lardieri, Gerardina ^{[2
]}

Limongelli, Giuseppe ^{[3
]}

Imazio, Massimo ^{[4
]}

Canepa, Marco ^{[5
,6
]}

Castelletti, Silvia ^{[7
]}

Bauce, Barbara ^{[8
]}

Biagini, Elena ^{[9
]}

Livi, Ugolino ^{[10
]}

Severini, Giovanni M. ^{[11
]}

Dal Ferro, Matteo ^{[1
]}

Marra, Martina Perazzolo ^{[8
]}

Basso, Cristina ^{[8
]}

Autore, Camillo ^{[12
]}

Sinagra, Gianfranco ^{[1
]}

机构：

[1] Univ Trieste, Cardiothoracovasc Dept, Ctr Diag & Management Cardiomyopathies, Azienda Sanitaria Univ Giuliano Isontina ASUGI, Via P Valdoni 7, I-34100 Trieste, Italy

[2] Hosp Gorizia & Monfalcone, Dept Cardiol, Azienda Sanitaria Univ Giuliano Isontina ASUGI, Caserta, Italy

[3] Univ Campania Luigi Vanvitelli, Dept Translat Med Sci Inherited & Rare Heart Dis, Vanvitelli Cardiol, Caserta, Italy

[4] AOU Citta Salute & Sci Torino, Univ Cardiol, Turin, Italy

[5] IRCCS Osped Policlin San Martino IRCCS Italian Ca, Cardiovasc Dis Unit, Genoa, Italy

[6] Univ Genoa, Dept Internal Med, Genoa, Italy

[7] Ctr Cardiac Arrhythmias Genet Origin, IRCCS Ist Auxol Italiano, Milan, Italy

[8] Univ Padua, Dept Cardiac Thorac Vasc Sci & Publ Hlth, Padua, Italy

[9] Azienda Osped Univ, Policlin St Orsola, Cardiol Unit, Cardiothorac Vasc Dept, Bologna, Italy

[10] Univ Hosp Udine, Cardiothorac Dept, Udine, Italy

[11] Inst Maternal & Child Hlth IRCCS Burlo Garofolo, Trieste, Italy

[12] Sapienza Univ, Dept Clin & Mol Med, Fac Med & Psychol, Rome, Italy

来源：

JOURNAL OF CARDIOVASCULAR MEDICINE | 2020年 / 21卷 / 12期

关键词：

diagnosis; management; network; nonischemic cardiomyopathy; CARDIOVASCULAR MAGNETIC-RESONANCE; LATE GADOLINIUM-ENHANCEMENT; SUDDEN CARDIAC DEATH; IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR; HEART-TRANSPLANTATION REPORT-2015; VENTRICULAR ASSIST DEVICE; EUROPEAN-SOCIETY; INTERNATIONAL SOCIETY; SCIENTIFIC STATEMENT; PERIPARTUM CARDIOMYOPATHY;

D O I：

10.2459/JCM.0000000000001050

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Nonischemic-dilated cardiomyopathy (NIDCM) is an entity that gathers extremely heterogeneous diseases. This awareness, although leading to continuous improvement in survival, has increased the complexity of NIDCM patients' management. Even though the endorsed 'red-flags' approach helps clinicians in pursuing an accurate etiological definition in clinical practice, it is not clear when and how peripheral centers should interact with referral centers with specific expertise in challenging scenarios (e.g. postmyocarditis and genetically determined dilated cardiomyopathy) and with easier access to second-line diagnostic tools and therapies. This position paper will summarize each step in NIDCM management, highlighting the multiple interactions between peripheral and referral centers, from first-line diagnostic workup and therapy to advanced heart failure management and long-term follow-up.

引用

页码：927 / 943

页数：17

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