Chinese Society of Cardiology guidelines on the diagnosis and treatment of adult fulminant myocarditis

被引：12

作者：

Jiang, Jiangang ^{[1
]}

Shu, Hongyang ^{[1
]}

Wang, Dao Wen ^{[1
]}

Hui, Rutai ^{[2
]}

Li, Chenze ^{[3
]}

Ran, Xiao ^{[1
]}

Wang, Hong ^{[1
]}

Zhang, Jing ^{[4
]}

Nie, Shaoping ^{[5
]}

Cui, Guanglin ^{[1
]}

Xiang, Dingcheng ^{[6
]}

Shao, Qun ^{[7
]}

Xu, Shengyong ^{[8
]}

Zhou, Ning ^{[1
]}

Li, Yuming ^{[9
]}

Gao, Wei ^{[10
]}

Chen, Yuguo ^{[11
]}

Bian, Yuan ^{[11
]}

Wang, Guoping ^{[1
]}

Xia, Liming ^{[1
]}

Wang, Yan ^{[1
]}

Zhao, Chunxia ^{[1
]}

Zhang, Zhiren ^{[7
]}

Zhao, Yuhua ^{[12
]}

Wang, Jianan ^{[13
]}

Chen, Shaoliang ^{[14
]}

Jiang, Hong ^{[15
]}

Chen, Jing ^{[15
]}

Du, Xianjin ^{[15
]}

Chen, Mao ^{[16
]}

Sun, Yinxian ^{[17
]}

Li, Sheng ^{[1
]}

Ding, Hu ^{[1
]}

Ma, Xueping ^{[18
]}

Zeng, Hesong ^{[1
]}

Lin, Li ^{[1
]}

Zhou, Shenghua ^{[19
]}

Ma, Likun ^{[20
]}

Tao, Ling ^{[21
]}

Chen, Juan ^{[22
]}

Zhou, Yiwu ^{[23
]}

Guo, Xiaomei ^{[1
]}

机构：

[1] Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Wuhan 430030, Peoples R China

[2] Chinese Acad Med Sci & Peking Union Med Coll, Fuwai Hosp, Natl Ctr Cardiovasc Dis, Beijing 100037, Peoples R China

[3] Wuhan Univ, Zhongnan Hosp, Wuhan 430062, Peoples R China

[4] Fuwai Huazhong Cardiovasc Hosp, Zhengzhou 450003, Peoples R China

[5] Capital Med Univ, Beijing Anzhen Hosp, Beijing 100029, Peoples R China

[6] Guangzhou Mil Command, Guangzhou Gen Hosp, Guangzhou 510010, Peoples R China

[7] Harbin Med Univ, Canc Hosp, Harbin 150081, Peoples R China

[8] Chinese Acad Med Sci & Peking Union Med Coll, Union Hosp, Beijing 100730, Peoples R China

[9] Taida Hosp, Tianjin 300457, Peoples R China

[10] Peking Univ Third Hosp, Beijing 100191, Peoples R China

[11] Shandong Univ, Qilu Hosp, Jinan 250012, Peoples R China

[12] Kanghua Hosp, Hematol Dept, Dongguan 523080, Guangdong, Peoples R China

[13] Zhejiang Univ, Affiliated Hosp 2, Sch Med, Hangzhou 310003, Peoples R China

[14] Nanjing Med Univ, Nanjing Hosp 1, Nanjing 210006, Peoples R China

[15] Wuhan Univ, Renmin Hosp, Wuhan 430060, Peoples R China

[16] Sichuan Univ, West China Hosp, Chengdu 610044, Peoples R China

[17] China Med Univ, Hosp 1, Shenyang 110002, Peoples R China

[18] Ningxia Med Univ, Gen Hosp, Yinchuan 750003, Peoples R China

[19] Cent South Univ, Xiangya Hosp 2, Changsha 410012, Peoples R China

[20] Univ Sci & Technol China, Affiliated Hosp 1, Hefei, Peoples R China

[21] Air Force Med Univ, Affiliated Hosp 1, Xian 710032, Peoples R China

[22] Cent Hosp Wuhan City, Wuhan 430014, Peoples R China

[23] Huazhong Univ Sci & Technol, Tongji Med Coll, Wuhan 430030, Peoples R China

来源：

SCIENCE CHINA-LIFE SCIENCES | 2024年 / 67卷 / 05期

基金：

中国国家自然科学基金;

关键词：

fulminant myocarditis; guidelines; life support-based comprehensive treatment regimen; diagnosis; treatment; cytokine storm; overactivation of immunity; EXTRACORPOREAL MEMBRANE-OXYGENATION; MECHANICAL CIRCULATORY SUPPORT; CARDIAC MAGNETIC-RESONANCE; GIANT-CELL MYOCARDITIS; INTRAVENOUS IMMUNE GLOBULIN; HEART-FAILURE; CARDIOGENIC-SHOCK; VIRAL MYOCARDITIS; ENDOMYOCARDIAL BIOPSY; CRITICALLY-ILL;

D O I：

10.1007/s11427-023-2421-0

中图分类号：

Q [生物科学];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Fulminant myocarditis is an acute diffuse inflammatory disease of myocardium. It is characterized by acute onset, rapid progress and high risk of death. Its pathogenesis involves excessive immune activation of the innate immune system and formation of inflammatory storm. According to China's practical experience, the adoption of the "life support-based comprehensive treatment regimen" (with mechanical circulation support and immunomodulation therapy as the core) can significantly improve the survival rate and long-term prognosis. Special emphasis is placed on very early identification,very early diagnosis,very early prediction and very early treatment.

引用

页码：913 / 939

页数：27

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