In recent years,the incidence of myocarditis has been increasing year by year. The clinical manifestations of patients vary greatly with common symptoms in infants and young children and atypical clinical manifestatio...In recent years,the incidence of myocarditis has been increasing year by year. The clinical manifestations of patients vary greatly with common symptoms in infants and young children and atypical clinical manifestations in most adults. Patients with severe myocarditis may have serious concurrent symptoms,such as arrhythmia,cardiac insufficiency or even sudden death. Because of its lack of specificity in clinical manifestations and auxiliary examination results,and its insufficient understanding of pathogenesis,the diagnosis is difficult. Therefore,early diagnosis and treatment of patients with myocarditis is particularly important. This article reports on patients with myocarditis misdiagnosed as myocardial infarction,hoping to provide ideas for clinical diagnosis of myocarditis.[S Chin J Cardiol 2019;20(2):125-130]展开更多
Background Noncompaction of ventricular myocardium （NVM） is a rare type of primary cardiomyopathy. The disease is caused by the disorder in the densification of the myocardium in the early stage of the embryo proces...Background Noncompaction of ventricular myocardium （NVM） is a rare type of primary cardiomyopathy. The disease is caused by the disorder in the densification of the myocardium in the early stage of the embryo process. The morphological characteristics are projecting trabeculation in the ventricle and the deep trabecular space interlinked with ventricular chamber. In recent years, many studies have found that the left ventricular growth associated genetic mutation is closely related to the occurrence of NVM. The most clinical manifestations such as heart failure, thromboembolism and arrhythmia are specific. Echocardiography is the most commonly used tech- nique for the diagnosis of NVM. Cardiac computed tomography （CT） scan, cardiac magnetic resonance imaging and left ventricular angiography are other important techniques for its diagnosis. The NVM patients have a long course of disease, poor prognosis and a high rate of misdiagnosis. This article reviews the research progress in the aspects of epidemiological characteristics, genetic characteristics, clinical manifestations, pathophysiology, diagnosis, treatment and so on, in order to provide the basis for the diagnosis and treatment of NVM.展开更多
INTRODUCTION Chronic total occlusion (CTO) lesions are one of the most difficult bastions of coronary intervention, a minefield of low success rates and high complications. Coronary artery perforation is the number on...INTRODUCTION Chronic total occlusion (CTO) lesions are one of the most difficult bastions of coronary intervention, a minefield of low success rates and high complications. Coronary artery perforation is the number one complication of CTO intervention, with individual studies reporting an incidence of up to 27.6%and cardiac tamponade of about 0.5%1. In this study.展开更多
文摘In recent years,the incidence of myocarditis has been increasing year by year. The clinical manifestations of patients vary greatly with common symptoms in infants and young children and atypical clinical manifestations in most adults. Patients with severe myocarditis may have serious concurrent symptoms,such as arrhythmia,cardiac insufficiency or even sudden death. Because of its lack of specificity in clinical manifestations and auxiliary examination results,and its insufficient understanding of pathogenesis,the diagnosis is difficult. Therefore,early diagnosis and treatment of patients with myocarditis is particularly important. This article reports on patients with myocarditis misdiagnosed as myocardial infarction,hoping to provide ideas for clinical diagnosis of myocarditis.[S Chin J Cardiol 2019;20(2):125-130]
文摘Background Noncompaction of ventricular myocardium （NVM） is a rare type of primary cardiomyopathy. The disease is caused by the disorder in the densification of the myocardium in the early stage of the embryo process. The morphological characteristics are projecting trabeculation in the ventricle and the deep trabecular space interlinked with ventricular chamber. In recent years, many studies have found that the left ventricular growth associated genetic mutation is closely related to the occurrence of NVM. The most clinical manifestations such as heart failure, thromboembolism and arrhythmia are specific. Echocardiography is the most commonly used tech- nique for the diagnosis of NVM. Cardiac computed tomography （CT） scan, cardiac magnetic resonance imaging and left ventricular angiography are other important techniques for its diagnosis. The NVM patients have a long course of disease, poor prognosis and a high rate of misdiagnosis. This article reviews the research progress in the aspects of epidemiological characteristics, genetic characteristics, clinical manifestations, pathophysiology, diagnosis, treatment and so on, in order to provide the basis for the diagnosis and treatment of NVM.
基金Research Fund for Academician Lin He New Medicine (NO. JYHL2018FMS02)Shandong Provincial TCM Science and Technology Development Program Project(2019-0481)Jining City Science and Technology Key Research and Development Program(NO. 2021YXNS069)。
文摘INTRODUCTION Chronic total occlusion (CTO) lesions are one of the most difficult bastions of coronary intervention, a minefield of low success rates and high complications. Coronary artery perforation is the number one complication of CTO intervention, with individual studies reporting an incidence of up to 27.6%and cardiac tamponade of about 0.5%1. In this study.
