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2019 HRS 致心律失常性心肌病共识的解读

2019-11-30 中国循环杂志.2019,34(z1):44-48.

致心律失常性心肌病(ACM)涵盖了系统性、遗传性、感染性和炎症性等一系列疾病,包括但不限于致心律失常性右/ 左心室心肌病、心脏淀粉样变和心脏结节病、Chagas’病及左心室致密化不全等疾病。ACM可与其他心肌病临床表现重叠,特别是伴发心律失常的扩张型心肌病,后者心律失常的发生多与心脏扩大和(或)心功能减低有关。在2019 年第40 届美国心律学会(HRS)年会上,HRS 颁布了《致心律失常性心肌病

中文标题:

2019 HRS 致心律失常性心肌病共识的解读

发布机构:

发布日期:

2019-11-30

简要介绍:

致心律失常性心肌病(ACM)涵盖了系统性、遗传性、感染性和炎症性等一系列疾病,包括但不限于致心律失常性右/ 左心室心肌病、心脏淀粉样变和心脏结节病、Chagas’病及左心室致密化不全等疾病。ACM可与其他心肌病临床表现重叠,特别是伴发心律失常的扩张型心肌病,后者心律失常的发生多与心脏扩大和(或)心功能减低有关。在2019 年第40 届美国心律学会(HRS)年会上,HRS 颁布了《致心律失常性心肌病的评估、风险分层和管理的专家共识》(以下简称“共识”),这是首个关于ACM 评估和管理的共识,该共识汇总了近年来的重要循证医学证据,对临床工作具有重要指导意义。本文将围绕该共识重点内容进行相关解读。

作者:北京协和医学院 华伟 蔡迟 

拓展指南:心律失常相关指南:

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2019 HRS 致心律失常性心肌病共识的解读
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  1. [GetPortalCommentsPageByObjectIdResponse(id=1180716, encodeId=f6f51180e167a, content=厉害, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/r1DChNba9ys2yRtJdRPH1URwl6HRSdrrocVBA1KTxUyZBjWARIuoicXtoia9FzGqwOq25dludjYYHsqjic5dCKDAQ/132, createdBy=20862504336, createdName=邹亮, createdTime=Wed Jan 05 02:08:47 CST 2022, time=2022-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080125, encodeId=6608108012549, content=会的太少,要学的还有很多, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5ace5622459, createdName=ms3000001281480633, createdTime=Tue Dec 14 23:21:50 CST 2021, time=2021-12-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=995860, encodeId=1cb29958602e, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f3db1412781, createdName=fairy0512, createdTime=Sat Jul 03 20:05:14 CST 2021, time=2021-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=976172, encodeId=221a9e617204, content=重要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210811/d398e6e90b1e43bab019dfb6106de8a1/9c8931ddfb274af1882d58a10b609e0f.jpg, createdBy=55d82419884, createdName=12393b88m65暂无昵称, createdTime=Wed Jun 23 12:48:30 CST 2021, time=2021-06-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949520, encodeId=1b5094952031, content=好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4ba45471030, createdName=ms5000001421770311, createdTime=Fri Mar 19 16:11:00 CST 2021, time=2021-03-19, status=1, ipAttribution=)]
    2022-01-05 邹亮

    厉害

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1180716, encodeId=f6f51180e167a, content=厉害, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/r1DChNba9ys2yRtJdRPH1URwl6HRSdrrocVBA1KTxUyZBjWARIuoicXtoia9FzGqwOq25dludjYYHsqjic5dCKDAQ/132, createdBy=20862504336, createdName=邹亮, createdTime=Wed Jan 05 02:08:47 CST 2022, time=2022-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080125, encodeId=6608108012549, content=会的太少,要学的还有很多, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5ace5622459, createdName=ms3000001281480633, createdTime=Tue Dec 14 23:21:50 CST 2021, time=2021-12-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=995860, encodeId=1cb29958602e, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f3db1412781, createdName=fairy0512, createdTime=Sat Jul 03 20:05:14 CST 2021, time=2021-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=976172, encodeId=221a9e617204, content=重要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210811/d398e6e90b1e43bab019dfb6106de8a1/9c8931ddfb274af1882d58a10b609e0f.jpg, createdBy=55d82419884, createdName=12393b88m65暂无昵称, createdTime=Wed Jun 23 12:48:30 CST 2021, time=2021-06-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949520, encodeId=1b5094952031, content=好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4ba45471030, createdName=ms5000001421770311, createdTime=Fri Mar 19 16:11:00 CST 2021, time=2021-03-19, status=1, ipAttribution=)]
    2021-12-14 ms3000001281480633

    会的太少,要学的还有很多

    0

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    2021-07-03 fairy0512

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1180716, encodeId=f6f51180e167a, content=厉害, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/r1DChNba9ys2yRtJdRPH1URwl6HRSdrrocVBA1KTxUyZBjWARIuoicXtoia9FzGqwOq25dludjYYHsqjic5dCKDAQ/132, createdBy=20862504336, createdName=邹亮, createdTime=Wed Jan 05 02:08:47 CST 2022, time=2022-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080125, encodeId=6608108012549, content=会的太少,要学的还有很多, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5ace5622459, createdName=ms3000001281480633, createdTime=Tue Dec 14 23:21:50 CST 2021, time=2021-12-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=995860, encodeId=1cb29958602e, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f3db1412781, createdName=fairy0512, createdTime=Sat Jul 03 20:05:14 CST 2021, time=2021-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=976172, encodeId=221a9e617204, content=重要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210811/d398e6e90b1e43bab019dfb6106de8a1/9c8931ddfb274af1882d58a10b609e0f.jpg, createdBy=55d82419884, createdName=12393b88m65暂无昵称, createdTime=Wed Jun 23 12:48:30 CST 2021, time=2021-06-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949520, encodeId=1b5094952031, content=好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4ba45471030, createdName=ms5000001421770311, createdTime=Fri Mar 19 16:11:00 CST 2021, time=2021-03-19, status=1, ipAttribution=)]
    2021-06-23 12393b88m65暂无昵称

    重要

    0

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    2021-03-19 ms5000001421770311

    好好学习

    0

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