...
首页> 外文期刊>Herz >Interventional and Medical Treatment of Acute Heart Failure Due to Inflammation Interventionelle und medikamentose Therapie der akuten Herzinsuffizienz bei Myokarditis. Vier Falle : Four Cases.
【24h】

Interventional and Medical Treatment of Acute Heart Failure Due to Inflammation Interventionelle und medikamentose Therapie der akuten Herzinsuffizienz bei Myokarditis. Vier Falle : Four Cases.

机译:炎症引起的急性心力衰竭的介入和医学治疗心肌炎的急性心力衰竭的介入和药物治疗。四种情况:四种情况。

获取原文
获取原文并翻译 | 示例
           

摘要

Four patients (aged 15-41 years, mean age 26.7 years) with fulminant myocarditis undergoing mechanical circulatory support are reported. All patients suffered from acute low-output syndrome refractory to inotropic support. Diagnosis was confirmed by histology and immunohistochemistry. RT-PCR (reverse transcription-polymerase chain reaction) from endomyocardial biopsy specimens revealed parvovirus B19 in two patients and a coinfection with Chlamydia pneumoniae and parvovirus B19 in one patient. Midterm support with the biventricular Thoratec((R)) system was preceded by implantation of an extracorporeal membrane oxygenation (ECMO) device in two patients. Two patients regained full cardiac function and were successfully weaned from the ventricular assist device (VAD) after 12 and 40 days. Heart transplantation was performed in another patient without evidence of myocardial recovery after 53 days. One patient died of cerebral hemorrhage on day 12 after VAD implantation. In summary, patients with life-threatening fulminant myocarditis can be successfully bridged to recovery or transplantation with mechanical circulatory support.
机译:据报道有四例(15-41岁,平均年龄26.7岁)暴发性心肌炎接受机械循环支持。所有患者均患有因肌力支持而难治的急性低输出综合征。诊断已通过组织学和免疫组织化学证实。来自心内膜活检标本的RT-PCR(逆转录-聚合酶链反应)显示两名患者出现细小病毒B19,一名患者同时感染肺炎衣原体和细小病毒B19。在两名患者中,在使用双心室Thoratec(R)系统进行中期支持之前,先植入了体外膜氧合(ECMO)设备。两名患者恢复了全部心脏功能,并在12天和40天后成功地从心室辅助设备(VAD)断奶。另一名患者在53天后没有心脏恢复的迹象进行了心脏移植。 VAD植入后第12天,一名患者死于脑出血。总之,在机械循环支持下,危及生命的暴发性心肌炎患者可以成功地桥接至康复或移植。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号