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A Rare Case of Mumps Myocarditis 罕见的流行性心肌炎1例
Pub Date : 2015-06-10 DOI: 10.17554/j.issn.2309-6861.2014.02.583
B. Marion, L. Benoit, Akodad Mariama, Monnin Valerie, Roubille François
“We report the case of a 26-years-old man hospitalized with a typical clinical presentation of Mumps. Indeed, he was admitted for epiglottitis and developed during his hospitalization an orchiepididymitis, a pancreatitis and a rare but well-known complication of this infection: myocarditis confirmed by Cardiac MRI.
“我们报告一名26岁男子因典型的腮腺炎临床表现而住院的病例。事实上,他因会厌炎入院,住院期间出现了睾丸附睾炎、胰腺炎和一种罕见但众所周知的感染并发症:心肌炎,经心脏MRI证实。
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引用次数: 1
Multimodality Imaging of an Isolated Pulmonary Native Valve Infective Endocarditis Due to Staphylococcus Hominis 人型葡萄球菌引起的孤立肺原生瓣膜感染性心内膜炎的多模态成像
Pub Date : 2015-06-10 DOI: 10.17554/j.issn.2309-6861.2014.02.584
G. Malclès, R. Eschalier, C. Dauphin, J. Lusson
We report a case of isolated pulmonary native valve infectious endocarditis due to staphylococcus hominis in a patient without predisposing factors. Multimodality imaging is essential to diagnose and manage this uncommon clinical entity.
我们报告一例孤立的肺原生瓣膜感染性心内膜炎由于人型葡萄球菌在一个病人没有易感因素。多模态成像对于诊断和治疗这种罕见的临床实体是必不可少的。
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引用次数: 0
Colchicine: A Promising Drug in Clinical Translation, A Minireview Focused on Cardiovascular Diseases 秋水仙碱:一种具有临床应用前景的药物——以心血管疾病为中心的综述
Pub Date : 2015-06-10 DOI: 10.17554/j.issn.2309-6861.2015.02.581
B. Lattuca, F. Leclercq, J. Macia, R. Gervasoni, T. Cung, J. Pasquié, F. Massin, S. Cade, F. Cransac, Mariama Akodad, F. Roubille
Colchicine is a venerable drug used for centuries for rheumatic diseases with potential pleiotropic anti-inflammatory effects. One of the main concerns remains the tolerability especially digestive side effects, but this aspect has been improved by many pharmacological improvements. Nowadays, colchine is a promising drug for cancer therapy and cardiovascular diseases with several studies currently going on, an improved therapeutic window and a wider range of translations in cardioprotection but also in atrial fibrillation, ischemic cardiopathy or pericarditis.
秋水仙碱是一种古老的药物,几个世纪以来一直用于治疗风湿性疾病,具有潜在的多效抗炎作用。其中一个主要问题仍然是耐受性,特别是消化副作用,但这方面已经改善了许多药理学的改进。如今,秋碱是一种很有前景的治疗癌症和心血管疾病的药物,目前正在进行一些研究,改善了治疗窗口,在心脏保护方面有更广泛的应用,也在心房颤动、缺血性心脏病或心包炎方面有更广泛的应用。
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引用次数: 1
Osteoarthritis and Cardiovascular Diseases: is Meta-Inflammation the Missing Link? 骨关节炎和心血管疾病:中间炎症是缺失的一环吗?
Pub Date : 2015-06-10 DOI: 10.17554/j.issn.2309-6861.2015.02.582
C. Camille, J. Martel-Pelletier, J. Sellam, J. Pelletier, J. Raynauld, F. Roubille
Osteoarthritis (OA) was found associated with atherosclerosis, metabolic syndrome, more cardiovascular diseases (CVD) and higher cardiovascular morbidity and mortality. However, it remains unclear whether these conditions only coexist in ageing patients presenting shared traditional cardiovascular risk factors, including age, obesity and disability-related sedentary lifestyle, or are further interconnected. Interestingly, the accumulation of metabolic syndrome components was associated with the development and progression of knee OA, supporting the concept of metabolic OA. Recent research suggests key roles of meta-inflammation, and adipokines in the pathogenesis of OA, metabolic syndrome and CVD. While leptin may be one cornerstone mediator linking obesity, metabolic syndrome, OA, and CVD, the exact role of adiponectin remains controversial in both CVD and OA as it may exert both pro-inflammatory and anti-inflammatory properties. However, the relationship between adipokines and OA as well as CVD is being uncovered and require further investigation. In any case, if meta-inflammation is truly the pivotal link interconnecting OA, metabolic syndrome, and CVD, managing dyslipidemia, hyperglycemia, hypertension and weight in OA patients may be beneficial not only for cardiovascular reasons but also perhaps to delay OA progression.
骨关节炎(OA)被发现与动脉粥样硬化、代谢综合征、更多的心血管疾病(CVD)和更高的心血管发病率和死亡率相关。然而,尚不清楚这些情况是否仅在具有共同的传统心血管危险因素(包括年龄、肥胖和与残疾相关的久坐生活方式)的老年患者中共存,还是进一步相互关联。有趣的是,代谢综合征成分的积累与膝关节OA的发生和进展有关,支持代谢性OA的概念。最近的研究表明,间性炎症和脂肪因子在OA、代谢综合征和CVD的发病机制中起着关键作用。虽然瘦素可能是连接肥胖、代谢综合征、OA和CVD的一个基础介质,但脂联素在CVD和OA中的确切作用仍存在争议,因为它可能同时发挥促炎和抗炎特性。然而,脂肪因子与OA和CVD之间的关系正在被发现,需要进一步的研究。无论如何,如果间性炎症确实是骨性关节炎、代谢综合征和心血管疾病之间的关键联系,那么控制骨性关节炎患者的血脂异常、高血糖、高血压和体重可能不仅有利于心血管原因,而且可能有助于延缓骨性关节炎的进展。
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引用次数: 2
Ventricular Remodeling after Myocardial Infarct: A Minireview on the Impact of Obstructive Sleep Apnea Syndrome 心肌梗死后心室重构:阻塞性睡眠呼吸暂停综合征影响的综述
Pub Date : 2015-06-10 DOI: 10.17554/j.issn.2309-6861.2015.02.587
K. Solecki, B. Lattuca, F. Leclercq, R. Gervasoni, J. Macia, T. Cung, F. Cransac, S. Cade, J. Davy, Y. Dauvilliers, F. Roubille
Obstructive sleep apnoea (OSA) is recognized as an important cardiovascular risk factor and is intricate with coronary disease. OSA could be involved in worsening the cardiac remodeling following the acute myocardial infarction (AMI). Cardiac remodeling is an important determinant of the clinical outcome of heart failure and is linked to disease progression and poor prognosis. The aims of this minireview are to address the frequency reported in the literature of OSA in patients with AMI and to summarize the main mechanisms of cardiac remodeling by OSA and its consequences on cardiovascular system. In addition, we aim to identify new strategies in the management of AMI. OSA is frequent in patients with AMI. OSA may have a role in cardiac remodeling after AMI and especially in relationship with the increased sensitivity of the reperfused tissue to all underlying mechanisms: a complex interplay of mechanical or haemodynamic factors, reactive oxygen species balance, sympathetic nerve activity, endothelial dysfunction, proinflammatory factors and coagulation abnormalities. Continuous positive airway pressure CPAP might represent a non pharmalogical treatment in addition to the global management of patients with AMI.
阻塞性睡眠呼吸暂停(OSA)是公认的重要心血管危险因素,与冠状动脉疾病密切相关。阻塞性睡眠呼吸暂停可能与急性心肌梗死(AMI)后心脏重构的恶化有关。心脏重塑是心衰临床结果的重要决定因素,与疾病进展和预后不良有关。本综述的目的是针对文献中报道的急性心肌梗死患者发生OSA的频率,总结OSA引起心脏重构的主要机制及其对心血管系统的影响。此外,我们的目标是确定AMI管理的新策略。阻塞性睡眠呼吸暂停是AMI患者的常见病。OSA可能在AMI后的心脏重塑中起作用,特别是与再灌注组织对所有潜在机制的敏感性增加有关:机械或血流动力学因素、活性氧平衡、交感神经活动、内皮功能障碍、促炎因子和凝血异常的复杂相互作用。持续气道正压CPAP可能是AMI患者的一种非药物治疗方法。
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引用次数: 1
Cardiac Resynchronization Therapy in Heart Failure: Rationale, Results, Indications, Limits and Perspectives 心力衰竭的心脏再同步化治疗:基本原理,结果,适应症,限制和观点
Pub Date : 2014-07-10 DOI: 10.17352/2455-2976.000004
A. Mazza, S. Valsecchi, U. Riva, M. G. Bendini, M. Leggio
Heart Failure is the result of heterogeneous structural heart diseases, especially ischemic disease, and is becoming increasingly common in all Western countries. Many patients continue to be symptomatic in spite of progress in pharmacological therapy, and the risk of mortality remains high in the most advanced functional classes. Cardiac resynchronization therapy can be used as a therapeutic strategy for alleviating symptoms and reducing mortality in a considerable percentage of patients with heart failure.Cardiac resynchronization therapy provides both immediate and medium/long-term results. The immediate results are the reduced QRS duration, the synchrony restoration between the ventricles and between the lateral and septal walls of the left ventricle, the reduced mitral regurgitation and the increased stroke volume. In the medium/long term, left ventricular reverse remodeling occurs and left ventricular ejection fraction is increased. Several trials have documented both increased functional capacity and improvements in quality of life and New York Heart Association class. Moreover, cardiac resynchronization therapy has been seen to reduce HF hospitalizations and mortality and the total number of days of hospitalization. In order to reduce the percentage of non-responders to cardiac resynchronization therapy, it is necessary to optimize the prognostic stratification of candidates for implantation through multi-parameter evaluations and to ensure correct device programming with periodic updates which are widely recommended but not so often performed. Whether indications should be extended will need to be evaluated in view of the known complications mainly associated with lead implantation.
心力衰竭是异质性结构性心脏病,尤其是缺血性疾病的结果,在所有西方国家变得越来越普遍。尽管药物治疗取得了进展,但许多患者仍然有症状,在最先进的功能类别中,死亡风险仍然很高。心脏再同步化治疗可作为缓解相当比例心力衰竭患者症状和降低死亡率的治疗策略。心脏再同步化治疗提供即时和中期/长期的结果。直接的结果是QRS持续时间缩短,心室之间以及左心室外侧壁和间隔壁之间的同步恢复,二尖瓣反流减少,卒中容量增加。中长期发生左室反向重构,左室射血分数升高。一些试验记录了功能能力的增强和生活质量的改善,以及纽约心脏协会的等级。此外,心脏再同步化治疗已被认为可以降低心衰住院率和死亡率以及住院总天数。为了减少对心脏再同步化治疗无反应的百分比,有必要通过多参数评估来优化植入候选患者的预后分层,并确保正确的设备规划和定期更新,这是广泛推荐的,但并不经常执行。考虑到已知的主要与铅植入相关的并发症,是否应该扩大适应症需要进行评估。
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引用次数: 0
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Journal of clinical cardiology and cardiovascular therapy
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