更新诊断心脏病学

S. Mesihović-Dinarević
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引用次数: 0

摘要

心血管医学是临床实践的一个领域,在成人心血管医学和儿科心脏病医学中,知识、指南、最佳实践和新技术不断快速扩展。心血管疾病是世界上导致死亡的主要原因,对卫生部门和经济造成重大损失。心血管影像学指标对心脏疾病的预防、诊断和治疗有重要影响。先进的成像技术极大地提高了我们在早期发现和治疗心血管疾病的能力。多模成像技术——超声心动图、心脏计算机断层扫描、磁共振成像、模拟3D模型、人工智能——正被越来越频繁地使用,因为它们的实用性得到了更好的认识。2019冠状病毒病(COVID-19)对全球公共卫生和卫生保健服务产生了前所未有的影响。自2020年3月以来,导致COVID-19的严重急性呼吸综合征冠状病毒2 (SARSCoV-2)已达到大流行水平。患有心血管(CV)危险因素和已确诊心血管疾病的患者在罹患COVID-19时属于弱势群体,其发病率和死亡率的风险均有所增加。严重的COVID-19感染与心肌损伤和心律失常有关。SARS感染期间的诊断检查显示心电图改变、亚临床左室舒张功能损害和肌钙蛋白升高。作为终身学习过程的一部分,心血管医学领域的所有专业人员都必须不断审查新奇事物,利用来自众多研究的结果数据,以便根据最佳做法和循证医学治疗所有患者,特别是在冠状病毒大流行期间。
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UPDATE IN DIAGNOSTICS CARDIOLOGY
Cardiovascular medicine is an area of clinical practice with a continually rapid expansion of knowledge, guidelines, best practices and new technology in adult cardiovascular medicine as well as in paediatric cardiology medicine. Cardiovascular diseases (CVD) are the leading cause of mortality in the world and cause major costs for the health sector and economy. Cardiovascular imaging indices have a significant impact on the prevention, diagnosis, and treatment of cardiac diseases. Advanced imaging technologies have dramatically improved our ability to detect and treat cardiovascular disease at an early stage. Multimodality imaging techniques - echocardiogram, cardiac computerized tomography, magnetic resonance imaging, simulation 3D models, artificial intelligence - are being used more frequently as their utility is better appreciated. Coronavirus disease 2019 (COVID-19) exerts an unprecedented global impact on public health and health care delivery. Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) causing COVID-19 has reached pandemic levels since March 2020. Patients with cardiovascular (CV) risk factors and established CVD represent a vulnerable population when suffering from COVID-19, and have an increased risk of morbidity and mortality. Severe COVID-19 infection is associated with myocardial damage and cardiac arrhythmia. Diagnostic workup during SARS infection revealed electrocardiographic changes, sub-clinical left ventricular (LV) diastolic impairment and troponin elevation. All professionals in cardiovascular medicine, as a part of lifelong learning process, have the continuous imperative in reviewing novelties, with results data from numerous researches in order to treat all patients according to best practices and evidence-based medicine, especially on this journey through corona pandemic.
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ADULT CONGENITAL HEART DISEASE – NEW GUIDELINES AND CLINICAL CARE PERSPECTIVE UPDATE IN DIAGNOSTICS CARDIOLOGY GENETICS OF CARDIOMYOPATHY DIAGNOSTICS OF PREVENTABLE DISEASES IN CARDIOLOGY
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