肥厚型心肌病诊断和治疗的进展:全面回顾》。

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-09-18 DOI:10.3390/jcdd11090290
Randeep Gill, Arsalan Siddiqui, Brianna Yee, Michael V DiCaro, Nazanin Houshmand, Tahir Tak
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引用次数: 0

摘要

肥厚型心肌病(HCM)的特点是心肌组织过度增生,最常见的原因是肌节蛋白发生基因突变。这会导致心力衰竭、二尖瓣反流、晕厥、心律失常、心脏性猝死和心肌缺血等并发症。虽然我们对 HCM 的病理生理学、遗传学和流行病学的了解已经有了长足的进步,但过去 10 年中,诊断和治疗方面也取得了重大进展。随着肥厚型心肌病证据的不断增加,对当前文献的全面回顾是整理这些知识的宝贵资源。这样,该领域的所有专家都能广泛了解迄今为止取得的巨大进步。本综述对科学文献进行了全面分析,探讨了成熟和前沿的诊断和治疗方案。它还以独特的视角纳入了运动测试、基因测试、射频消融、风险分层和非阻塞性 HCM 的对症治疗等主题。最后,本综述强调了肥厚型心肌病创新的当前和未来研究前沿领域。
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Advancements in the Diagnosis and Treatment of Hypertrophic Cardiomyopathy: A Comprehensive Review.

Hypertrophic cardiomyopathy (HCM) is characterized by excessive growth of myocardial tissue, most commonly due to genetic mutations in sarcomere proteins. This can lead to complications such as heart failure, mitral regurgitation, syncope, arrhythmias, sudden cardiac death, and myocardial ischemia. While we have come a long way in our understanding of the pathophysiology, genetics, and epidemiology of HCM, the past 10 years have seen significant advancements in diagnosis and treatment. As the body of evidence on hypertrophic cardiomyopathy continues to grow, a comprehensive review of the current literature is an invaluable resource in organizing this knowledge. By doing so, the vast progress that has been made thus far will be widely available to all experts in the field. This review provides a comprehensive analysis of the scientific literature, exploring both well-established and cutting-edge diagnostic and therapeutic options. It also presents a unique perspective by incorporating topics such as exercise testing, genetic testing, radiofrequency ablation, risk stratification, and symptomatic management in non-obstructive HCM. Lastly, this review highlights areas where current and future research is at the forefront of innovation in hypertrophic cardiomyopathy.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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