Advance on the diagnosis and treatment of fulminant myocarditis in children
10.3760/cma.j.cn101070-20200528-00903
- VernacularTitle:儿童暴发性心肌炎诊治进展
- Author:
Xinghua SUN
1
;
Lijian XIE
Author Information
1. 上海交通大学附属儿童医院心内科，上海 200062
- Keywords:
Fulminant myocarditis;
Diagnosis;
Treatment;
Child
- From:
Chinese Journal of Applied Clinical Pediatrics
2021;36(19):1506-1509
- CountryChina
- Language:Chinese
-
Abstract:
Fulminant myocarditis (FM) in children is an acute inflammatory myocardial disease, prominently manifesting as hemodynamic disorder.Because of acute onset and rapid progression, FM can cause myocardial cell edema, necrosis, cardiac shock and sudden death.Early symptoms of FM are usually atypical and laboratory tests are nonspecific, thus leading to misdiagnosis.If in time identification and diagnosis of FM is failed, its premature mortality rate can be significantly risen.Electrocardiogram, echocardiogram and cardiac magnetic resonance examinations are of great importance for early detection of FM and prognosis evaluation.Currently, mechanical circulation support is the effective therapeutic strategy for FM.A growing number of studies have focused on the clinical diagnosis and treatment of FM in children, especially the early diagnosis and active interventions, which is of great significance to improve the survival and quality of life in the future.In this paper, the advance on current diagnosis and treatment of FM in children were reviewed.
