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chinese society of cardiology guidelines on the diagnosis and treatment of adult fulminant myocarditis

Science China(Life Sciences) 2024年第5期67卷 913-939页

作者： chinese society of cardiology,chinese Medical Association,Writing Group Jiangang Jiang Hongyang Shu Dao Wen Wang Rutai Hui Chenze Li Xiao Ran Hong Wang Jing Zhang Shaoping Nie Guanglin Cui Dingcheng Xiang Qun Shao Shengyong Xu Discussion experts:Ning Zhou Yuming Li Wei Gao Yuguo Chen Yuan Bian Guoping Wang Liming Xia Yan Wang Chunxia Zhao Zhiren Zhang Yuhua Zhao Jianan Wang Shaoliang Chen Hong Jiang Jing Chen Xianjin Du Mao Chen Yinxian Sun Sheng Li Hu Ding Xueping Ma Hesong Zeng Li Lin Shenghua Zhou Likun Ma Ling Tao Juan Chen Yiwu Zhou Xiaomei Guo 不详 Tongji Hospital Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China Fuwai Hospital National Center for Cardiovascular DiseasesChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100037China Zhongnan Hospital of Wuhan University Wuhan 430062China Fuwai Huazhong Cardiovascular Hospital Zhengzhou 450003China Beijing Anzhen Hospital Capital Medical UniversityBeijing 100029China Guangzhou General Hospital of Guangzhou Military Command Guangzhou 510010China Harbin Medical University Cancer Hospital Harbin 150081China Union Hospital Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100730China Taida Hospital Tianjin 300457China Peking University Third Hospital Beijing 100191China Qilu Hospital of Shandong University Jinan 250012China Kanghua Hospital DongguanGuangzhou 523080China Second Affiliated Hospital Zhejiang University School of Medicine Hangzhou 310003China Nanjing First Hospital Nanjing Medical UniversityNanjing 210006China Renmin Hospital of Wuhan University Wuhan 430060Wuhan West China Hospital Sichuan UniversityChengdu 610044China First Hospital of China Medical University Shenyang 110002China General Hospital of Ningxia Medical University Yinchuan 750003China The Second Xiangya Hospital Central South UniversityChangsha 410012China The First Affiliated Hospital of USTC University of Science and Technology of ChinaHefei 230002China The First Affiliated Hospital of Air Force Medical University Xi’an 710032China Central Hospital of Wuhan City Wuhan 430014China Tongji Medical College Huazhong University of Science and TechnologyWuhan 430030China

Fulminant myocarditis is an acute diffuse inflammatory disease of *** is characterized by acute onset,rapid progress and high risk of *** pathogenesis involves excessive immune activation of the innate immune system and formation of inflammatory *** to China’s practical experience,the adoption of the“life support-based comprehensive treatment regimen”(with mechanical circulation support and immunomodulation therapy as the core)can significantly improve the survival rate and long-term *** emphasis is placed on very early identification,very early diagnosis,very early prediction and very early treatment.

关键词： fulminant myocarditis guidelines life support-based comprehensive treatment regimen diagnosis treatment cytokine storm overactivation of immunity

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Antithrombotic Management of Atrial Fibrillation Patients Presenting with Coronary Artery Disease:A Consensus Document of the chinese society of cardiology

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cardiology Discovery 2021年第1期1卷 15-28页

作者： chinese society of cardiology of chinese Medical Association Editorial Board of chinese Journal of cardiology Zuyi Yuan Shulin Wu Yaling Han Peng Qu Shaowen Liu Changsheng Ma Yumei Xue Xinjun Lei 不详 First Affiliated Hospital of Xi’an Jiaotong University Guangdong Provincial People’s Hospital General Hospital of North Theater Command The Second Hospital of Dalian Medical University Shanghai General Hospital Beijing Anzhen Hospital Capital Medical University

The coexistence of coronary artery disease(CAD)and atrial fibrillation(AF)is common in clinical *** with CAD require antiplatelet therapy to reduce the occurrence of myocardial ischemic ***,patients with AF at high risk of thromboembolism require oral anticoagulants to reduce the occurrence of thromboembolic events such as *** cases where CAD coexists with AF,the combined use of antiplatelet and anticoagulation therapy can effectively reduce the risk of ischemic and thromboembolic events but increase the risk of bleeding at the same *** optimal antithrombotic regimen in patients with both CAD and AF has been controversial in clinical *** recent years,the expert consensuses on antithrombotic therapy in patients with AF presenting with acute coronary syndrome and/or undergoing percutaneous coronary intervention have been successively released in Europe and North America,and have been updated in a timely *** contrast,the guidelines on antithrombotic therapies in China are *** on published clinical evidence,this consensus incorporated relevant international and chinese guidelines,consensuses,and expert recommendations,and addressed the issues encountered in the clinical practice of antithrombotic therapy in patients with AF and different types of *** current guideline is of great significance to guide treatment in patients with both CAD and AF in China.

关键词： Antithrombotic management Atrial fibrillation Coronary artery disease

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Scientific statement of the chinese society of cardiology(CSC) on using of renin angiotensin system blockers in patients with cardiovascular disease and COVID-19

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Journal of Geriatric cardiology 2020年第5期17卷 241-242页

作者： Ya-Ling HAN Yu-Ming LI Chang-Sheng MA the Editorial Board of chinese Journal of cardiology 无不详 the chinese society of cardiology

The coronavirus disease 2019(COVID-19), which is caused by SARS-CoV-2, has become a worldwide public health crisis. Published clinical data from China and other countries have shown a much higher risk of developing COVID-19 and dying from the disease among the elderly, especially among those who had preexisting hypertension, cardiovascular diseases(CVD) and diabetes mellitus[1].

关键词： Angiotensin converting enzyme Cardiovascular disease COVID-19 Scientific statement

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chinese Expert Consensus on Microvascular Protection Strategy During Emergency Percutaneous Coronary Intervention Therapy in Patients With ST-elevation Myocardial Infarction

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cardiology Discovery 2024年第1期4卷 5-14页

作者： chinese society of cardiology,chinese Medical Association Editorial Board of chinese Journal of cardiology Muwei Li Yabin Wang Yaling Han Yun Zhang Feng Cao 不详 Fuwai Central China Cardiovascular Hospital chinese People’s Liberation Army General Hospital General Hospital of Northern Theater Command Qilu Hospital of Shandong University

Microcirculatory dysfunction(CMD)typically occurs in patients with acute ST-segment elevation myocardial infarction during percutaneous coronary intervention,which is associated with more severe myocardial injury and a worse *** the advancement of intracoronary physiology and imaging technology,the prevention and therapeutic interventions of CMD have attracted more ***,relevant guidelines or consensus on CMD are lacking in *** current consensus summarizes the prevention and diagnostic strategies of emergency percutaneous coronary intervention-related CMD and gives suggestions to improve the prognosis of ST-segment elevation myocardial infarction patients based on evidence from recent clinical studies,guidelines,and consensus from international sources.

关键词： Myocardial infarction Microcirculation dysfunction Percutaneous coronary intervention

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chinese Guidelines for the Diagnosis and Management of Atrial Fibrillation

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Journal of Geriatric cardiology 2024年第3期21卷 251-314页

作者： Chang-Sheng MA Shu-Lin WU Shao-Wen LIU Ya-Ling HAN chinese society of cardiology chinese Medical Association Heart Rhythm Committee of chinese society of Biomedical Engineering Beijing Anzhen Hospital Capital Medical University Guandong Provincial People’s Hospital Shanghai First People’s Hospital General Hospital of Northern Theater Command 不详

Atrial fibrillation(AF)is the most common sustained cardiac arrhythmia,significantly impacting patients’quality of life and increasing the risk of death,stroke,heart failure,and *** the past two decades,there have been significant breakthroughs in AF risk prediction and screening,stroke prevention,rhythm control,catheter ablation,and integrated *** this period,the scale,quality,and experience of AF management in China have greatly improved,providing a solid foundation for the development of guidelines for the diagnosis and management of *** further promote standardized AF management,and apply new technologies and concepts to clinical practice in a timely and comprehensive manner,the chinese society of cardiology of the chinese Medical Association and the Heart Rhythm Committee of the chinese society of Biomedical Engineering have jointly developed the chinese Guidelines for the Diagnosis and Management of Atrial *** guidelines have comprehensively elaborated on various aspects of AF management and proposed the CHA2DS2-VASc-60 stroke risk score based on the characteristics of AF in the Asian *** guidelines have also reevaluated the clinical application of AF screening,emphasized the significance of early rhythm control,and highlighted the central role of catheter ablation in rhythm control.

关键词： prevention sustained diagnosis

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chinese Guidelines for the Diagnosis and Management of Atrial Fibrillation

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cardiology Discovery 2024年第2期4卷 89-133页

作者：无 Changsheng Ma Shulin Wu Shaowen Liu Yaling Han chinese society of cardiology Chinese Medical Association Heart Rhythm Committee of chinese society of Biomedical Engineering 不详

Atrial fibrillation(AF)is the most common sustained cardiac arrhythmia,significantly impacting patients'quality of life and increasing the risk of death,stroke,heart failure,and *** the past 2 decades,there have been significant breakthroughs in AF risk prediction and screening,stroke prevention,rhythm control,catheter ablation,and integrated *** this period,the scale,quality,and experience of AF management in China have greatly improved,providing a solid foundation for the development of guidelines for the diagnosis and management of *** further promote standardized AF management,and apply new technologies and concepts to clinical practice in a timely and comprehensive manner,the chinese society of cardiology of the chinese Medical Association and the Heart Rhythm Committee of the chinese society of Biomedical Engineering have jointly developed the chinese Guidelines for the Diagnosis and Management of Atrial *** guidelines have comprehensively elaborated on various aspects of AF management and proposed the CHA,DS,-VASc-60 stroke risk score based on the characteristics of AF in the Asian *** guidelines have also reevaluated the clinical application of AF screening,emphasized the significance of early rhythm control,and highlighted the central role of catheter ablation in rhythm control.

关键词： Atrial fibrillation Anticoagulation Rhythm control Catheter ablation Integrated management Guideline

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chinese expert consensus statement on the diagnosis and treatment of fulminant myocarditis

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Science China(Life Sciences) 2019年第2期62卷 187-202页

作者： Daowen Wang Sheng Li Jiangang Jiang Jiangtao Yan Chunxia Zhao Yan Wang Yexin Ma Hesong Zeng Xiaomei Guo Hong Wang Jiarong Tang Houjuan Zuo Li Lin Guanglin Cui Section of Precision Medicine Group of chinese society of cardiology,Editorial Board of chinese Journal of cardiology &Working Group of Adult Fulminant Myocarditis 1Division of cardiology Department of Internal Medicine Tongji Hospital Tongji Medical College Huazhong University of Science &Technology Wuhan 430030 China 不详

Fulminant myocarditis is primarily caused by infection with any number of a variety of viruses. It arises quickly, progresses rapidly, and may lead to severe heart failure or circulatory failure presenting as rapid-onset hypotension and cardiogenic shock,with mortality rates as high as 50%–70%. Most importantly, there are no treatment options, guidelines or an expert consensus statement. Here, we provide the first expert consensus, the chinese society of cardiology Expert Consensus Statement on the Diagnosis and Treatment of Fulminant Myocarditis, based on data from our recent clinical trial(NCT03268642). In this statement, we describe the clinical features and diagnostic criteria of fulminant myocarditis, and importantly, for the first time,we describe a new treatment regimen termed life support-based comprehensive treatment regimen. The core content of this treatment regimen includes(i) mechanical life support(applications of mechanical respirators and circulatory support systems,including intraaortic balloon pump and extracorporeal membrane oxygenation),(ii) immunological modulation by using sufficient doses of glucocorticoid, immunoglobulin and(iii) antiviral reagents using neuraminidase inhibitor. The proper application of this treatment regimen may and has helped to save the lives of many patients with fulminant myocarditis.

关键词： adult fulminant myocarditis diagnosis and treatment expert consensus life support-based comprehensive treatment regimen cardiogenic shock mechanical circulatory support

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中国成人暴发性心肌炎诊断和治疗指南

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中华心血管病杂志 2024年第1期52卷 10-33页

作者：中华医学会心血管病学分会中华心血管病杂志编辑委员会汪道文中华医学会心血管病学分会中华心血管病杂志编辑委员会

暴发性心肌炎是急性弥漫性炎症性心肌疾病,其特点是起病急骤,病情进展极其迅速,死亡风险极高。其发病机制涉及心脏固有免疫过度激活和炎症风暴形成。根据我国近年来实践经验和研究证据,采用"以生命支持为依托的综合救治方案"能显著提高... 详细信息

暴发性心肌炎是急性弥漫性炎症性心肌疾病,其特点是起病急骤,病情进展极其迅速,死亡风险极高。其发病机制涉及心脏固有免疫过度激活和炎症风暴形成。根据我国近年来实践经验和研究证据,采用"以生命支持为依托的综合救治方案"能显著提高患者存活率,并改善长期预后。受中华医学会心血管病学分会委托和指派,急重症学组组织全国涉及该领域的众多专家进行撰写和反复讨论,制定了本指南。本指南特别强调暴发性心肌炎的极早识别、极早诊断、极早预判和极早治疗。

关键词：暴发性心肌炎心原性休克过度免疫激活炎症风暴机械循环支持免疫调节

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中国慢性冠脉综合征患者诊断及管理指南

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中华心血管病杂志 2024年第6期52卷 589-614页

作者：中华医学会心血管病学分会中华心血管病杂志编辑委员会郭宁徐凯袁祖贻韩雅不详西安交通大学第一附属医院心血管内科西安710061 北部战区总医院心血管内科沈阳110016

心血管疾病是中国城乡居民死亡的首要原因。慢性冠脉综合征(CCS)是心血管疾病的一种类型,它涵盖了一系列由于冠状动脉血流减少引起的症状和体征。近几年世界范围内抗血小板和血脂等领域的研究取得了突破性进展,其中不乏中国人群的大型... 详细信息

心血管疾病是中国城乡居民死亡的首要原因。慢性冠脉综合征(CCS)是心血管疾病的一种类型,它涵盖了一系列由于冠状动脉血流减少引起的症状和体征。近几年世界范围内抗血小板和血脂等领域的研究取得了突破性进展,其中不乏中国人群的大型研究。中国已步入中度老龄社会,疾病负担日趋严重,因此我国CCS指南的制定刻不容缓。该指南由中华医学会心血管病学分会动脉粥样硬化与冠心病学组和中华心血管病杂志编辑委员会牵头,联合介入学组、腔内影像功能学组、心血管病影像学组和基础学组共同制定,是我国首部针对CCS患者诊断及管理的指导性文件,全面介绍了CCS的定义、诊断流程、治疗策略以及长期管理。本指南涵盖了CCS患者的全生命周期,包括合并症及特殊人群的最新管理建议。旨在通过本指南指导临床实践,全面提升我国CCS患者管理水平。

关键词：慢性冠脉综合征心血管疾病诊断管理治疗抗血小板药物特殊人群指南

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经导管主动脉瓣置换术围术期护理中国专家共识

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中华心血管病杂志 2024年第9期52卷 1033-1043页

作者：中华医学会心血管病学分会中华心血管病杂志编辑委员会

过去10余年, 经导管主动脉瓣置换术(TAVR)作为主动脉瓣狭窄的介入治疗手段, 在术前护理评估、术中护理及术后重症监护、早期康复护理等方面取得了一系列进展。同期, 我国TAVR开展的规模和质量也得到了大幅提升, 积累了大量经验。为规范T... 详细信息

过去10余年, 经导管主动脉瓣置换术(TAVR)作为主动脉瓣狭窄的介入治疗手段, 在术前护理评估、术中护理及术后重症监护、早期康复护理等方面取得了一系列进展。同期, 我国TAVR开展的规模和质量也得到了大幅提升, 积累了大量经验。为规范TAVR围术期的护理行为, 中华医学会心血管病学分会和中华心血管病杂志编辑委员会组织专家, 在参考最新循证医学证据的基础上, 经多次讨论制定了本共识, 旨在为我国TAVR患者的同质化、高质量护理提供指导。

关键词：主动脉瓣狭窄经导管主动脉瓣置换术围术期护理专家共识

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