5-甲诱导的冠状动脉:心血管磁共振成像病例报告
Kelly Garbis1, Moezedin Javad Rafiee1, Judy Luu1
1Department of Medicine, Division of Cardiology, McGill University Health Center, McGill University, Montreal, Quebec, Canada.
Global cardiology science & practice
|August 14, 2023
概括
一名45岁的男性患有转移性结肠癌,由于化疗诱导的冠状动脉缩而经历胸痛. 心血管磁共振成像帮助识别了这种心肌损伤,强调了它在类似情况下的实用性.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 接受化疗的转移性结肠癌患者有心脏并发症的风险.
- 像FOLFOX这样的化疗方案可以诱导心血管不良事件.
- 癌症患者的心肌损伤需要仔细的病因学调查.
研究的目的:
- 在患有转移性结肠癌的患者中报告化疗诱导的冠状动脉缩病例.
- 审查心血管磁共振成像 (CMR) 在诊断心肌损伤中的作用.
- 突出CMR在患有阻塞性冠状动脉疾病可能性较低的患者中的实用性.
主要方法:
- 一个45岁的男性患有转移性结肠癌的案例介绍.
- 进行了心电图 (ECG) 和胸前心电图 (TTE).
- 用心血管磁共振成像 (CMR) 来进行进一步的研究.
主要成果:
- 该患者在FOLFOX化疗后出现胸痛和ST段升高.
- 最初的TTE显示左心室喷射分数减少 (35%) 和高的托罗邦素.
- CMR显示左心室功能的恢复,并建议冠状动脉血管.
结论:
- 化疗,特别是FOLFOX,可以导致冠心血管,导致心肌损伤.
- CMR是评估心肌损伤的宝贵工具,尤其是在阻塞性冠状动脉疾病不太可能发生的情况下.
- 这一案例强调了考虑血管作为接受化疗的癌症患者心脏症状的原因的重要性.
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