使用多参数心脏磁共振来区分轻度和严重心肌炎
Hideo Arai1, Masateru Kawakubo2, Kenichi Sanui1
1Fukuokaken Saiseikai Futsukaichi Hospital, 3-13-1 Yumachi Chikushino, Fukuoka 818-8516, Japan.
Radiology case reports
|August 28, 2023
概括
心脏磁共振 (CMR) 有效地区分轻度和严重的心肌炎. 严重的病例显示出明显的CMR发现,保存的右心室菌株可能表明恢复,有助于诊断和管理.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 病理生理学 病理生理学
背景情况:
- 心肌炎的病理生理学范围从无声炎症到严重的血液动力学损害.
- 心肌活检是侵入性的;心磁共振 (CMR) 提供了一个非侵入性的诊断替代方案.
- CMR评估心肌特征,心脏功能和血液动力学.
研究的目的:
- 要突出CMR发现的轻度和重度急性心肌炎之间的差异.
- 评估CMR在评估严重程度和预测康复中的作用.
- 为了说明CMR在诊断和管理心肌炎中的实用性.
主要方法:
- 两名急性心肌炎患者的病例报告 (轻微的乙酸性和严重的淋巴细胞性).
- 在急性和康复阶段进行序列CMR成像.
- 分析心肌特征 (T2值,体积,菌株) 和晚期加多增强模式.
主要成果:
- 严重的心肌炎显示T2值较高,左心室/心房体积和菌株减少,但保持了右心室菌株.
- 晚期加多增强模式在轻度和重度病例之间有所不同.
- 随访CMR表明炎症和心脏功能恢复,持续的晚期加多增强.
结论:
- CMR可以区分轻度和重度心肌炎,有助于严重程度的评估.
- 保持右心室应变可以预测急性心肌炎中的心脏功能恢复.
- 非侵入性CMR对心肌炎诊断,严重程度评估和患者管理有价值.
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