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塔卡亚苏关节炎患者的心肌和血管参与:心血管MRI研究

Simin Almasi¹, Sanaz Asadian², Leila Hosseini²

¹Department of Rheumatology, Firoozgar Hospital, Iran University of Medical Sciences, Tehran 1593747811, Iran.

Diagnostics (Basel, Switzerland)

|December 9, 2023

概括

心血管磁共振 (CMR) 显示,左心室喷射分数和应变降低了Takayasu动脉炎 (TA) 患者. 心肌应变,特别是LVGLS,是TA当前和未来心血管并发症的强有力的预测因素.

科学领域:

心脏病学心脏病学
放射学放射学是一门学科.
类风湿病学类风湿病学

背景情况:

塔卡亚苏动脉炎 (TA) 是一种带有潜在心血管并发症的大血管血管炎.
心血管磁共振 (CMR) 是评估TA的关键成像方式.
了解CMR发现对于预测TA患者的不良结果至关重要.

研究的目的:

为了探索高山氏动脉炎患者的CMR发现.
为了确定与TA相关的心血管并发症.
在TA中评估CMR参数对主要心脏和脑血管不良事件 (MACCEs) 的预测值.

主要方法:

37名TA患者和28名健康对照人接受了CMR.
CMR评估了大动脉炎症,左心室 (LV) 功能和心肌应变 (LVGLS).
在随访期间记录了不良心血管并发症 (ACC_CMR) 和MACCE.

主要成果:

与对照组相比,TA患者的LV喷射分数和LVGLS显著降低.
大动脉壁 (92%) 和超增强 (97%) 在TA中很常见.
在随访期间,心肌炎是最常见的ACC_CMR (16.2%),脑血管事故是最常见的MACCE (13.5%).
LVGLS显示出与心血管并发症的最强相关性.

结论:

CMR对于检测TA中的心血管参与是有价值的.
在CMR上减少LVGLS是TA患者同时和未来心血管风险的重要指标.
通过CMR进行心肌应变评估可以帮助对TA的风险分层和管理.

关键词:

塔卡亚苏的动脉炎是一种动脉炎.心脏和血管方面的并发症.心血管磁力共振成像 (MRI) 的情况.功能跟踪功能跟踪功能跟踪压力压力压力压力

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