在COVID-19中心脏参与的MRI
Moezedin Javad Rafiee1,2, Matthias G Friedrich1,2
1Department of Medicine, McGill University Health Centre, Montreal, Quebec H4A3J1, Canada.
COVID-19可能会导致严重的心脏损伤,包括心肌炎,增加死亡风险. 心血管磁共振 (CMR) 对于诊断这些心肌损伤和指导患者管理至关重要.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗成像医学成像
背景情况:
- 由SARS-CoV-2引起的COVID-19流行病与各种心肌损伤有关,包括心肌炎,与患者的不良结果有关.
- 严重的COVID-19患者的心肌损伤与明显更高的死亡率相关.
- 心血管磁共振 (CMR) 是评估心肌损伤的关键诊断方式.
研究的目的:
- 审查COVID-19患者心肌损伤的组织病理学发现和CMR成像模式.
- 综合当前关于COVID-19对心脏影响的研究.
- 突出CMR在诊断和管理COVID-19相关心脏并发症中的实用性.
主要方法:
- 对COVID-19患者的组织病理学和CMR成像现有研究的系统审查.
- 对CMR发现的分析,包括炎症,,纤维化和缺血性损伤.
- 对COVID相关心肌炎的诊断标准 (例如LLC标准) 的评估.
主要成果:
- 在COVID-19中,CMR揭示了复杂的心脏损伤,例如炎症,,纤维化和微血栓诱导的缺血性损伤.
- 心肌损伤是住院COVID-19患者死亡率的重要预测因素.
- 在特定人群中,CMR有效检测心脏并发症,例如患有MIS-C的儿童和运动员.
结论:
- 在COVID-19中,CMR对于诊断和表征心肌损伤至关重要.
- 了解CMR模式有助于管理心脏并发症并改善COVID-19患者的预后.
- 在感染后和接种疫苗后评估心肌损伤时,CMR起着至关重要的作用.
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