心脏磁共振用于心室节律失常:一个系统的审查和元分析
Christos A Papanastasiou1,2, Maria-Anna Bazmpani1, Polydoros N Kampaktsis3
11st Cardiology Department, University General Hospital of Thessaloniki AHEPA, Thessaloniki, Greece.
Heart (British Cardiac Society)
|July 31, 2024
概括
心脏磁共振 (CMR) 可以在39%患有心室节律失常 (VAs) 的患者中识别结构性心脏病. CMR改善了VA的诊断和风险分层,指导了早期管理策略.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 电力生理学 电力生理学
背景情况:
- 心脏磁共振 (CMR) 提供了心肌组织的详细特征,识别了与心室节律失常 (VAs) 相关的炎症或纤维化.
- 评估结构性心脏病 (SHD) 和CMR在VA患者的预后作用对于风险分层至关重要.
研究的目的:
- 使用CMR. 估计显著VA患者中SHD的流行率.
- 确定CMR发现在出现VA的患者中的预后影响.
主要方法:
- 对通过电子数据库搜索识别的18项研究的数据进行了比例元分析.
- 聚合危险比率 (HRs) 被计算出来,以评估CMR的预后值,特别是晚期加多增强.
主要成果:
- 在VA患者中,SHD的患病率为39%,复杂VA患者的患病率较高 (63%),相比较不那么复杂的患者 (24%).
- 在35%的病例中,CMR导致了诊断的改变. 非缺血性心肌病是最常见的SHD (56%).
- 晚期加多增强的CMR与VA患者主要不良结果的风险增加1.79倍有关.
结论:
- CMR是VA患者的宝贵诊断和预后工具.
- 早期将CMR纳入VA诊断算法有助于确定病因,预后,并改善风险分层.
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