在早期再极化综合征中晚期加多增强
Hiroshi Morita1, Saori Asada2, Satoshi Nagase3
1Department of Cardiovascular Therapeutics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Heart rhythm
|August 2, 2024
概括
晚期加多增强 (LGE) 在早期复极化综合征 (ERS) 患者中很常见,通常出现在隔膜中. 心脏磁共振 (CMR) 图像显示ERS中心肌纤维化,约60%的病例中J波和LGE相吻合.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 电子生理学 电子生理学
背景情况:
- 布鲁加达综合征中的心肌纤维化是通过活检或心磁共振 (CMR) 通过晚期加多增强 (LGE) 得到的.
- 早期复极化综合征 (ERS) 中心肌细胞的改变尚不清楚.
研究的目的:
- 在使用LGE在CMR中的ERS患者中调查心肌纤维化.
- 为了将LGE发现与ERS中的J波特征相关联.
主要方法:
- 对20名ERS患者的回顾性评估,这些患者在连续的线索中具有J波.
- J波位置的分类 (七面,前面,侧面,下面,后面).
- 在CMR上的LGE分布与左心室 (LV) 段中的J波位置的比较.
主要成果:
- 85%的ERS患者显示LGE,主要在隔膜和后部区域.
- 在61%的LV区域中,J波和LGE分布一致;38%的LV区域出现不一致.
- LGE在隔膜中最常见 (75%) 并与临床结果无关.
结论:
- 晚期加多增强 (LGE) 在早期复极化综合征 (ERS) 中很普遍.
- J波和LGE的空间分布显示,大约60%的左心室区域重叠.
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