与IgG4相关疾病的心血管参与中的成像发现:系统性审查研究
Amir Ghaffari Jolfayi1, Alireza Salmanipour1, Kiyan Heshmat-Ghahdarijani2
1Cardiovascular Research Center, Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, Iran.
免疫球蛋白G4相关疾病 (IgG4-RD) 通常影响男性,并呈现血管病变,如血管壁加厚和动脉瘤. 本综述强调了对诊断IgG4-RD心血管并发症至关重要的成像发现.
科学领域:
- 心血管成像 - 心血管成像
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
背景情况:
- 免疫球蛋白G4相关疾病 (IgG4-RD) 是一种多系统纤维炎症疾病.
- 越来越多地认识到心血管参与IgG4-RD.
- 准确的诊断往往依赖于成像,因为一些患者的呈现和IgG4水平不同,正常.
研究的目的:
- 综合审查和分析IgG4相关心血管疾病的成像发现.
- 帮助准确诊断和治疗心血管IgG4-RD.
- 巩固目前关于成像在IgG4-RD中的作用的知识.
主要方法:
- 在PubMed,Scopus,Embase和Web of Science进行了系统的文献搜索,截至2023年9月.
- 遵守PRISMA指导方针进行研究选择.
- 在IgG4-RD中包括报告详细心血管成像发现的研究.
主要成果:
- 分析了68项研究,其中包括120例心血管IgG4-RD病例.
- 主要的人口统计:男性患者,平均年龄62.8岁.
- 最常见的成像检测结果包括血管病变 (例如,血管壁加厚,主动脉炎,动脉瘤),心周卷入和中质.
结论:
- 血管病是IgG4-RD最常见的心血管表现.
- 影响心血管系统的IgG4-RD在男性中患病率更高.
- 图像检测对于识别和管理IgG4相关心血管疾病至关重要.
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