心脏磁共振斑跟踪分析右心室功能在心肌炎与保存的右心室喷射小部分的右心室功能
Özge Özden1, Serkan Ünlü2, Ahmet Anıl Şahin3
1Department of Cardiology, Memorial Bahcelievler Hospital, Istanbul 34100, Turkey.
Medicina (Kaunas, Lithuania)
|October 26, 2024
概括
在急性心肌炎患者中,可能存在亚临床右心室 (RV) 功能障碍,并保留RV射出分数 (EF). 心脏磁共振成像 (CMRI) 菌株分析显示,这些患者的RV菌株较低.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 诊断技术 诊断技术
背景情况:
- 心肌炎的诊断是具有挑战性的;心脏磁共振成像 (CMRI) 提供了有价值的诊断参数.
- 在急性心肌炎中,右心室 (RV) 的参与可能比以前认为的更为普遍.
研究的目的:
- 研究急性心肌炎患者的亚临床RV参与,这些患者具有保存的RV喷射分数 (EF).
- 使用CMRI RV光斑追踪成像来检测微妙的RV功能障碍.
主要方法:
- 对27名急性心肌炎患者和27名健康对照患者的CMRI数据的回顾性分析.
- 传统的RV评估参数和使用CMRI斑点跟踪的RV菌株分析进行了比较.
主要成果:
- 两组之间左心室 (LV) 或心房尺寸没有显著差异.
- LV喷射分数有显著差异 (p <0.05);传统的RV参数没有显著差异.
- 在急性心肌炎组中,RV菌株绝对值明显较低 (p = 0.018).
结论:
- 在急性心肌炎患者中,可以通过CMRI衍生的菌株检测出亚临床RV功能障碍,即使保留了RV EF.
- CMRI RV斑点追踪成像是一种敏感的工具,用于识别肌心炎早期的RV损伤.
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