在接受心血管磁共振的患者中,真心和伪心肌环状断层
Kamil Stankowski1, Federica Catapano1, Dario Donia1
1IRCCS Humanitas Research Hospital, Milano, Italy; Department of Biomedical Sciences, Humanitas University, Milano, Italy.
概括
状环状断裂 (MAD) 是常见的,在35%的患者中发现了真MAD. mitra 门脱落增加了伪MAD的患病率和程度,以及在下侧壁的真MAD.
科学领域:
- 心脏病学 心脏病学
- 心脏成像 - - 心脏成像
- 膜心脏疾病 膜心脏疾病
背景情况:
- 状环状断裂 (MAD) 是一个有争议的疾病.
- 伪MAD (心位移) 和真正的MAD (心和心位移) 之间存在区别.
- 这项研究调查了这些MAD类型的患病率.
研究的目的:
- 为了确定真正的MAD和伪MAD的流行率.
- 为了比较MAD患病率和程度在患有和没有 mitra valve prolapse (MVP) 的患者中.
主要方法:
- 回顾性心血管磁共振 (CMR) 研究.
- MAD定义为:在中枢单元链和左心室壁之间≥1mm的位移.
- 根据真实MAD或伪MAD的存在分类的患者.
主要成果:
- 在290名患者中,有50%患有MAD;35%患有真正的MAD,16%患有伪MAD.
- 真正的MAD是常见的,无论MVP.
- 患有MVP的患者具有更高的伪MAD的流行率和程度,并且在下侧壁增加了真MAD.
结论:
- 在CMR患者中,True-MAD是经常发现的.
- MVP与增加的伪MAD和特定的真MAD位置有关.
- 区分MAD类型对于理解其与MVP的关联至关重要.
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