晚期加多增强成像和突然的心脏死亡
Sanjay K Prasad1,2, Tamim Akbari1,2, Martin J Bishop3
1Royal Brompton and Harefield Hospitals, Part of Guy's and St Thomas' NHS Foundation Trust, CMR Unit, Sydney Street, London SW3 6NP, UK.
European heart journal
|July 15, 2025
概括
预测突然心脏病死亡仍然是一个挑战. 晚期加多增强 (LGE) 心脏核磁共振显示,有望用于识别风险和指导心肌病预防疗法.
科学领域:
- 心血管医学 心血管医学
- 医疗成像医学成像
- 心脏电生理学 心脏电生理学
背景情况:
- 突然心脏死亡 (SCD) 的预测和管理是心血管保健中的关键挑战.
- 尽管有治疗方面的进步,风险分层仍然很困难.
- 通过Late Gadolinium Enhancement (LGE) 心脏MRI检测到的心肌纤维化是一个关键预测因素.
研究的目的:
- 批判性地评估LGE在预测SCD方面的证据.
- 审查LGE在缺血性和非缺血性心肌病的效用.
- 探索LGE的未来应用,包括机器学习和数字双胞胎.
主要方法:
- 最先进的文献审查.
- 对现有关于LGE和SCD的研究进行批判性评估.
- 分析LGE在各种心肌病中的作用.
主要成果:
- LGE是一种强大的心肌纤维化非侵入性标志物.
- 证据支持LGE在预测跨心肌病的SCD中的实用性.
- 未来的方向包括先进的计算技术.
结论:
- LGE是SCD风险分层的一个有价值的工具.
- 通过机器学习和数字双胞胎对LGE的进一步研究是有必要的.
- LGE可以指导心血管疾病的预防策略.
相关概念视频
Imaging Studies for Cardiovascular System IV: CMRI
138
Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
138
Imaging Studies for Cardiovascular System V: CT
68
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
68
Imaging Studies for Cardiovascular System III: X-Ray
299
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
299
Acute Coronary Syndrome III: Diagnostic Studies
25
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
25
Imaging Studies for Cardiovascular System I:Echocardiography
492
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
492
Imaging Studies for Cardiovascular System II:Types of Echocardiography
398
Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
398


