多式成像用于诊断晚期洛夫勒内心炎的诊断
Catherine Teng1, Aneesh Dhore-Patil1, Neal Bhachawat2
1Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA.
JACC. Case reports
|October 19, 2025
概括
洛夫勒内心炎 (LE) 是一种罕见的异性心脏病,可能导致不可逆转的心脏纤维化. 通过成像及治疗潜在原因的早期诊断,如寄生虫感染,对于治疗eosinophilia至关重要,但可能无法逆转已有的心脏损伤.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 洛夫勒内心炎 (LE) 是一种罕见的,渐进的酸性心肌炎.
- 它的特征是内心肌纤维化,壁膜血栓和限制性心肌病.
研究的目的:
- 为了突出晚期洛夫勒内心炎的特征.
- 强调早期识别和治疗潜在可逆性病因的重要性.
主要方法:
- 一个70岁的女性心力衰竭的案例研究,其中保留了喷射分数和eosinophilia.
- 诊断工具包括胸前心电回声学,计算机断层扫描,心脏磁共振成像和便检测.
- 治疗包括抗微生物治疗.
主要成果:
- 心脏成像显示了心下内脏化,纤维化和壁面血栓,与纤维化阶段的LE一致.
- 寄生虫感染被确定为eosinophilia的原因.
- 抗微生物药物治疗使氨基酸水平正常化,但心脏纤维化仍然存在.
结论:
- 洛夫勒内心炎是心力衰竭的罕见原因,具有保存的喷射分数.
- 晚期LE涉及不可逆转的心脏重塑.
- 多模式成像对于诊断至关重要,虽然系统表现可能是可逆的,心脏纤维化往往会持续.
相关概念视频
Mitral Stenosis II: Clinical features and Diagnostic Tests
186
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
186
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
435
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
435
Myocarditis II: Clinical Features and Diagnostic Tests
229
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
229
Acute Coronary Syndrome III: Diagnostic Studies
190
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...
190
Imaging Studies for Cardiovascular System II:Types of Echocardiography
600
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...
600
Imaging Studies for Cardiovascular System I:Echocardiography
691
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,...
691


