牛皮中的心血管成像:对当前证据,技术和治疗影响的批判性审查
Jacopo Tartaglia1, Monica Ponzano1, Roberto Mazzetto1
1Dermatology Unit, Department of Medicine (DIMED), University of Padua, Via Vincenzo Gallucci, 4, 35121, Padua, Italy.
American journal of clinical dermatology
|December 1, 2025
概括
牛皮患者表现出亚临床心血管问题,如通过成像检测到的冠状动脉微血管功能障碍. 系统疗法可以改善这些发现,帮助早期评估心血管疾病的风险.
科学领域:
- 心脏病学 心脏病学
- 皮肤病学 皮肤病学
- 放射学 放射学是一门学科.
背景情况:
- 牛皮是一种系统性炎症状况,与心血管风险增加有关.
- 免疫介导的内皮功能障碍和动脉样硬化有助于这种风险.
- 在中度至重度的牛皮中,亚临床心血管异常常见.
研究的目的:
- 审查心血管成像在检测牛皮相关变化的作用.
- 评估系统治疗对这些成像发现的影响.
- 为指导选择性使用成像来评估牛皮中的心血管风险.
主要方法:
- 对非侵入性心血管成像方法的审查 (例如,CCTA,PET,TTE,冠状动脉评分,心血管超声波).
- 对全身疗法 (生物药物,他类药物) 的新兴数据的分析.
- 综合证据,将成像发现与临床结果联系起来.
主要成果:
- 图像检查显示冠状动脉微血管功能障碍,高风险斑块,血管炎症,心肌重塑和牛皮中的动脉硬.
- 生物疗法可以改善冠状动脉微血管功能,减少斑块负担.
- 在PET扫描中,他类药物可以降低血管FDG吸收.
- 图像异常往往在临床心血管事件之前发生.
结论:
- 心血管成像检测到牛皮的亚临床疾病,有助于早期风险分层.
- 系统疗法对心血管成像标志物显示出潜在的益处.
- 建议使用选择性成像来细化风险,以及当症状暗示参与时.
- 需要进一步的结果数据来确认成像变化对临床事件的影响.
相关概念视频
Imaging Studies for Cardiovascular System III: X-Ray
447
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...
447
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
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
311
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
311
Assessment of the Cardiovascular System II: Inspection
765
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
765
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
Imaging Studies for Cardiovascular System IV: CMRI
291
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,...
291


