相关实验视频
Updated: Jan 28, 2026

05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
1.2K
与IgG4相关的心膜炎:多模式成像诊断和手术结果在一个案例系列
Jibran Ikram1, Faysal Massad2, Joseph El Roumi1
1Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
JACC. Case reports
|January 27, 2026
概括
与免疫球蛋白G4相关的疾病 (IgG4-RD) 心膜炎是收缩性心膜炎的罕见原因. 手术心周切除术提供了最终的治疗方法,尽管长期监测系统性参与至关重要.
科学领域:
- 心脏病学 心脏病学
- 类风湿病学 类风湿病学
- 病理学 病理学 病理学
背景情况:
- 免疫球蛋白G4相关疾病 (IgG4-RD) 是一种全身性纤维炎症疾病.
- IgG4-RD 很少影响心周,可能导致复发性或收缩性心周炎.
研究的目的:
- 描述IgG4-RD心膜炎患者的临床过程和治疗方法.
- 突出心周切除术在治疗IgG4-RD相关收缩生理学的作用.
主要方法:
- 5名患者的病例系列,活检证明IgG4-RD心膜炎和狭窄生理学.
- 医学治疗 (NSAIDs,胆固醇,皮质类固醇,生物药物) 和外科心脏切除术结果的审查.
- 组织病理学分析显示>40%的IgG4阳性血细胞.
主要成果:
- 所有5名患者尽管接受了医疗治疗,但都出现了收缩性生理学.
- 手术心周切除术导致所有患者的症状改善.
- 两名患者需要持续的免疫抑制;其他患者保持稳定,没有复发.
结论:
- IgG4-RD心膜炎是收缩性心膜炎的重要原因,需要在耐火病例中考虑.
- 诊断包括成像,血液动力学和心周活检.
- 心切除术是确定的收缩的最终治疗方法,长期随访对于全身疾病监测至关重要.
相关概念视频
Pericarditis I: Introduction
378
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
378
Resistors In Series
6.3K
A resistor is an ohmic device that limits the flow of charge in a circuit. Most circuits have more than one resistor. If several resistors are connected together and connected to a battery, the current supplied by the battery depends on the equivalent resistance of the circuit. The equivalent resistance of a combination of resistors depends on both their individual values and how they are connected. The simplest combination of resistors is the series combination.
In a series circuit, the...
In a series circuit, the...
6.3K
Predicting Reaction Outcomes
10.8K
Kinetics describes the rate and path by which a reaction occurs. In contrast, thermodynamics deals with state functions and describes the properties, behavior, and components of a system. It is not concerned with the path taken by the process and cannot address the rate at which a reaction occurs. Although it does provide information about what can happen during a reaction process, it does not describe the detailed steps of what appears on an atomic or a molecular level. On the other hand,...
10.8K
Series Resonance
797
The RLC circuit impedance is defined as the ratio of the supply voltage to the circuit current. Resonance in such a circuit occurs when the imaginary part of this impedance equals zero. This specific condition means that the inductive reactance is exactly equal to the capacitive reactance. The frequency at which this happens is known as the resonant frequency. Mathematically, the resonant frequency is inversely proportional to the square root of the product of the inductance (L) and capacitance...
797
Outcomes of Glycolysis
107.1K
Nearly all the energy used by cells comes from the bonds that make up complex organic compounds. These organic compounds are broken down into simpler molecules, such as glucose. As a result, cells extract energy from glucose over many chemical reactions—a process called cellular respiration.
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
107.1K
Pericarditis III: Medical Management
338
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
338

