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对比增强心脏磁共振成像显示心肌周围炎患者的延迟对比增强:病例报告

Delayed contrast enhancement in a patient with perimyocarditis on contrast-enhanced cardiac MRI: case report.

作者信息

Teraoka Kunihiko, Hirano Masaharu, Yannbe Minoru, Ohtaki Yuka, Ohkubo Toyoyuki, Abe Kimihiko, Yamashina Akira

机构信息

Second Department of Internal Medicine, Tokyo Medical University, 6-7-1 Nishishinjuku, Tokyo, Japan.

出版信息

Int J Cardiovasc Imaging. 2005 Apr-Jun;21(2-3):325-9. doi: 10.1007/s10554-004-4016-z.

DOI:10.1007/s10554-004-4016-z
PMID:16015449
Abstract

The findings of contrast-enhanced cardiac magnetic resonance imaging of a 19-year-old man with perimyocarditis in the subacute and chronic stage are presented. In perimyocarditis., it is useful to check the presence of delayed contrast enhancement to confirm the presence of the lesion and to evaluate the severity of inflammation in the acute stage as well as to determine the extent of fibrosis in the pericardium and myocardium in the chronic stage.

摘要

本文展示了一名19岁亚急性期和慢性期心包心肌炎男性患者的对比增强心脏磁共振成像结果。在心包心肌炎中,检查延迟对比增强的存在有助于确认病变的存在,评估急性期炎症的严重程度,并确定慢性期心包和心肌纤维化的范围。

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本文引用的文献

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Acute myocarditis associated with adenoviral infection in a patient with scleroderma.一名硬皮病患者合并腺病毒感染所致的急性心肌炎。
Clin Rheumatol. 2003 Dec;22(6):487-90. doi: 10.1007/s10067-003-0794-2. Epub 2003 Nov 8.
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Therapeutic role of pericardiocentesis for acute necrotizing eosinophilic myocarditis with cardiac tamponade.心包穿刺术对急性坏死性嗜酸性粒细胞性心肌炎合并心脏压塞的治疗作用
Mayo Clin Proc. 2003 Jul;78(7):901-7. doi: 10.4065/78.7.901.
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Visualisation of presence, location, and transmural extent of healed Q-wave and non-Q-wave myocardial infarction.
可视化愈合的Q波和非Q波心肌梗死的存在、位置及透壁范围。
Lancet. 2001 Jan 6;357(9249):21-8. doi: 10.1016/S0140-6736(00)03567-4.
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Contrast-enhanced magnetic resonance imaging of myocardium at risk: distinction between reversible and irreversible injury throughout infarct healing.梗死心肌增强磁共振成像:在整个梗死愈合过程中区分可逆性和不可逆性损伤。
J Am Coll Cardiol. 2000 Nov 15;36(6):1985-91. doi: 10.1016/s0735-1097(00)00958-x.
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Relationship of MRI delayed contrast enhancement to irreversible injury, infarct age, and contractile function.MRI延迟对比增强与不可逆损伤、梗死年龄及收缩功能的关系。
Circulation. 1999 Nov 9;100(19):1992-2002. doi: 10.1161/01.cir.100.19.1992.
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J Magn Reson Imaging. 1999 Nov;10(5):617-26. doi: 10.1002/(sici)1522-2586(199911)10:5<617::aid-jmri5>3.0.co;2-z.
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MRI for the diagnosis and follow-up of myocarditis.用于心肌炎诊断及随访的磁共振成像
Circulation. 1999 Jan 26;99(3):458-9.
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Contrast media-enhanced magnetic resonance imaging visualizes myocardial changes in the course of viral myocarditis.对比剂增强磁共振成像可显示病毒性心肌炎病程中的心肌变化。
Circulation. 1998 May 12;97(18):1802-9. doi: 10.1161/01.cir.97.18.1802.
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Magnetic resonance imaging of the pericardium: normal and pathologic findings.心包的磁共振成像:正常及病理表现
Radiology. 1984 Feb;150(2):469-74. doi: 10.1148/radiology.150.2.6691103.
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Primary acute pericardial disease: a prospective series of 231 consecutive patients.原发性急性心包疾病:231例连续患者的前瞻性系列研究
Am J Cardiol. 1985 Oct 1;56(10):623-30. doi: 10.1016/0002-9149(85)91023-9.