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晚期钆增强心血管磁共振预测与甲基苯丙胺相关的心肌病的恢复情况。

Recovery of methamphetamine associated cardiomyopathy predicted by late gadolinium enhanced cardiovascular magnetic resonance.

机构信息

Department of Internal Medicine, Division of Cardiovascular Medicine, One Shields Avenue, Davis, CA 95618, USA.

出版信息

J Cardiovasc Magn Reson. 2009 Nov 11;11(1):46. doi: 10.1186/1532-429X-11-46.

DOI:10.1186/1532-429X-11-46
PMID:19906310
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2780987/
Abstract

Methamphetamine is known to cause a cardiomyopathy which may be reversible with appropriate medical therapy and cessation of use. Late gadolinium enhancement cardiovascular magnetic resonance (CMR) has been shown to identify fibrosis in ischemic and non-ischemic cardiomyopathies. We present a case of severe methamphetamine-associated cardiomyopathy in which cardiac function recovered after 6 months. Evaluation by CMR using late gadolinium enhancement was notable for an absence of enhancement, suggesting an absence of irreversible myocyte injury and a good prognosis. CMR may be useful to predict recovery in toxin-associated non-ischemic cardiomyopathies.

摘要

甲基苯丙胺已知可导致心肌病，在适当的药物治疗和停止使用后可能是可逆的。钆延迟增强心血管磁共振（CMR）已被证明可识别缺血性和非缺血性心肌病中的纤维化。我们报告了一例严重的与甲基苯丙胺相关的心肌病，其中心脏功能在 6 个月后恢复。使用钆延迟增强的 CMR 评估显示无增强，提示无不可逆的心肌损伤和良好的预后。CMR 可能有助于预测与毒素相关的非缺血性心肌病的恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/150f/2780987/23142dda3ee3/1532-429X-11-46-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/150f/2780987/385631a825b6/1532-429X-11-46-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/150f/2780987/f0598edc1df9/1532-429X-11-46-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/150f/2780987/23142dda3ee3/1532-429X-11-46-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/150f/2780987/385631a825b6/1532-429X-11-46-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/150f/2780987/f0598edc1df9/1532-429X-11-46-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/150f/2780987/23142dda3ee3/1532-429X-11-46-3.jpg

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