Barbou F, Lahutte M, Schiano P, Monsegu J
Service de cardiologie, hôpital d'instruction des armées du Val-de-Grâce, Paris, France.
Ann Cardiol Angeiol (Paris). 2011 Feb;60(1):42-7. doi: 10.1016/j.ancard.2010.11.001. Epub 2010 Dec 21.
In the past decade, cardiovascular magnetic resonance (CMR) has evolved considerably. Its clinical applications enable the diagnosis and prognostic assessment of patients with ischemic heart disease. CMR is safe, with absence of any ionizing radiation, and offers the greatest information from a single test, allowing the assessment of myocardial morphology, myocardial function and viability. Stress-CMR can be used for detection and quantification of ischemia. This article analyses the technical approach, the limits and reviews the available literature about diagnostic performance of stress CMR testing and its results in the prognostication of cardiac patients. With further improvements in CMR techniques and the establishment of a standardized study protocol, stress-CMR will play a pivotal role in managing patients with ischemic heart disease.
在过去十年中，心血管磁共振成像（CMR）有了长足的发展。其临床应用有助于对缺血性心脏病患者进行诊断和预后评估。CMR是安全的，不存在任何电离辐射，并且单次检查就能提供最多的信息，可用于评估心肌形态、心肌功能和心肌存活性。负荷CMR可用于检测和量化心肌缺血。本文分析了其技术方法、局限性，并回顾了关于负荷CMR检测诊断性能及其在心脏病患者预后评估中结果的现有文献。随着CMR技术的进一步改进以及标准化研究方案的建立，负荷CMR将在缺血性心脏病患者的管理中发挥关键作用。
