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缺血性心脏病:心血管磁共振综合评估。

Ischemic heart disease: comprehensive evaluation by cardiovascular magnetic resonance.

机构信息

Department of Cardiovascular Medicine, John Radcliffe Hospital, University of Oxford, Oxford, United Kingdom.

出版信息

Am Heart J. 2011 Jul;162(1):16-30. doi: 10.1016/j.ahj.2011.04.011. Epub 2011 May 31.

Abstract

Considerable technical advances over the past decade have increased the clinical application of cardiovascular magnetic resonance (CMR) imaging. A comprehensive CMR examination can accurately measure left and right ventricular size and function, identify the presence and extent of reversible versus irreversible myocardial injury, and detect inducible ischemia. Streamlined protocols allow such a CMR examination to be a time-efficient diagnostic tool in patients with coronary artery disease. Moreover, edema imaging with T2-weighted CMR allows the detection of acute coronary syndromes. In this review, we present the relevant CMR methods and discuss practical uses of CMR in acute and chronic ischemic heart disease.

摘要

在过去十年中,心血管磁共振(CMR)成像技术取得了重大进展,其临床应用也日益广泛。全面的 CMR 检查可以准确测量左、右心室的大小和功能,识别可逆性与不可逆性心肌损伤的存在和程度,并检测可诱导的缺血。简化的方案使得 CMR 检查成为冠心病患者一种高效的诊断工具。此外,T2 加权 CMR 的水肿成像可以检测急性冠状动脉综合征。在本篇综述中,我们介绍了相关的 CMR 方法,并讨论了 CMR 在急性和慢性缺血性心脏病中的实际应用。

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