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心肌病:关注心血管磁共振。

Cardiomyopathies: focus on cardiovascular magnetic resonance.

机构信息

The Heart Hospital Imaging Centre, University College London Hospitals Trust, 16 Westmoreland Street, London, UK.

出版信息

Br J Radiol. 2011 Dec;84 Spec No 3(Spec Iss 3):S296-305. doi: 10.1259/bjr/67212179.

Abstract

Cardiomyopathies (CMPs) are a group of often inherited diseases characterised by abnormalities and associated dysfunction of heart muscle. In the past decade, cardiovascular magnetic resonance (CMR) has emerged as a powerful tool in their assessment, providing data that are complementary to other aspects of clinical evaluation. Key advantages of CMR are three-dimensional visualisation of the heart and its relationship to thoracic structures; gold-standard quantification of cardiac volumes and function, which can safely be repeated over time (no ionising radiation is involved); and tissue characterisation to detect focal scar and fatty infiltration. This paper reviews the role of CMR in the clinical assessment of patients with CMPs.

摘要

心肌病(CMPs)是一组常染色体遗传性疾病,其特征为心肌异常和相关功能障碍。在过去十年中,心血管磁共振(CMR)已成为评估这些疾病的有力工具,提供了与临床评估其他方面互补的数据。CMR 的主要优势在于能够三维可视化心脏及其与胸部结构的关系;能够安全地重复进行心脏容积和功能的金标准定量,且无放射性(不涉及电离辐射);以及能够进行组织特征分析以检测局灶性瘢痕和脂肪浸润。本文综述了 CMR 在 CMP 患者临床评估中的作用。

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本文引用的文献

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Prognostic significance of myocardial fibrosis in hypertrophic cardiomyopathy.心肌纤维化在肥厚型心肌病中的预后意义。
J Am Coll Cardiol. 2010 Sep 7;56(11):867-74. doi: 10.1016/j.jacc.2010.05.010. Epub 2010 Jun 25.
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Arrhythmogenic right ventricular cardiomyopathy.致心律失常性右室心肌病
Lancet. 2009 Apr 11;373(9671):1289-300. doi: 10.1016/S0140-6736(09)60256-7.
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Left ventricular noncompaction.左心室心肌致密化不全
Curr Opin Cardiol. 2009 May;24(3):209-13. doi: 10.1097/HCO.0b013e32832a11e7.

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