Echocardiography Laboratory, Cardiovascular Magnetic Resonance Imaging Laboratory, and Section of Heart Failure and Pulmonary Hypertension, Division of Cardiology, Department of Medicine, Gerald McGinnis Cardiovascular Institute, Allegheny General Hospital, 320 East North Avenue, Pittsburgh, PA 15212, USA.
Heart Fail Clin. 2012 Jul;8(3):353-72. doi: 10.1016/j.hfc.2012.04.004. Epub 2012 May 17.
Among the many approaches for evaluating patients with pulmonary hypertension (PH), imaging plays a crucial role. The primary role of imaging is to identify the severity of PH based on noninvasive hemodynamic assessment and to evaluate right ventricular morphology and function. The major modalities used in current clinical practice for these purposes are echocardiography and cardiac magnetic resonance (CMR) imaging. This review discusses the merits, limitations, and clinical utility of several echocardiographic and CMR techniques used in the evaluation of PH. It also includes a brief discussion of the role of computed tomography and radionuclide imaging.
在评估肺动脉高压(PH)患者的众多方法中,影像学起着至关重要的作用。影像学的主要作用是根据无创血流动力学评估来识别 PH 的严重程度,并评估右心室形态和功能。目前临床实践中用于这些目的的主要方式是超声心动图和心脏磁共振(CMR)成像。这篇综述讨论了几种用于 PH 评估的超声心动图和 CMR 技术的优点、局限性和临床应用。它还简要讨论了计算机断层扫描和放射性核素成像的作用。