Bustos García de Castro A, Cabeza Martínez B, Ferreirós Domínguez J, García Villafañe C, Fernández-Golfín C
Servicio de Radiodiagnóstico, Hospital Clínico San Carlos, Madrid, España.
Radiologia. 2013 Jul-Aug;55(4):294-304. doi: 10.1016/j.rx.2012.07.007. Epub 2012 Oct 23.
Myocarditis, inflammation of the myocardium, is usually due to viral infection. Diagnostic confirmation in ordinary clinical practice is difficult because the findings on the clinical history, physical examination, electrocardiogram, and laboratory tests offer scant diagnostic accuracy, and the differential diagnosis is often done with acute myocardial infarction. Cardiac magnetic resonance imaging (CMR) has become the method of choice for the diagnosis of myocarditis. In this article, we describe the CMR findings at diagnosis and during the follow-up of patients with myocarditis, the differential diagnosis with other acute processes like myocardial infarction, and the prognostic factors studied with CMR.
心肌炎,即心肌的炎症,通常由病毒感染引起。在普通临床实践中进行诊断确认很困难,因为临床病史、体格检查、心电图和实验室检查结果的诊断准确性很低,而且常常需要与急性心肌梗死进行鉴别诊断。心脏磁共振成像(CMR)已成为诊断心肌炎的首选方法。在本文中,我们描述了心肌炎患者诊断时及随访期间的CMR表现、与心肌梗死等其他急性病症的鉴别诊断,以及通过CMR研究的预后因素。