Onassis Cardiac Surgery Center, Athens, Greece.
Rev Cardiovasc Med. 2013;14(1):49-55. doi: 10.3909/ricm0637.
Cardiovascular manifestations in systemic vasculitis include initially silent cardiomyopathy due to either ischemic or inflammatory causes. The combination of vasculitis and cardiomyopathy is associated with a poor prognosis. Early treatment with immunosuppressants in conjunction with appropriate cardiac pharmacotherapy is considered important and has dramatically improved prognosis. Cardiovascular magnetic resonance, due to its nonionizing, noninvasive evaluation of the cardiovascular system, can be of great value in the diagnosis, follow-up, and treatment of patients with systemic vasculitis.
系统性血管炎的心血管表现包括最初由于缺血或炎症原因引起的无症状性心肌病。血管炎和心肌病的结合与预后不良有关。早期联合免疫抑制剂治疗和适当的心脏药物治疗被认为是重要的，并且显著改善了预后。心血管磁共振由于其对心血管系统的非电离、非侵入性评估，在系统性血管炎患者的诊断、随访和治疗中具有重要价值。
