Reithmann C, Herkommer B
Medizinische Klinik 1, Klinikum München Pasing, Steinerweg 5, 81241, München, Deutschland.
Herzschrittmacherther Elektrophysiol. 2013 Jun;24(2):103-8. doi: 10.1007/s00399-013-0263-9. Epub 2013 May 28.
Tissue characterization including the visualization of scar, fibrosis, fatty infiltration and inflammation using cardiac magnetic resonance imaging (MRI) allows a comprehensive assessment of the etiology of different cardiac diseases. Visualization of the pattern and extent of myocardial contrast uptake using late gadolinium enhancement MRI markedly improves the interpretation of ECG findings especially in cardiomyopathies and inflammatory myocardial diseases. In patients with ventricular tachycardia, the identification and characterization of the ventricular arrhythmia substrate using cardiac MRI provides important insights in the etiology and is increasingly important for the risk stratification as well as the subsequent medical and interventional therapy.
利用心脏磁共振成像(MRI)进行组织特征分析,包括对瘢痕、纤维化、脂肪浸润和炎症的可视化,有助于全面评估不同心脏疾病的病因。使用延迟钆增强MRI对心肌对比剂摄取的模式和范围进行可视化,显著改善了心电图结果的解读,特别是在心肌病和炎症性心肌疾病中。在室性心动过速患者中,利用心脏MRI识别和表征室性心律失常基质,可为病因提供重要见解,并且对风险分层以及后续的药物和介入治疗越来越重要。