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缺血性心脏病:心血管磁共振的综合评估。

Ischemic heart disease: a comprehensive evaluation using cardiovascular magnetic resonance.

机构信息

Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.

出版信息

Medicina (Kaunas). 2013;49(3):97-110.

Abstract

Cardiovascular magnetic resonance is becoming an important imaging modality in clinical cardiology. As an exceptionally accurate and comprehensive diagnostic tool, cardiovascular magnetic resonance is becoming the first-choice modality for imaging the heart and great vessels. Stress cardiovascular magnetic resonance imaging enables the detection of hemodynamically significant coronary artery lesions and the choice of treatment strategy when stenosis is intermediate. Viability assessment is very important as it allows differentiating between dysfunctional but still viable myocardium and predicts the recovery of ventricular function after successful revascularization. However, the availability and costs of cardiovascular magnetic resonance remain the major obstacle and makes the investigation unachievable to many patients.

摘要

心血管磁共振正在成为临床心脏病学中一种重要的成像方式。作为一种极其准确和全面的诊断工具,心血管磁共振正在成为心脏和大血管成像的首选方式。应激心血管磁共振成像能够检测到血流动力学意义重大的冠状动脉病变,并在狭窄处于中间阶段时选择治疗策略。存活能力评估非常重要,因为它可以区分功能障碍但仍然存活的心肌,并预测成功血运重建后心室功能的恢复。然而,心血管磁共振的可用性和成本仍然是主要障碍,使得许多患者无法进行这项检查。

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