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系统性红斑狼疮患者心血管并发症的影像学表现

Imaging of cardiovascular complications in patients with systemic lupus erythematosus.

作者信息

Lin K, Lloyd-Jones D M, Li D, Liu Y, Yang J, Markl M, Carr J C

机构信息

Department of Radiology, Northwestern University, Chicago, IL, USA

Department of Preventive Medicine, Northwestern University, Chicago, IL, USA.

出版信息

Lupus. 2015 Oct;24(11):1126-34. doi: 10.1177/0961203315588577. Epub 2015 Jun 2.

DOI:10.1177/0961203315588577
PMID:26038342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4567427/
Abstract

In the long-term survival of patients with systemic lupus erythematosus (SLE), cardiovascular disease (CVD) is a leading cause of death. Recently, multimodality cardiovascular imaging methods have been adopted for the evaluation of cardiovascular risk, which has shown to be associated with both traditional cardiovascular risk factors and SLE-specific conditions. Quantitative imaging biomarkers, which can describe both morphological and functional abnormalities in the heart, are expected to provide new insights to stratify cardiovascular risks and to guide SLE management by assessing individual responses to therapies either protecting the cardiovascular system or suppressing the autoimmune reactions. In this review, we will discuss cutting-edge cardiovascular imaging techniques and potential clinical applications and limitations of those techniques for the evaluation of major SLE-related heart disorders.

摘要

在系统性红斑狼疮(SLE)患者的长期生存中,心血管疾病(CVD)是主要死因。近来,多模态心血管成像方法已被用于评估心血管风险,该风险已显示与传统心血管危险因素及SLE特异性病症均相关。定量成像生物标志物能够描述心脏的形态和功能异常,有望通过评估个体对保护心血管系统或抑制自身免疫反应的治疗的反应,为分层心血管风险及指导SLE管理提供新见解。在本综述中,我们将讨论前沿心血管成像技术及其在评估主要SLE相关心脏疾病方面的潜在临床应用和局限性。

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本文引用的文献

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Myocardial T2 mapping by cardiovascular magnetic resonance reveals subclinical myocardial inflammation in patients with systemic lupus erythematosus.通过心血管磁共振进行心肌T2映射揭示了系统性红斑狼疮患者的亚临床心肌炎症。
Int J Cardiovasc Imaging. 2015 Feb;31(2):389-97. doi: 10.1007/s10554-014-0560-3. Epub 2014 Oct 29.
2
In vivo contrast free chronic myocardial infarction characterization using diffusion-weighted cardiovascular magnetic resonance.使用扩散加权心血管磁共振对体内无对比剂的慢性心肌梗死进行特征描述。
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3
The microvascular effects of insulin resistance and diabetes on cardiac structure, function, and perfusion: a cardiovascular magnetic resonance study.胰岛素抵抗和糖尿病对心脏结构、功能及灌注的微血管效应:一项心血管磁共振研究
Eur Heart J Cardiovasc Imaging. 2014 Dec;15(12):1368-76. doi: 10.1093/ehjci/jeu142. Epub 2014 Aug 12.
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5
Coronary vessel wall contrast enhancement imaging as a potential direct marker of coronary involvement: integration of findings from CAD and SLE patients.冠状动脉壁对比增强成像作为冠状动脉受累的潜在直接标志物:CAD和SLE患者研究结果的整合
JACC Cardiovasc Imaging. 2014 Aug;7(8):762-70. doi: 10.1016/j.jcmg.2014.03.012. Epub 2014 Jul 16.
6
Selective intra-arterial dual-energy CT angiography (s-CTA) in lower extremity arterial occlusive disease.选择性下肢动脉闭塞性疾病的动脉内双能 CT 血管造影术(s-CTA)。
Eur J Vasc Endovasc Surg. 2014 Sep;48(3):325-9. doi: 10.1016/j.ejvs.2014.05.013. Epub 2014 Jun 21.
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Circulation. 2014 Feb 11;129(6):673-82. doi: 10.1161/CIRCULATIONAHA.113.003026. Epub 2013 Dec 17.
8
Myocardial T1 mapping and extracellular volume quantification: a Society for Cardiovascular Magnetic Resonance (SCMR) and CMR Working Group of the European Society of Cardiology consensus statement.心肌 T1 映射和细胞外容积定量:心血管磁共振学会 (SCMR) 和欧洲心脏病学会 CMR 工作组的共识声明。
J Cardiovasc Magn Reson. 2013 Oct 14;15(1):92. doi: 10.1186/1532-429X-15-92.
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