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[心脏结节病:为避免误诊需牢记的七个要点]

[Cardiac sarcoidosis: seven keypoints to remind in order to avoid misdiagnosis].

作者信息

Porretta Alessandra Pia, Van der Gucht Axel, Bisch Laurence, Mitsakis Periklis, Pomoni Anastasia, Allenbach Gilles, Lalonde Marie Nicod, Schaefer Niklaus, Buss Guillaume, Prior John O, Pruvot Étienne

出版信息

Rev Med Suisse. 2016 May 25;12(520):1035-6, 1038-41.

Abstract

Early diagnosis of cardiac sarcoidosis remains difficult in the absence of specific symptoms. The evolution and prognosis of the disease are strongly correlated to an early and appropriate treatment. The multi-modality assessment based on cardiac MRI and positron emission tomography associated with computed tomography (PET/CT) has significantly improved the detection of cardiac sarcoidosis over the last two decades. These approaches appear as useful and suitable imaging strategy for the early diagnosis, the assessment of the disease extent as well as the management and therapeutic follow-up. This article is a didactic review on cardiac sarcoidosis, with a special focus on recent diagnostic and therapeutic modalities, prognosis and interest of imaging techniques.

摘要

在缺乏特异性症状的情况下,心脏结节病的早期诊断仍然困难。该病的进展和预后与早期恰当治疗密切相关。在过去二十年中,基于心脏磁共振成像(MRI)和正电子发射断层扫描与计算机断层扫描(PET/CT)相结合的多模态评估显著提高了心脏结节病的检出率。这些方法似乎是用于早期诊断、疾病范围评估以及管理和治疗随访的有用且合适的成像策略。本文是一篇关于心脏结节病的指导性综述,特别关注近期的诊断和治疗方式、预后以及成像技术的作用。

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