Khan Jamal N, McCann Gerry P
Jamal N Khan, Gerry P McCann, Department of Cardiovascular Sciences, University of Leicester and the NIHR Leicester Cardiovascular Biomedical Research Unit, University Hospitals of Leicester NHS Trust, Glenfield Hospital, Leicester LE3 9QP, United Kingdom.
World J Cardiol. 2017 Feb 26;9(2):109-133. doi: 10.4330/wjc.v9.i2.109.
Cardiovascular magnetic resonance (CMR) imaging uniquely characterizes myocardial and microvascular injury in acute myocardial infarction (AMI), providing powerful surrogate markers of outcomes. The last 10 years have seen an exponential increase in AMI studies utilizing CMR based endpoints. This article provides a contemporary, comprehensive review of the powerful role of CMR imaging in the assessment of outcomes in AMI. The theory, assessment techniques, chronology, importance in predicting left ventricular function and remodelling, and prognostic value of each CMR surrogate marker is described in detail. Major studies illustrating the importance of the markers are summarized, providing an up to date review of the literature base in CMR imaging in AMI.
心血管磁共振(CMR)成像能够独特地描绘急性心肌梗死(AMI)中的心肌和微血管损伤,提供强大的预后替代标志物。在过去十年中,利用基于CMR的终点指标进行的AMI研究呈指数级增长。本文对CMR成像在评估AMI预后方面的强大作用进行了当代的、全面的综述。详细描述了每种CMR替代标志物的理论、评估技术、时间顺序、在预测左心室功能和重塑方面的重要性以及预后价值。总结了说明这些标志物重要性的主要研究,提供了关于CMR成像在AMI方面文献基础的最新综述。