Tayal Upasana, Prasad Sanjay K
National Heart Lung Institute, Imperial College London, UK.
Cardiovascular Research Centre, Royal Brompton Hospital, UK.
JRSM Cardiovasc Dis. 2017 Oct 9;6:2048004017734476. doi: 10.1177/2048004017734476. eCollection 2017 Jan-Dec.
Myocardial reverse remodeling has been reported to occur in 25-70% of patients with dilated cardiomyopathy. It is not yet fully understood whether remodeling represents disease remission or cure and which hearts retain this capacity to recover. In this review article we discuss the capacity for recovery in DCM, the prognostic implications of this recovery and potential clinical and imaging predictors for myocardial remodeling.
据报道,25%-70%的扩张型心肌病患者会出现心肌逆向重构。目前尚不完全清楚这种重构是代表疾病缓解还是治愈,以及哪些心脏保留了这种恢复能力。在这篇综述文章中,我们讨论了扩张型心肌病的恢复能力、这种恢复的预后意义以及心肌重构的潜在临床和影像学预测指标。