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酷似急性冠状动脉综合征的心肌炎——心脏磁共振成像在诊断中的作用

Myocarditis mimicking acute coronary syndrome - the role of cardiac magnetic resonance imaging in the diagnosis.

作者信息

Tipoo Sultan Fateh Ali, Adnan Ghufran

机构信息

Department of Cardiology, Aga Khan University Hospital, Karachi.

出版信息

J Pak Med Assoc. 2018 Mar;68(3):477-479.

Abstract

Myocarditis is an inflammatory disease of myocardium with a wide range of clinical presentations. Myocarditis may mimic acute coronary syndrome (ACS) and adequate differential diagnosis is not possible by conventional tests. Cardiac magnetic resonance (CMR) has emerged as a leading imaging modality in the diagnosis of myocarditis in such patients. Here, we report three cases of myocarditis mimicking ACS with normal coronary arteries. CMR was used for confirming the diagnosis of myocarditis in all three patients presented here.

摘要

心肌炎是一种心肌的炎症性疾病,临床表现多样。心肌炎可能类似急性冠状动脉综合征(ACS),而传统检查无法进行充分的鉴别诊断。心脏磁共振成像(CMR)已成为此类患者心肌炎诊断的主要影像学手段。在此,我们报告三例冠状动脉正常但类似ACS的心肌炎病例。本文介绍的所有三名患者均使用CMR来确诊心肌炎。

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