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心血管磁共振成像在风湿性心脏病中的作用。

The role of cardiovascular magnetic resonance imaging in rheumatic heart disease.

机构信息

Department of Radiology, University Hospital of Cologne, Germany.

Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg University Mainz, Germany.

出版信息

Clin Exp Rheumatol. 2018 Sep-Oct;36 Suppl 114(5):171-176. Epub 2018 Oct 1.

PMID:30296986
Abstract

Cardiovascular involvement is a well-known feature of inflammatory rheumatic diseases, although often clinically silent, so early cardiovascular involvement may remain unrecognised. Thus, increased awareness and improved insights into the pathomechanisms of heart disease in the context of inflammatory rheumatic disease has led to an emerging role of cardiovascular magnetic resonance (CMR) as an accurate and non-invasive diagnostic test for detection of early (as well as late) cardiovascular involvement in inflammatory rheumatic disease. The present article will review the current potential as well as the limitations of established and emerging, qualitative and quantitative CMR techniques in the setting of inflammatory rheumatic disease and shed some light onto current developments in the field.

摘要

心血管受累是炎症性风湿病的一个众所周知的特征,尽管通常在临床上没有症状,但早期心血管受累可能仍未被识别。因此,对炎症性风湿病中心血管疾病发病机制的认识提高和深入了解,导致心血管磁共振(CMR)作为一种准确和非侵入性的诊断检测方法的作用不断增强,可用于检测炎症性风湿病中的早期(以及晚期)心血管受累。本文将综述在炎症性风湿病背景下,现有和新兴的定性和定量 CMR 技术的当前潜力和局限性,并介绍该领域的当前发展。

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