Mavrogeni Sophie I, Markousis-Mavrogenis George, Kolovou Genovefa
Onassis Cardiac Surgery Centre Athens, Greece.
Eur Cardiol. 2018 Dec;13(2):95-97. doi: 10.15420/ecr.2018.19.1.
Despite high mortality, cardiovascular disease (CVD) is underestimated in autoimmune rheumatic diseases (ARDs), due to its atypical presentation. The multi-faceted nature of CVD in ARDs created the need of a dedicated outpatient cardio-rheumatic clinic. Clinical examination, rest/exercise ECG, echocardiography, nuclear techniques and cardiac catheterisation were used as first-line diagnostic tools. Although the currently used non-invasive modalities perform well in cardiology, they are unable to diagnose the complex CVD pathophysiology of ARDs. The application of cardiovascular magnetic resonance (CMR) offers some significant advantages. CMR is versatile and can be used to perform functional, stress-rest perfusion, fibrosis and evaluation of great, peripheral and coronary vessels patency, without the use of ionising radiation, allowing early diagnosis of CVD and prompting modifications of anti-rheumatic and cardiac treatment.
尽管心血管疾病（CVD）死亡率很高，但在自身免疫性风湿性疾病（ARDs）中却被低估了，因为其表现不典型。ARDs中CVD的多方面性质使得需要设立专门的门诊心脏风湿病诊所。临床检查、静息/运动心电图、超声心动图、核技术和心导管检查被用作一线诊断工具。尽管目前使用的非侵入性检查方法在心脏病学中表现良好，但它们无法诊断ARDs复杂的CVD病理生理学。心血管磁共振（CMR）的应用具有一些显著优势。CMR用途广泛，可用于进行功能、静息-负荷灌注、纤维化以及评估大血管、外周血管和冠状动脉通畅情况，无需使用电离辐射，从而能够早期诊断CVD并促使调整抗风湿和心脏治疗方案。
