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心脏淀粉样变性的当代影像学诊断

Contemporary Imaging Diagnosis of Cardiac Amyloidosis.

作者信息

Lee Seung Pyo, Park Jun Bean, Kim Hyung Kwan, Kim Yong Jin, Grogan Martha, Sohn Dae Won

机构信息

Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.

Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA.

出版信息

J Cardiovasc Imaging. 2019 Jan;27(1):1-10. doi: 10.4250/jcvi.2019.27.e9.

Abstract

Cardiac amyloidosis is a rare disease that frequently presents as ventricular hypertrophy. However, diagnosis is not always easy or straightforward as there are several myocardial disorders that phenocopy cardiac amyloidosis. Here, we present a narrative review of the current modalities that are actively used or being developed for diagnosis and follow-up of cardiac amyloidosis. Although not all of the findings may be present in those with cardiac amyloidosis, there are some clues in each diagnostic step that help lead to confirmatory diagnosis of cardiac amyloidosis; we believe that cardiologists should be familiar with these clues.

摘要

心脏淀粉样变性是一种罕见疾病,常表现为心室肥厚。然而,由于有几种心肌疾病可模拟心脏淀粉样变性,因此诊断并不总是容易或直接的。在此,我们对目前用于心脏淀粉样变性诊断和随访的现有或正在研发的方法进行叙述性综述。虽然并非所有这些表现都见于心脏淀粉样变性患者,但每个诊断步骤都有一些线索有助于确诊心脏淀粉样变性;我们认为心脏病专家应熟悉这些线索。

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