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急性和慢性心肌梗死并发症概述:重新探讨发病机制和横断影像学。

Overview of complications of acute and chronic myocardial infarctions: revisiting pathogenesis and cross-sectional imaging.

机构信息

Radiology, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA

Radiology, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.

出版信息

Postgrad Med J. 2019 Aug;95(1126):439-450. doi: 10.1136/postgradmedj-2018-136279. Epub 2019 Apr 11.

Abstract

Myocardial infarction (MI) remains one of the leading contributors to overall mortality and morbidity in the modern world, even with recent advances in medicine. Various complications can arise following an MI, particularly with delayed or inadequate treatment. Even though many of these complications are uncommon, they can have a significant impact on patient outcomes. Some of these complications can be diagnosed based on clinical, laboratory and echocardiographic evaluation. Other times, however, cardiac MR and multidetector CT are necessary in their diagnosis and proper evaluation. Accurate detection of these complications is an important aspect of optimising prompt and effective patient care, leading to better clinical outcomes. It is the goal of this article to review the role of cross-sectional imaging in patients with post-MI as well as the characteristic imaging findings and differential diagnosis of common and uncommon complications of MI.

摘要

心肌梗死(MI)仍然是现代世界导致总死亡率和发病率的主要原因之一,尽管医学最近取得了进步。MI 后可能会出现各种并发症,特别是在治疗延迟或不充分的情况下。尽管这些并发症中的许多并不常见,但它们会对患者的结局产生重大影响。其中一些并发症可以通过临床、实验室和超声心动图评估来诊断。然而,在其他情况下,心脏磁共振和多排 CT 在诊断和适当评估中是必要的。准确检测这些并发症是优化及时有效的患者护理的一个重要方面,可带来更好的临床结局。本文的目的是综述 MI 后患者的横断面成像在其中的作用,以及 MI 的常见和不常见并发症的特征性影像学表现和鉴别诊断。

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