Department of cardiology, Angers university hospital, 49100 Angers, France.
Department of nuclear medicine and Institut du Thorax, Nantes university hospital, 44000 Nantes, France.
Arch Cardiovasc Dis. 2019 Oct;112(10):630-641. doi: 10.1016/j.acvd.2019.05.007. Epub 2019 Sep 4.
Myocarditis encompasses a wide range of myocardial inflammatory diseases, including acute myocarditis, chronic myocarditis and inflammatory cardiomyopathies, and myocardial inflammation associated with other cardiomyopathies. Because of this heterogeneity in clinical presentation, and the infrequent use of endomyocardial biopsy, cardiac imaging has gradually acquired a key role in the non-invasive detection of myocardial inflammation, the assessment of aetiology and the management of specific therapies. This article summarizes the issue of myocarditis and myocardial inflammation in clinical practice, and reviews the role of different non-invasive imaging techniques in the exploration of myocardial inflammation.
心肌炎涵盖了广泛的心肌炎症性疾病，包括急性心肌炎、慢性心肌炎和炎性心肌病，以及与其他心肌病相关的心肌炎症。由于临床表现的异质性，以及心内膜心肌活检的不常使用，心脏成像在非侵入性检测心肌炎症、评估病因和管理特定治疗方面逐渐发挥了关键作用。本文总结了心肌炎和心肌炎症在临床实践中的问题，并回顾了不同的非侵入性成像技术在探索心肌炎症中的作用。
