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多模态影像学在右心衰竭中的作用。

The Role of Multimodality Imaging in Right Ventricular Failure.

机构信息

Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Desk J1-5, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Desk J1-5, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

出版信息

Cardiol Clin. 2020 May;38(2):203-217. doi: 10.1016/j.ccl.2020.01.006. Epub 2020 Mar 3.

Abstract

Right ventricular dysfunction is increasingly being recognized as a marker of poor prognosis in a variety of cardiovascular diseases. Hence, identification and accurate quantification of the degree of impairment is crucial. Although echocardiography remains the mainstay for right ventricular evaluation, multimodality noninvasive cardiac imaging provides additional useful corroborative assessment. Cardiac MRI is particularly useful for accurate quantification of right ventricular volumes and function, as well as myocardial tissue characterization. This article outlines the clinically useful applications of multimodality imaging for comprehensive assessment of the right heart and associated structures in the setting of right ventricular failure.

摘要

右心室功能障碍越来越多地被认为是多种心血管疾病预后不良的标志物。因此,识别和准确量化损伤程度至关重要。尽管超声心动图仍然是右心室评估的主要手段,但多模态非侵入性心脏成像提供了额外的有用的辅助评估。心脏 MRI 特别有助于准确量化右心室容积和功能以及心肌组织特征。本文概述了多模态成像在右心衰竭情况下全面评估右心和相关结构的临床有用应用。

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