Kolentinis Michalis, Le Melanie, Nagel Eike, Puntmann Valentina O
Institute of Experimental and Translational Cardiovascular Imaging, German Centre for Cardiovascular Research (DZHK) Centre for Cardiovascular Imaging, Partner Site Rhein-Main, University Hospital Frankfurt Frankfurt, Germany.
Eur Cardiol. 2020 Jun 15;15:e50. doi: 10.15420/ecr.2019.17. eCollection 2020 Feb.
Chronic coronary artery disease remains an unconquered clinical problem, affecting an increasing number of people worldwide. Despite the improved understanding of the disease development, the implementation of the many advances in diagnosis and therapy is lacking. Many clinicians continue to rely on patient's symptoms and diagnostic methods, which do not enable optimal clinical decisions. For example, echocardiography and invasive coronary catheterisation remain the mainstay investigations for stable angina patients in many places, despite the evidence on their limitations and availability of better diagnostic options. Cardiac MRI is a powerful diagnostic method, supporting robust measurements of crucial markers of cardiac structure and function, myocardial perfusion and scar, as well as providing detailed insight into myocardial tissue. Accurate and informative diagnostic readouts can help with guiding therapy, monitoring disease progress and tailoring the response to treatment. In this article, the authors outline the evidence supporting the state-of-art applications based on cardiovascular magnetic resonance, allowing the clinician optimal use of this insightful diagnostic method in everyday clinical practice.
慢性冠状动脉疾病仍然是一个尚未攻克的临床难题，影响着全球越来越多的人。尽管对该疾病的发展有了更深入的了解，但在诊断和治疗方面的诸多进展仍未得到充分应用。许多临床医生仍依赖患者的症状和诊断方法，而这些方法无法做出最佳临床决策。例如，尽管有证据表明超声心动图和有创冠状动脉导管检查存在局限性且有更好的诊断选择，但在许多地方，它们仍是稳定型心绞痛患者的主要检查手段。心脏磁共振成像（Cardiac MRI）是一种强大的诊断方法，能够对心脏结构和功能、心肌灌注和瘢痕的关键标志物进行可靠测量，还能深入了解心肌组织。准确且信息丰富的诊断结果有助于指导治疗、监测疾病进展以及调整治疗反应。在本文中，作者概述了支持基于心血管磁共振成像的最新应用的证据，使临床医生能够在日常临床实践中最佳地使用这种有洞察力的诊断方法。
