Department of Internal Medicine, Evangelismos General Hospital, 45-47 Ipsilantou Str., 10676, Athens, Greece.
Curr Cardiol Rev. 2021;17(5):e160721190002. doi: 10.2174/1573403X16666210108104236.
Cardiovascular magnetic resonance imaging (CMR) allows the early diagnosis of various cardiovascular pathophysiologic phenomena in autoimmune diseases. Preliminary studies suggest that CMR holds a promising role in initiating the necessary changes in anti-rheumatic and cardiac treatment among patients with autoimmune diseases and cardiovascular diseases (CVD). It is widely known that the presence of late gadolinium enhancement (LGE) has been related to a worse cardiovascular prognosis. CMR has been documented to be the most valuable tool for diagnosis and risk prediction of cardiac involvement in a sarcoidosis population, while in SLE, the gap between clinical and autopsy diagnosis of the myocardial disease could be narrowed with the implementation of CMR. In different connective tissue diseases, including SLE, LGE has been demonstrated to be present early after the initial diagnosis of SLE. Considering that CMR, including LGE identifies more patients with silent myocardial disease in SLE and other connective tissue diseases than echocardiography, CMR should be the preferred imaging modality, especially in the era of modern techniques with broader availability and expertise. In this review, we summarize the major indications, advantages and limitations of the use of CMR among patients with autoimmune disorders.
心血管磁共振成像（CMR）可早期诊断自身免疫性疾病中的各种心血管病理现象。初步研究表明，CMR 在启动自身免疫性疾病和心血管疾病（CVD）患者抗风湿和心脏治疗的必要改变方面具有广阔的应用前景。众所周知，钆延迟增强（LGE）的存在与心血管预后不良有关。CMR 已被证明是诊断和预测结节病患者心脏受累的最有价值的工具，而在系统性红斑狼疮（SLE）中，CMR 的应用可以缩小临床和尸检诊断之间的差距。在包括系统性红斑狼疮（SLE）在内的不同结缔组织疾病中，LGE 在 SLE 的初始诊断后早期即可出现。鉴于 CMR（包括 LGE）比超声心动图能更早地识别出 SLE 和其他结缔组织疾病中无症状性心肌疾病患者，CMR 应作为首选的影像学方法，特别是在现代技术广泛应用和专家意见更具权威性的时代。在这篇综述中，我们总结了 CMR 在自身免疫性疾病患者中的主要适应证、优点和局限性。
