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阿糖胞苷诱导性心包炎的心脏 MRI 确诊:病例报告。

Cytarabine-induced pericarditis confirmed using cardiac MRI: A case report.

机构信息

Department of Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.

Harrington Heart and Vascular Institute, University Hospital Cleveland Medical Center, Cleveland, Ohio, USA.

出版信息

Echocardiography. 2021 Aug;38(8):1446-1449. doi: 10.1111/echo.15135. Epub 2021 Jun 29.

Abstract

Pericarditis is a rare but debilitating complication of cytarabine therapy. While echocardiography can aid with the diagnosis, cardiac MRI has superior accuracy in establishing the diagnosis. In this case, we describe a 65-year-old patient receiving cytarabine as part of induction chemotherapy for acute myeloid leukemia who developed acute pericarditis. Her cardiac MRI revealed pericardial edema on T2-weighted STIR imaging and pericardial late gadolinium enhancement which confirmed the diagnosis.

摘要

心包炎是阿糖胞苷治疗的一种罕见但使人虚弱的并发症。虽然超声心动图有助于诊断,但心脏 MRI 在确定诊断方面具有更高的准确性。在本例中,我们描述了一位 65 岁的患者,她在接受急性髓细胞性白血病诱导化疗时接受了阿糖胞苷治疗,随后发生了急性心包炎。她的心脏 MRI 在 T2 加权 STIR 成像上显示心包水肿,在心包延迟钆增强上显示心包强化,从而确诊了心包炎。

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