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利用核磁共振成像检测急性心肌炎

Detection of acute myocarditis using nuclear magnetic resonance imaging.

作者信息

Chandraratna P A, Bradley W G, Kortman K E, Minagoe S, Delvicario M, Rahimtoola S H

机构信息

Department of Medicine, LAC-USC Medical Center, University of Southern California School of Medicine 90033.

出版信息

Am J Med. 1987 Dec;83(6):1144-6. doi: 10.1016/0002-9343(87)90957-0.

Abstract

The clinical features, echocardiographic characteristics, and electrocardiographic findings in two patients with acute myocarditis are presented. The first patient had rheumatic myocarditis and the other had probable viral myocarditis. Both patients had regional wall motion abnormalities on the echocardiogram, and the nuclear magnetic resonance image for each patient showed myocardial edema in the area of the wall motion abnormality. These changes disappeared with resolution of the acute disease process. These preliminary data indicate that nuclear magnetic resonance imaging may show myocardial edema in acute myocarditis.

摘要

本文介绍了两名急性心肌炎患者的临床特征、超声心动图特征及心电图表现。首例患者为风湿性心肌炎,另一例可能为病毒性心肌炎。两名患者的超声心动图均显示节段性室壁运动异常,且每位患者的核磁共振成像均显示室壁运动异常区域存在心肌水肿。随着急性病程的缓解,这些改变消失。这些初步数据表明,核磁共振成像可能显示急性心肌炎患者存在心肌水肿。

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