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心脏淀粉样变的高级成像

Advanced Imaging in Cardiac Amyloidosis.

作者信息

Waldmeier Dominik, Herzberg Jan, Stephan Frank-Peter, Seemann Marcus, Arenja Nisha

机构信息

Kardiologie Solothurner Spitäler, 4500 Solothurn, Switzerland.

Radiologie Bürgerspital Solothurn, 4500 Solothurn, Switzerland.

出版信息

Biomedicines. 2022 Apr 15;10(4):903. doi: 10.3390/biomedicines10040903.

Abstract

This review serves as a synopsis of multimodality imaging in cardiac amyloidosis (CA), which is a disease characterized by deposition of misfolded protein fragments in the heart. It emphasizes and summarizes the diagnostic possibilities and their prognostic values. In general, echocardiography is the first diagnostic tool in patients with an identified systemic disease or unclear left ventricular hypertrophy. Several echocardiographic parameters will raise suspicion and lead to further testing. Cardiac magnetic resonance and scintigraphy with bone avid radiotracers are crucial for diagnosis of CA and even enable a distinction between different subtypes. The subject is illuminated with established guidelines and innovative recent publications to further improve early diagnosis of cardiac amyloidosis in light of current treatment options.

摘要

本综述概述了心脏淀粉样变性(CA)的多模态成像,CA是一种以错误折叠的蛋白质片段在心脏沉积为特征的疾病。它强调并总结了诊断可能性及其预后价值。一般来说,超声心动图是已确诊全身性疾病或不明原因左心室肥厚患者的首要诊断工具。几个超声心动图参数会引起怀疑并导致进一步检查。心脏磁共振成像和使用亲骨性放射性示踪剂的闪烁扫描对CA的诊断至关重要,甚至能够区分不同亚型。本文结合既定指南和近期的创新出版物对该主题进行阐述,以期根据当前的治疗选择进一步改善心脏淀粉样变性的早期诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ccf/9030502/6aac5bcaf844/biomedicines-10-00903-g001.jpg

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