Camastra Giovanni, Ciolina Federica, Arcari Luca, Cacciotti Luca, Pucci Mariateresa
Cardiology Unit, General Hospital of Mother Giuseppina Vannini, Rome, Italy.
Radiology Unit, General Hospital of Mother Giuseppina Vannini, Rome, Italy.
J Cardiovasc Echogr. 2022 Jan-Mar;32(1):52-53. doi: 10.4103/jcecho.jcecho_43_21. Epub 2022 Apr 20.
A COVID-19 patient, in whom pneumonia lesions were first detected by chest computed tomography, was further evaluated by cardiac magnetic resonance (CMR) due to a suspected myocarditis. Beyond heart alterations, CMR revealed peculiar features of affected pulmonary areas in T1 mapping sequences and showed a particular distribution of late gadolinium enhancement in the same regions. The noninvasive assessment of the cellular, fluid, or fibrotic content of lung lesions may provide key information about the underlying pathophysiological pathways in the search of a tailored medical therapy and ventilatory support for COVID-19 patients.
一名新型冠状病毒肺炎（COVID-19）患者，最初通过胸部计算机断层扫描检测到肺部病变，因怀疑患有心肌炎，进一步接受了心脏磁共振成像（CMR）检查。除了心脏改变外，CMR在T1映射序列中显示了受影响肺部区域的特殊特征，并在同一区域显示了钆延迟强化的特定分布。对肺部病变的细胞、液体或纤维化成分进行无创评估，可能为寻找针对COVID-19患者的定制化药物治疗和通气支持提供有关潜在病理生理途径的关键信息。
