CMR Unit and Inherited Cardiac Conditions Care Group, Royal Brompton and Harefield Hospitals, London, UK
National Heart and Lung Institute, Imperial College London, London, UK.
Heart. 2022 Nov 10;108(23):1910-1917. doi: 10.1136/heartjnl-2022-321116.
Dilated cardiomyopathy represents a common phenotype expressed in individuals with a family of overlapping myocardial diseases due to acquired and/or genetic susceptibility. Disease trajectory, response to therapy and outcomes vary widely; therefore, further refinement of the diagnosis can help guide therapy and inform prognosis. Multimodality imaging plays a key role in this process, as well as excluding alternative causes which may mimic a primary myocardial disease. The following article discusses the role of different imaging modalities as well as what the future may look like in the context of recent research innovations.
扩张型心肌病是一组具有重叠心肌疾病的个体所表现的常见表型,其病因包括获得性和/或遗传性易感性。疾病进程、对治疗的反应和结局差异很大;因此,进一步明确诊断有助于指导治疗和预测预后。多模态成像在这个过程中起着关键作用,同时还可以排除可能模拟原发性心肌疾病的其他原因。本文讨论了不同成像方式的作用,以及在最近的研究创新背景下未来可能的发展方向。