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技术前沿:扩张型心肌病的多模态影像学。

State of the art: multimodality imaging in dilated cardiomyopathy.

机构信息

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.

出版信息

Heart. 2022 Nov 10;108(23):1910-1917. doi: 10.1136/heartjnl-2022-321116.

Abstract

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.

摘要

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。

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