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心脏淀粉样变性的多模态成像:最新综述。

Multimodality imaging in cardiac amyloidosis: State-of-the-art review.

机构信息

Cardiology Department, Santa Marta Hospital, Centro Hospitalar Universitário Lisboa Central, Lisbon, Portugal.

NOVA Medical School, Lisbon, Portugal.

出版信息

J Clin Ultrasound. 2022 Oct;50(8):1084-1096. doi: 10.1002/jcu.23271.

Abstract

Amyloidosis is a systemic disease, characterized by deposition of amyloid fibrils in various organs, including the heart. For the diagnosis of cardiac amyloidosis (CA) it is required a high level of clinical suspicion and in the presence of clinical, laboratorial, and electrocardiographic red flags, a comprehensive multimodality imaging evaluation is warranted, including echocardiography, magnetic resonance, scintigraphy, and computed tomography, that will confirm diagnosis and define the CA subtype, which is of the utmost importance to plan a treatment strategy. We will review the use of multimodality imaging in the evaluation of CA, including the latest applications, and a practical flow-chart will sum-up this evidence.

摘要

淀粉样变是一种全身性疾病,其特征是在包括心脏在内的各种器官中沉积淀粉样纤维。为了诊断心脏淀粉样变(CA),需要高度的临床怀疑,如果存在临床、实验室和心电图的危险信号,则需要进行全面的多模式影像学评估,包括超声心动图、磁共振、闪烁扫描和计算机断层扫描,这些检查将明确诊断并确定 CA 亚型,这对于制定治疗策略至关重要。我们将回顾多模式影像学在 CA 评估中的应用,包括最新的应用,并总结一个实用的流程图来概述这些证据。

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