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心血管磁共振在评估 COVID-19 心脏受累中的应用:心血管磁共振学会的建议。

Cardiovascular magnetic resonance for evaluation of cardiac involvement in COVID-19: recommendations by the Society for Cardiovascular Magnetic Resonance.

机构信息

University of Oxford Centre for Clinical Magnetic Resonance Research (OCMR), Oxford British Heart Foundation Centre of Research Excellence, The National Institute for Health Research Oxford Biomedical Research Centre at the Oxford University Hospitals NHS Foundation Trust, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, UK.

Department of Biomedical Imaging Science, University of Leeds, Leeds, UK.

出版信息

J Cardiovasc Magn Reson. 2023 Mar 27;25(1):21. doi: 10.1186/s12968-023-00933-0.


DOI:10.1186/s12968-023-00933-0
PMID:36973744
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10041524/
Abstract

Coronavirus disease 2019 (COVID-19) is an ongoing global pandemic that has affected nearly 600 million people to date across the world. While COVID-19 is primarily a respiratory illness, cardiac injury is also known to occur. Cardiovascular magnetic resonance (CMR) imaging is uniquely capable of characterizing myocardial tissue properties in-vivo, enabling insights into the pattern and degree of cardiac injury. The reported prevalence of myocardial involvement identified by CMR in the context of COVID-19 infection among previously hospitalized patients ranges from 26 to 60%. Variations in the reported prevalence of myocardial involvement may result from differing patient populations (e.g. differences in severity of illness) and the varying intervals between acute infection and CMR evaluation. Standardized methodologies in image acquisition, analysis, interpretation, and reporting of CMR abnormalities across would likely improve concordance between studies. This consensus document by the Society for Cardiovascular Magnetic Resonance (SCMR) provides recommendations on CMR imaging and reporting metrics towards the goal of improved standardization and uniform data acquisition and analytic approaches when performing CMR in patients with COVID-19 infection.

摘要

新型冠状病毒病 2019(COVID-19)是一种正在持续的全球大流行疾病,迄今为止已在全球范围内影响了近 6 亿人。虽然 COVID-19 主要是一种呼吸道疾病,但也已知会发生心脏损伤。心血管磁共振(CMR)成像具有独特的能力,可以在体内对心肌组织特性进行特征描述,从而深入了解心脏损伤的模式和程度。在先前住院的 COVID-19 感染患者中,CMR 识别的心肌受累的报告患病率范围为 26%至 60%。心肌受累的报告患病率的差异可能是由于患者人群的不同(例如疾病严重程度的差异)以及急性感染和 CMR 评估之间的间隔时间不同。在跨学科的 CMR 异常获取、分析、解释和报告中采用标准化方法,可能会提高研究之间的一致性。该共识文件由心血管磁共振学会(SCMR)提供了关于 CMR 成像和报告指标的建议,旨在改进 COVID-19 感染患者进行 CMR 时的标准化和统一数据获取和分析方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a33/10041810/5bd5b0f7421b/12968_2023_933_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a33/10041810/5da9d2558036/12968_2023_933_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a33/10041810/8215a0af3382/12968_2023_933_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a33/10041810/7e1b6a95b832/12968_2023_933_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a33/10041810/5bd5b0f7421b/12968_2023_933_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a33/10041810/5da9d2558036/12968_2023_933_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a33/10041810/8215a0af3382/12968_2023_933_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a33/10041810/7e1b6a95b832/12968_2023_933_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a33/10041810/5bd5b0f7421b/12968_2023_933_Fig4_HTML.jpg

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[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[9]
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[10]
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本文引用的文献

[1]
Comparative Risk of Myocarditis/Pericarditis Following Second Doses of BNT162b2 and mRNA-1273 Coronavirus Vaccines.

J Am Coll Cardiol. 2022-11-15

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J Clin Transl Res. 2021-11-6

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Myocardial involvement in children with post-COVID multisystem inflammatory syndrome: a cardiovascular magnetic resonance based multicenter international study-the CARDOVID registry.

J Cardiovasc Magn Reson. 2021-12-30

[10]
Myocardial Perfusion Imaging After Severe COVID-19 Infection Demonstrates Regional Ischemia Rather Than Global Blood Flow Reduction.

Front Cardiovasc Med. 2021-12-7

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