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心脏磁共振成像诊断心肌炎的标准:一项教育性综述

Diagnostic criteria for myocarditis on cardiac magnetic resonance imaging: an educational review.

作者信息

Joudar Imane, Aichouni Narjisse, Nasri Siham, Kamaoui Imane, Skiker Imane

机构信息

Faculty of Medicine and Pharmacy.

Department of Radiology, Mohammed VI University Hospital, Mohammed I University.

出版信息

Ann Med Surg (Lond). 2023 Jul 6;85(8):3960-3964. doi: 10.1097/MS9.0000000000001040. eCollection 2023 Aug.

Abstract

Acute myocarditis represents one of the most mysterious acute cardiovascular diseases due to the great diversity of its clinical presentation, ranging from simple symptoms such as flu-like syndrome to lethal conditions such as cardiogenic shock or sudden cardiac death. The diagnosis will be suspicious in the presence of chest pain in a subject with risk factors, and guided mainly by the ECG, biological markers, trans-thoracic echocardiography, and the cardiac MRI. In this sense, and returning to the pathophysiological bases of this condition, the positive diagnosis will rely mainly on the detection of tissue abnormalities secondary to the myocardial inflammatory storm. Cardiac MRI represents a diagnostic pillar, given the information it can provide, both in analyzing the morphology, and the myocardial function but also tissue abnormalities that represent the main element of the diagnostic criteria of Lake Louisse.

摘要

急性心肌炎是最神秘的急性心血管疾病之一,因其临床表现极为多样,从类似流感综合征的简单症状到心源性休克或心源性猝死等致命情况都有。对于有危险因素且出现胸痛的患者,诊断会存疑,诊断主要依据心电图、生物标志物、经胸超声心动图和心脏磁共振成像。从这个意义上讲,回到这种疾病的病理生理基础,阳性诊断将主要依赖于检测继发于心肌炎症风暴的组织异常。心脏磁共振成像堪称诊断的支柱,因为它既能提供分析形态、心肌功能的信息,还能提供代表路易斯湖诊断标准主要要素的组织异常信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e07/10406012/47cccb205df2/ms9-85-3960-g001.jpg

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