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心脏磁共振成像用于确定分层左心室心尖血栓的罕见病因。

Cardiac Magnetic Resonance Imaging Used to Determine a Rare Etiology of a Layered Left Ventricular Apical Thrombus.

作者信息

Turbay-Caballero Valentina, Morris Rachel, Hussain Sheraz, Singh Suyashi, Paredes-Flores Manuel, Memon Shermeen, Naqvi Amir

机构信息

Internal Medicine, Advocate Christ Medical Center, Oak Lawn, USA.

Cardiology, Advocate Christ Medical Center, Oak Lawn, USA.

出版信息

Cureus. 2024 Mar 30;16(3):e57257. doi: 10.7759/cureus.57257. eCollection 2024 Mar.

DOI:10.7759/cureus.57257
PMID:38686240
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11057394/
Abstract

Eosinophilic myocarditis (EM) is a rare disease, often associated with hypereosinophilic syndrome (HES). Historically, the diagnostic gold standard was endomyocardial biopsy (EMB). We present a unique case of a 58-year-old female who presents after a syncopal episode and was found to have a layered left ventricular (LV) thrombus. Using laboratory studies and cardiac magnetic resonance imaging (MRI), we were able to delineate the etiology, avoiding any invasive testing.

摘要

嗜酸性粒细胞性心肌炎（EM）是一种罕见疾病，常与高嗜酸性粒细胞综合征（HES）相关。从历史上看，诊断金标准是心内膜心肌活检（EMB）。我们报告了一例独特病例，一名58岁女性在晕厥发作后就诊，发现有分层的左心室（LV）血栓。通过实验室检查和心脏磁共振成像（MRI），我们得以明确病因，避免了任何侵入性检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86d8/11057394/f29daf08e199/cureus-0016-00000057257-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86d8/11057394/a22146b57737/cureus-0016-00000057257-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86d8/11057394/f29daf08e199/cureus-0016-00000057257-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86d8/11057394/a22146b57737/cureus-0016-00000057257-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86d8/11057394/f29daf08e199/cureus-0016-00000057257-i02.jpg

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本文引用的文献

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Eosinophilic myocarditis from a forensic histopathological perspective.从法医组织病理学角度看嗜酸性粒细胞性心肌炎。
J Forensic Sci. 2023 Mar;68(2):500-508. doi: 10.1111/1556-4029.15197. Epub 2023 Jan 12.
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Systemic thrombo-embolic events in a middle-aged male with Loeffler endocarditis without peripheral eosinophilia-a case report.中年男性罹患莱夫勒心内膜炎且外周血嗜酸性粒细胞不高致全身血栓栓塞事件：一例报告
BMC Cardiovasc Disord. 2022 Dec 12;22(1):541. doi: 10.1186/s12872-022-02911-3.
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Eosinophilic myocarditis: Case report and brief review of the literature.
嗜酸性粒细胞性心肌炎：病例报告及文献简要综述
Radiol Case Rep. 2022 Nov 9;18(1):306-311. doi: 10.1016/j.radcr.2022.10.036. eCollection 2023 Jan.
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Diagnosis and treatment of eosinophilic myocarditis.嗜酸性粒细胞性心肌炎的诊断与治疗
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Eosinophilic Myocarditis: Classic Presentation of Elusive Disease.嗜酸性粒细胞性心肌炎：隐匿性疾病的典型表现。
Circ Cardiovasc Imaging. 2019 Sep;12(9):e009487. doi: 10.1161/CIRCIMAGING.119.009487. Epub 2019 Aug 27.
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The Clinicopathological Profile of Eosinophilic Myocarditis.嗜酸性粒细胞性心肌炎的临床病理特征
Cureus. 2018 Dec 3;10(12):e3677. doi: 10.7759/cureus.3677.
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Eosinophilic Myocarditis: Clinical Case and Literature Review.嗜酸性粒细胞性心肌炎：临床病例及文献综述
Arq Bras Cardiol. 2018 Jun;110(6):597-599. doi: 10.5935/abc.20180089.
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Mol Clin Oncol. 2018 Jul;9(1):35-39. doi: 10.3892/mco.2018.1637. Epub 2018 May 21.
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Eosinophilic Myocarditis.嗜酸性粒细胞性心肌炎
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