Northwestern University, Feinberg School of Medicine, Division of Cardiology, Chicago, IL, USA.
Curr Cardiol Rep. 2024 Sep;26(9):935-941. doi: 10.1007/s11886-024-02093-8. Epub 2024 Jul 16.
Cardiac sarcoidosis is an inflammatory condition that has been associated with deleterious cardiac manifestations. The diagnosis of cardiac sarcoidosis is challenging and can be guided by advanced cardiac imaging.
Endomyocardial biopsy lacks sensitivity in confirming a diagnosis of cardiac sarcoidosis. Studies have shown that the use of cardiac magnetic resonance imaging (MRI) and cardiac Positron Emission Testing (PET) are associated with increased sensitivity and specificity in the diagnosis of cardiac sarcoidosis. Cardiac MRI and cardiac PET CT, although distinct entities, are complimentary in the diagnosis, prognostication of major cardiac events, and aid in the treatment algorithm in patients with cardiac sarcoidosis.
心肌结节病是一种炎症性疾病，与心脏不良表现有关。心肌结节病的诊断具有挑战性，可以通过先进的心脏成像来指导。
心内膜心肌活检在确认心肌结节病诊断方面缺乏敏感性。研究表明，心脏磁共振成像（MRI）和心脏正电子发射断层扫描（PET）的使用与提高心肌结节病诊断的敏感性和特异性相关。心脏 MRI 和心脏 PET CT，尽管是不同的实体，但在诊断、主要心脏事件预后以及心肌结节病患者的治疗方案中具有互补作用。
