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心脏磁共振成像在肺动脉高压中的作用——它仍然是一种未被充分利用的工具吗?

The Role of Cardiac MRI in Pulmonary Hypertension- Is it Still an Underutilized Tool.

作者信息

Banjade Prakash, Subedi Ashish, Acharya Sampada, Itani Asmita, Sharma Munish, Kassam Nadeem, Ghamande Shekhar, Surani Salim

机构信息

Department of Medicine, Manipal College of Medical Sciences, Pokhara, 33700, Nepal.

Department of Medicine, Gandaki Medical College, Pokhara, 33700, Nepal.

出版信息

Open Respir Med J. 2024 Jun 4;18:e18743064288565. doi: 10.2174/0118743064288565240515115239. eCollection 2024.

DOI:10.2174/0118743064288565240515115239
PMID:39136034
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11318157/
Abstract

Pulmonary hypertension (PH) is an intricate medical issue resulting from increased pressure in the pulmonary artery (PA). The current gold standard for diagnosis involves an invasive procedure known as right heart catheterization. Nevertheless, cardiac magnetic resonance imaging (cMRI) offers a non-invasive and valuable alternative for evaluating the function, structure, and blood flow through the pulmonary artery (PA) in both the left ventricle (LV) and right ventricle (RV). Additionally, cMRI can be a good tool for predicting mortality by assessing various hemodynamic parameters. We perceive that cMRI may be an underutilized tool in the evaluation of PH. More discussions might be needed to highlight its utility in patients with PH. This article aims to discuss the potential role of cMRI in evaluating PH based on the review of recent literature.

摘要

肺动脉高压(PH)是一种由肺动脉(PA)压力升高引起的复杂医学问题。目前的诊断金标准是一种称为右心导管插入术的侵入性操作。然而,心脏磁共振成像(cMRI)为评估左心室(LV)和右心室(RV)中肺动脉(PA)的功能、结构和血流提供了一种非侵入性且有价值的替代方法。此外,cMRI通过评估各种血流动力学参数,可能是预测死亡率的良好工具。我们认为cMRI在肺动脉高压评估中可能是一种未充分利用的工具。可能需要更多讨论来突出其在肺动脉高压患者中的效用。本文旨在基于对近期文献的综述,讨论cMRI在评估肺动脉高压中的潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc2e/11318157/d766e2e1b122/TORMJ-18-E18743064288565_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc2e/11318157/9bd5f7de7937/TORMJ-18-E18743064288565_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc2e/11318157/d766e2e1b122/TORMJ-18-E18743064288565_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc2e/11318157/9bd5f7de7937/TORMJ-18-E18743064288565_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc2e/11318157/d766e2e1b122/TORMJ-18-E18743064288565_F2.jpg

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Front Cardiovasc Med. 2023 Apr 17;10:1016994. doi: 10.3389/fcvm.2023.1016994. eCollection 2023.
2
Machine learning cardiac-MRI features predict mortality in newly diagnosed pulmonary arterial hypertension.机器学习的心脏磁共振成像特征可预测新诊断的肺动脉高压患者的死亡率。
Eur Heart J Digit Health. 2022 May 2;3(2):265-275. doi: 10.1093/ehjdh/ztac022. eCollection 2022 Jun.
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Adaptive versus maladaptive right ventricular remodelling.
适应性右心室重构与不良性右心室重构。
ESC Heart Fail. 2023 Apr;10(2):762-775. doi: 10.1002/ehf2.14233. Epub 2022 Nov 23.
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Ventricular mass discriminates pulmonary arterial hypertension as redefined at the Sixth World Symposium on Pulmonary Hypertension.心室质量可区分在第六届世界肺动脉高压研讨会上重新定义的肺动脉高压。
Pulm Circ. 2022 Jan 18;12(1):e12005. doi: 10.1002/pul2.12005. eCollection 2022 Jan.
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Imaging and Risk Stratification in Pulmonary Arterial Hypertension: Time to Include Right Ventricular Assessment.肺动脉高压的影像学与风险分层:是时候纳入右心室评估了。
Front Cardiovasc Med. 2022 Mar 25;9:797561. doi: 10.3389/fcvm.2022.797561. eCollection 2022.
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Right ventricular end-systolic remodeling index on cardiac magnetic resonance imaging: comparison with other functional markers in patients with chronic thromboembolic pulmonary hypertension.心脏磁共振成像上的右心室收缩末期重塑指数:与慢性血栓栓塞性肺动脉高压患者的其他功能标志物比较
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