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莱姆病性心肌炎的心脏磁共振成像——病例系列及文献综述

Cardiac Magnetic Resonance Imaging in Lyme Carditis-A Case Series and Review of Literature.

作者信息

Kaczynski Matthew, Desai Suhani, Osorio Brian, Hulten Edward, Agarwal Saurabh, Atalay Michael K, Patel Yash

机构信息

Division of Cardiology, Department of Medicine, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.

Department of Diagnostic Imaging, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.

出版信息

J Cardiovasc Dev Dis. 2024 Dec 25;12(1):2. doi: 10.3390/jcdd12010002.

Abstract

Lyme carditis is an uncommon but potentially fatal manifestation of early disseminated Lyme disease. Timely diagnosis poses a clinical challenge due to the highly variable and non-specific symptomatology that can be easily overlooked, as well as the limited availability of specific and non-invasive diagnostic tests for assessing cardiac involvement. While cardiac magnetic resonance (CMR) imaging is the standard imaging modality for diagnosing various etiologies of cardiomyopathy, its application in Lyme carditis remains understudied. In this study, we present two cases of CMR-proven Lyme carditis and provide a comprehensive review of the existing literature on the use of CMR in this condition.

摘要

莱姆病性心脏炎是早期播散性莱姆病一种罕见但可能致命的表现形式。由于其症状高度多变且不具特异性,容易被忽视,同时用于评估心脏受累情况的特异性和非侵入性诊断检测手段有限,因此及时诊断面临临床挑战。虽然心脏磁共振(CMR)成像检查是诊断各种病因所致心肌病的标准成像方式,但其在莱姆病性心脏炎中的应用仍研究不足。在本研究中,我们报告了两例经CMR证实的莱姆病性心脏炎病例,并对现有关于CMR用于此病症的文献进行了全面综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dac/11765599/6c823091c6d3/jcdd-12-00002-g001.jpg

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