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右心室受累的心脏结节病的多模态评估

Multimodal Assessments of Cardiac Sarcoidosis With Right Ventricular Involvement.

作者信息

Iwaya Takuma, Yamano Michiyo, Okamoto Toshiyuki, Yamano Tetsuhiro, Zen Kan, Matoba Satoaki

机构信息

Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto, Japan.

Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto, Japan.

出版信息

CASE (Phila). 2025 May 15;9(8):251-256. doi: 10.1016/j.case.2025.03.006. eCollection 2025 Aug.

DOI:10.1016/j.case.2025.03.006
PMID:40949749
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12426843/
Abstract

• CS with RV involvement mimics AC. • Multimodal assessments are essential to accurately diagnose CS with RV involvement. • Progressive RV dysfunction on serial TTE may be a key finding in CS with RV involvement. • STIR sequence on CMR may be useful for diagnosis and therapy monitoring in CS.

摘要

• 伴有右心室受累的心脏淀粉样变性模仿急性冠状动脉综合征。

• 多模态评估对于准确诊断伴有右心室受累的心脏淀粉样变性至关重要。

• 连续经胸超声心动图显示的进行性右心室功能障碍可能是伴有右心室受累的心脏淀粉样变性的关键发现。

• 心脏磁共振成像的短轴反转恢复序列可能有助于心脏淀粉样变性的诊断和治疗监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/12426843/c4b382ea7228/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/12426843/f7bd0151641b/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/12426843/1f3966000d60/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/12426843/0ace8b7ff129/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/12426843/f58de5b1d9b8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/12426843/9651210e0877/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/12426843/146c0345d365/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/12426843/c4b382ea7228/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/12426843/f7bd0151641b/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/12426843/1f3966000d60/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/12426843/0ace8b7ff129/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/12426843/f58de5b1d9b8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/12426843/9651210e0877/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/12426843/146c0345d365/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c1/12426843/c4b382ea7228/gr6.jpg

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本文引用的文献

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Advances in Diagnostic Imaging for Cardiac Sarcoidosis.心脏结节病诊断成像的进展
J Clin Med. 2021 Dec 11;10(24):5808. doi: 10.3390/jcm10245808.
2
T2-weighted short-tau-inversion-recovery imaging reflects disease activity of cardiac sarcoidosis.T2 加权短 tau 反转恢复成像反映心脏结节病的疾病活动度。
Open Heart. 2021 Sep;8(2). doi: 10.1136/openhrt-2021-001728.
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Challenges of Sarcoidosis and Its Management.结节病的挑战及其管理
N Engl J Med. 2021 Sep 9;385(11):1018-1032. doi: 10.1056/NEJMra2101555.
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Characteristics and prognostic implications of tricuspid regurgitation in patients with arrhythmogenic cardiomyopathy.致心律失常性心肌病患者三尖瓣反流的特征及预后意义
ESC Heart Fail. 2020 Oct;7(5):2933-2940. doi: 10.1002/ehf2.12906. Epub 2020 Jul 22.
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Isolated Cardiac Sarcoidosis Mimicking Arrhythmogenic Right Ventricular Cardiomyopathy.酷似致心律失常性右心室心肌病的孤立性心脏结节病
Intern Med. 2018 Mar 15;57(6):835-839. doi: 10.2169/internalmedicine.9395-17. Epub 2017 Dec 8.
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Cardiac sarcoidosis: Diagnosis, therapeutic management and prognostic factors.心脏结节病：诊断、治疗管理及预后因素
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Impact of Patient Preparation on the Diagnostic Performance of 18F-FDG PET in Cardiac Sarcoidosis: A Systematic Review and Meta-analysis.患者准备对 18F-FDG PET 在心脏结节病诊断性能的影响：系统评价和荟萃分析。
Clin Nucl Med. 2016 Jul;41(7):e327-39. doi: 10.1097/RLU.0000000000001063.
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Magnetic resonance imaging for identifying patients with cardiac sarcoidosis and preserved or mildly reduced left ventricular function at risk of ventricular arrhythmias.磁共振成像用于识别患有心脏结节病且左心室功能正常或轻度降低、存在室性心律失常风险的患者。
Circ Arrhythm Electrophysiol. 2014 Dec;7(6):1109-15. doi: 10.1161/CIRCEP.113.000156. Epub 2014 Sep 29.
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Deterioration of cardiac function during the progression of cardiac sarcoidosis: diagnosis and treatment.
Intern Med. 2014;53(15):1595-605. doi: 10.2169/internalmedicine.53.2784. Epub 2014 Aug 1.
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Cardiac positron emission tomography enhances prognostic assessments of patients with suspected cardiac sarcoidosis.心脏正电子发射断层扫描增强了疑似心脏结节病患者的预后评估。
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