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肥厚型心肌病的心腔内血流动力学特征:电影磁共振断层成像的作用

[The characteristics of the intracardiac hemodynamics in hypertrophic cardiomyopathy: the role of cine-magnetic resonance tomography].

作者信息

Belenkov Iu N, Sinitsyn V E, Stukalova O V, Ternovoĭ S K, Rizvanova R Kh

出版信息

Ter Arkh. 1995;67(4):27-30.

PMID:7784968
Abstract

Cine-magnetic resonance (CMR) tomography was assessed for ability to determine cardiac function and structure in patients with hypertrophic cardiomyopathy (HTCM). CMR tomography findings were compared to those of two-dimension and doppler-echocardiography, cardiac catheterization. The trial entered 16 patients with obstructive, 22 patients with nonobstructive HTCM and 14 healthy controls. CMR tomography was performed on a superconducting tomograph (1.5 T) in synchronism with ECG. CMR tomography helped detect obstruction for the blood outflowing from the left ventricle. This was impossible with the use of spin-echo. It also defined area and volume of low-intensity regions. CMR tomography proved sensitive in bringing out mitral regurgitation, the results being close to those of doppler-echocardiography. Opportunities of MRT in HTCM gets expanded in cine-regimen as it provides additional information on cardiac function and intracardiac hemodynamics.

摘要

对肥厚型心肌病(HTCM)患者,评估了电影磁共振(CMR)断层扫描测定心脏功能和结构的能力。将CMR断层扫描结果与二维和多普勒超声心动图、心导管检查结果进行比较。该试验纳入了16例梗阻性HTCM患者、22例非梗阻性HTCM患者和14名健康对照者。在一台超导断层扫描仪(1.5T)上同步心电图进行CMR断层扫描。CMR断层扫描有助于检测左心室流出的血液梗阻情况。使用自旋回波无法做到这一点。它还能确定低强度区域的面积和体积。CMR断层扫描在检测二尖瓣反流方面被证明很敏感,结果与多普勒超声心动图相近。CMR在电影模式下在HTCM中的应用机会得到扩展,因为它提供了有关心脏功能和心内血流动力学的额外信息。

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