急性缺血性心脏病

H. Thiele, N. Bettencourt, M. Salerno, E. Dall’Armellina
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引用次数: 0

摘要

心血管磁共振(CMR)在急性冠状动脉综合征(ACS)及相关疾病的无创评估中发挥着越来越重要的作用。CMR可以可靠地评估收缩功能,心肌梗死的详细可视化,以及对缺血危险区域、微血管阻塞和心肌出血的检测和量化。CMR用于研究进一步了解ACS的病理生理学,在临床实践中用于区分ACS与其他诊断(如心肌炎),检测和随访心肌梗死(MI)并发症(如动脉瘤形成),并对急性心肌梗死患者进行风险分层。因此,CMR在缺血性心脏病急性表现中的作用不断扩大,并在国际实践指南中得到越来越多的认可。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acute ischaemic heart disease
Cardiovascular magnetic resonance (CMR) plays an increasing role in the non-invasive assessment of acute coronary syndromes (ACS) and related conditions. CMR allows reliable assessment of contractile function, detailed visualization of myocardial infarction, and detection and quantification of the area at ischaemic risk, microvascular obstruction, and myocardial haemorrhage. CMR is used in research that furthers the understanding of the pathophysiology of ACS, in clinical practice to differentiate ACS from other diagnoses such as myocarditis, to detect and follow up complications of myocardial infarction (MI) such as aneurysm formation, and to risk-stratify patients with acute MI. As a result, the role of CMR in acute presentations of ischaemic heart disease continues to expand and is increasingly recognized in international practice guidelines.
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