心肌梗死后左心室重塑的心脏磁共振评估：预后、监测和试验终点。

IF 12.8 1区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

JACC. Cardiovascular imaging Pub Date : 2024-11-01 DOI:10.1016/j.jcmg.2024.03.012

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引用次数: 0

摘要

心肌梗死（MI）后的左心室不良重塑（ALVR）和随后的心力衰竭仍然是全球患者发病和死亡的主要原因。显性炎症已被确定为心肌纤维化和心肌梗死后 ALVR 发生的共同途径。心脏磁共振（CMR）能同时提供有关心脏结构、功能、灌注和组织特征的信息，因此能很好地为预后提供信息，并指导高危人群的早期监测和治疗。此外，在评估新型抗炎和抗纤维化疗法疗效的前瞻性试验中，已建立和不断发展的 CMR 衍生生物标志物可作为临床终点。本综述概述了心肌梗死后 ALVR 的情况，并说明了 CMR 可如何通过机理或预后成像标志物帮助临床采用新型疗法。

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Cardiac Magnetic Resonance Evaluation of LV Remodeling Post-Myocardial Infarction

Adverse left ventricular remodeling (ALVR) and subsequent heart failure after myocardial infarction (MI) remain a major cause of patient morbidity and mortality worldwide. Overt inflammation has been identified as the common pathway underlying myocardial fibrosis and development of ALVR post-MI. With its ability to simultaneously provide information about cardiac structure, function, perfusion, and tissue characteristics, cardiac magnetic resonance (CMR) is well poised to inform prognosis and guide early surveillance and therapeutics in high-risk cohorts. Further, established and evolving CMR-derived biomarkers may serve as clinical endpoints in prospective trials evaluating the efficacy of novel anti-inflammatory and antifibrotic therapies. This review provides an overview of post-MI ALVR and illustrates how CMR may help clinical adoption of novel therapies via mechanistic or prognostic imaging markers.

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来源期刊

JACC. Cardiovascular imaging CARDIAC & CARDIOVASCULAR SYSTEMS-RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

CiteScore

24.90

自引率

5.70%

发文量

330

审稿时长

4-8 weeks

期刊介绍： JACC: Cardiovascular Imaging, part of the prestigious Journal of the American College of Cardiology (JACC) family, offers readers a comprehensive perspective on all aspects of cardiovascular imaging. This specialist journal covers original clinical research on both non-invasive and invasive imaging techniques, including echocardiography, CT, CMR, nuclear, optical imaging, and cine-angiography. JACC. Cardiovascular imaging highlights advances in basic science and molecular imaging that are expected to significantly impact clinical practice in the next decade. This influence encompasses improvements in diagnostic performance, enhanced understanding of the pathogenetic basis of diseases, and advancements in therapy. In addition to cutting-edge research,the content of JACC: Cardiovascular Imaging emphasizes practical aspects for the practicing cardiologist, including advocacy and practice management.The journal also features state-of-the-art reviews, ensuring a well-rounded and insightful resource for professionals in the field of cardiovascular imaging.