Jonathan A Aun, Camila V Blair, Ron Blankstein, Brittany N Weber
{"title":"免疫介导的炎症性疾病的高级心血管成像：重新定义缺血性心脏病的风险","authors":"Jonathan A Aun, Camila V Blair, Ron Blankstein, Brittany N Weber","doi":"10.1097/HCO.0000000000001254","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose of review: </strong>Immune-mediated inflammatory diseases (IMIDs) such as rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), psoriasis (PsO), and systemic sclerosis (SSc) are associated with significantly increased risk of ischemic heart disease (IHD), driven by chronic inflammation, and often compounded by undertreated traditional cardiovascular risk factors. Conventional risk scores frequently underestimate this burden.</p><p><strong>Recent findings: </strong>Advanced cardiovascular imaging techniques, such as coronary CT angiography (CCTA), cardiac magnetic resonance (CMR), and nuclear imaging techniques, offer enhanced detection of subclinical atherosclerosis, myocardial inflammation, and coronary microvascular dysfunction.</p><p><strong>Summary: </strong>This review highlights the role of imaging tools in improving risk stratification and guiding personalized care, while underscoring the need for ongoing research to validate their clinical utility and ensure equitable implementation.</p>","PeriodicalId":55197,"journal":{"name":"Current Opinion in Cardiology","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Advanced cardiovascular imaging in immune-mediated inflammatory diseases: redefining ischemic heart disease risk.\",\"authors\":\"Jonathan A Aun, Camila V Blair, Ron Blankstein, Brittany N Weber\",\"doi\":\"10.1097/HCO.0000000000001254\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose of review: </strong>Immune-mediated inflammatory diseases (IMIDs) such as rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), psoriasis (PsO), and systemic sclerosis (SSc) are associated with significantly increased risk of ischemic heart disease (IHD), driven by chronic inflammation, and often compounded by undertreated traditional cardiovascular risk factors. Conventional risk scores frequently underestimate this burden.</p><p><strong>Recent findings: </strong>Advanced cardiovascular imaging techniques, such as coronary CT angiography (CCTA), cardiac magnetic resonance (CMR), and nuclear imaging techniques, offer enhanced detection of subclinical atherosclerosis, myocardial inflammation, and coronary microvascular dysfunction.</p><p><strong>Summary: </strong>This review highlights the role of imaging tools in improving risk stratification and guiding personalized care, while underscoring the need for ongoing research to validate their clinical utility and ensure equitable implementation.</p>\",\"PeriodicalId\":55197,\"journal\":{\"name\":\"Current Opinion in Cardiology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-09-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Current Opinion in Cardiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/HCO.0000000000001254\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Opinion in Cardiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/HCO.0000000000001254","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Purpose of review: Immune-mediated inflammatory diseases (IMIDs) such as rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), psoriasis (PsO), and systemic sclerosis (SSc) are associated with significantly increased risk of ischemic heart disease (IHD), driven by chronic inflammation, and often compounded by undertreated traditional cardiovascular risk factors. Conventional risk scores frequently underestimate this burden.
Recent findings: Advanced cardiovascular imaging techniques, such as coronary CT angiography (CCTA), cardiac magnetic resonance (CMR), and nuclear imaging techniques, offer enhanced detection of subclinical atherosclerosis, myocardial inflammation, and coronary microvascular dysfunction.
Summary: This review highlights the role of imaging tools in improving risk stratification and guiding personalized care, while underscoring the need for ongoing research to validate their clinical utility and ensure equitable implementation.
期刊介绍：
Current Opinion in Cardiology is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With fourteen disciplines published across the year – including arrhythmias, molecular genetics, HDL cholesterol and clinical trials – every issue also contains annotated reference detailing the merits of the most important papers.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
