系统性红斑狼疮患者并发心外膜和微血管冠状动脉病变的磁共振成像显示

Q2 Medicine

Topics in Magnetic Resonance Imaging Pub Date : 2022-02-01 DOI:10.1097/RMR.0000000000000294

Liam J. McGill, C. Gill, U. Schoepf, Richard R Bayer, P. Suranyi, A. Varga-Szemes

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引用次数: 2

摘要

摘要:我们提出了一个有系统性红斑狼疮病史的病人，他表现为急性胸痛。在评估过程中进行了心电图，有创冠状动脉造影和心脏MRI。有创冠状动脉造影显示对角系统有阻塞性疾病，心血管MRI证实前路梗死与心电图结果一致。然而，MRI也显示局灶性隔间灌注不足，与心电图和血管造影结果不一致。相反，这些发现表明存在并发的微血管冠状动脉疾病，这在患有自身免疫性疾病的女性中具有很高的患病率。

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Visualization of Concurrent Epicardial and Microvascular Coronary Artery Disease in a Patient with Systemic Lupus Erythematosus by Magnetic Resonance Imaging

Abstract We present a patient with history of systemic lupus erythematosus who presented with acute chest pain. Electrocardiography, invasive coronary angiography, and cardiac MRI were performed during the course of her evaluation. Invasive coronary angiography demonstrated obstructive disease in the diagonal system and cardiovascular MRI confirmed an anterior infarct consistent with the electrocardiographic findings. However, MRI also revealed focal inferoseptal hypoperfusion inconsistent with electrocardiographic and angiographic findings. Rather, these findings indicate the presence of concurrent microvascular coronary artery disease, which has a high prevalence among women with autoimmune disease.

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来源期刊

Topics in Magnetic Resonance Imaging Medicine-Medicine (all)

CiteScore

5.50

自引率

0.00%

发文量

期刊介绍： Topics in Magnetic Resonance Imaging is a leading information resource for professionals in the MRI community. This publication supplies authoritative, up-to-the-minute coverage of technical advances in this evolving field as well as practical, hands-on guidance from leading experts. Six times a year, TMRI focuses on a single timely topic of interest to radiologists. These topical issues present a variety of perspectives from top radiological authorities to provide an in-depth understanding of how MRI is being used in each area.