JACC：重复心脏磁共振对急性心梗患者预后价值研究

2019-11-12 不详 MedSci原创

心脏磁共振（CMR）被广泛应用在急性心梗（AM）的诊断上，CMR常会在6个月后复查一次以评估心梗的进展情况。然而，6个月CMR的临床和预后作用尚不清楚。本研究纳入分析了ITAMY数据库中的187名急性心梗患者，并在患者发病后1周内（CMR-I）和6个月后（CMR-II）分别进行了CMR检测。所有患者在CMR-I期均表现出了心肌水肿，并有31名患者在CMR-II持续存在心肌水肿。CMR-I期

心脏磁共振（CMR）被广泛应用在急性心梗（AM）的诊断上，CMR常会在6个月后复查一次以评估心梗的进展情况。然而，6个月CMR的临床和预后作用尚不清楚。

本研究纳入分析了ITAMY数据库中的187名急性心梗患者，并在患者发病后1周内（CMR-I）和6个月后（CMR-II）分别进行了CMR检测。所有患者在CMR-I期均表现出了心肌水肿，并有31名患者在CMR-II持续存在心肌水肿。CMR-I期有182名患者，CMR-II期有164名患者接受LGE检测。在CMR-II期，有20名患者的心肌水肿完全恢复正常，30名患者存在持续水肿，137名患者无水肿。经过平均7年时间的随访，有22名患者发生了心脏事件，在Kaplan-Meier曲线中，有LGE和无心肌水肿的患者预后更差（p < 0.0001）。经多变量回归后，中央隔型LGE和CMR-II期无水肿的LGE是心脏事件的独立预测因素。

研究结果显示，在急性心梗患者中，LGE并不一定意味着纤维化，其可能在6个月后消失。存在LGE但无心肌水肿与更差的预后相关。

原始出处：

Giovanni D et al.Prognostic Value of Repeating Cardiac Magnetic Resonance in Patients With Acute Myocarditis.JACC.2019 Nov.

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2020-07-30 hbwxf

#JACC#

53 0
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2020-07-17 bnurmamat

#患者预后#

51 0
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2020-01-14 zhanglin3079

#心梗患者#

63 0
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2019-11-14 chenlianhui

#急性心梗#

73 0
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2019-11-14 12498568m50暂无昵称

#ACC#

61 0
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2019-11-14 1696533704_45270454

#磁共振#

63 0
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2019-11-14 paperyu

#预后价值#

62 0
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2019-11-14 mhzhuang@stu.e

#心脏磁共振#

67 0
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2019-11-12 一个字-牛

学习了谢谢分享

86 0

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