上海交通大学学报(医学版)

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心脏磁共振在冠心病诊断及评估预后中的应用

黄斯怡,潘静薇,魏 盟   

  1. 上海交通大学附属第六人民医院心内科, 上海 200233
  • 出版日期:2015-01-28 发布日期:2015-01-29
  • 通讯作者: 魏 盟, 电子信箱: drweimeng@163.com。
  • 作者简介:黄斯怡(1988—), 女, 上海交通大学医学院2007级临床八年制学生; 电子信箱: hsyshang@126.com。
  • 基金资助:

    上海交通大学医工(理)交叉基金(YG2011ZD02)

Application of cardiac magnetic resonance imaging in diagnosis of coronary artery disease and evaluation of prognosis

HUANG Si-yi, PAN Jing-wei, WEI Meng   

  1. Department of Cardiology, the Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China
  • Online:2015-01-28 Published:2015-01-29
  • Supported by:

    Medical-engineering Cross Foundation of Shanghai Jiao Tong University,YG2011ZD02

摘要:

冠状动脉粥样硬化性心脏病(CAD)是我国常见疾病之一,心脏磁共振(CMR)因其可同时提供多方位信息而广泛应用于临床,逐渐成为CAD无创检查的有力工具之一。该文对CMR诊断并评估CAD患者预后的进展进行综述,并介绍大剂量多巴酚丁胺负荷试验对于心室壁活动储备功能的评价、负荷心肌灌注首过显像技术对于心肌血流灌注的评估、延迟显像及T2对于心肌梗死和慢性心功能不全的诊断与评估。

关键词: 冠状动脉粥样硬化性心脏病, 心脏磁共振, 负荷试验, 心肌存活

Abstract:

Coronary artery disease (CAD) is one of the most common diseases in China. Cardiac magnetic resonance imaging (CMR) is gradually becoming one of the effective tools for non-invasive detection of CAD because it can provide comprehensive information. This paper reviews progresses of the diagnosis of CAD and evaluation of the prognosis by CMR, including evaluation of the ventricular wall active reserve function by the large dose dobutamine stress test, evaluation of the myocardial blood flow perfusion by the myocardial first-pass perfusion imaging, and diagnosis and evaluation of myocardial infarction and chronic heart failure by the delayed enhancement scar imaging and T2-weighed CMR imaging.

Key words: coronary artery disease, cardiac magnetic resonance imaging, stress test, myocardial viability