Comprehensive assessment of takotsubo cardiomyopathy by cardiac computed tomography
Comprehensive assessment of takotsubo cardiomyopathy by cardiac computed tomography
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DOI：
10.1007/s10140-018-1610-2
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发表时间：
2019-02-01
影响因子：
2.2
通讯作者：
Tsujita, Kenichi
中科院分区：
文献类型：
--
作者：
Sueta, Daisuke;Oda, Seitaro;Tsujita, Kenichi
心脏计算机断层扫描（CT）由于其可访问性和快速采集时间，现在在紧急情况下发挥着重要作用，这是心脏磁共振成像（CMR）无法比拟的。虽然心脏CT最初被认为是用于评估冠状动脉树，但它已经发展到包括几个非冠状动脉应用。这些包括心肌评估，导致心肌表征与CMR和心脏CT的晚期增强成像相当。在这份报告中，我们描述了一个患有大坪心肌病的病人，他接受了心脏CT的全面评估。该技术能够立即识别冠状动脉的状况，并评价四维左心室功能和心肌晚期碘增强。所获得的信息与CMR提供的信息相似;然而，在紧急情况下，心脏CT比CMR更实用。通过心脏CT进行综合评估有助于对疑似Takotsubo心肌病患者进行无创评估。
Cardiac computed tomography (CT) now plays an important role in emergency settings because of its accessibility and fast acquisition time, which cardiac magnetic resonance imaging (CMR) cannot match. Although cardiac CT was originally conceived for the assessment of the coronary artery tree, it has evolved to embrace several non-coronary applications. These include myocardial assessment, resulting in myocardial characterization comparable with that of CMR and cardiac CT for late enhancement imaging. In this report, we describe a patient with takotsubo cardiomyopathy who underwent a comprehensive assessment using cardiac CT. This technique enabled to identify the condition of the coronary arteries and to evaluate the four-dimensional left ventricular function and myocardial late iodine enhancement immediately. The information obtained was similar to that provided by CMR; however, cardiac CT is more practical than CMR in emergency settings. Comprehensive assessment by cardiac CT can be beneficial for a noninvasive evaluation of patients with suspected takotsubo cardiomyopathy.