Cardiac Magnetic Resonance Assessment of Myocarditis
Cardiac Magnetic Resonance Assessment of Myocarditis
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DOI：
10.1161/circimaging.113.000416
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发表时间：
2013-09-01
影响因子：
7.5
通讯作者：
Marcotte, Francois
中科院分区：
文献类型：
--
作者：
Friedrich, Matthias G.;Marcotte, Francois
根据现有研究和专家共识，提出了CMR诊断标准（露易丝湖标准）16，该标准也是社会出版物17、18的一部分，包括充血、水肿和坏死的CMR标准（表1）。如果3个标准中有2个是阳性的，CMR扫描指示活动性心肌炎。16虽然需要更多的研究来评估在各种临床环境中使用每个参数（临床急性与慢性，轻度与中度，弥漫性与区域性），并且尚未前瞻性研究心肌炎中使用CMR对结局的影响，但目前的方法可以对临床急性情况下的损伤和功能障碍程度进行可靠的评估。值得注意的是，坏死或瘢痕的存在是心肌炎患者预后的一个强有力的预测因素。14
On the basis of available research and expert consensus, diagnostic CMR criteria have been proposed (Lake Louise Criteria) 16 that are also part of societal publications17, 18 and include CMR criteria for hyperemia, edema, and necrosis (Table 1). If 2 of 3 criteria are positive, the CMR scan is indicative of active myocarditis. 16 Although more research is required to assess the use of each of the parameters in various clinical settings (clinically acute versus chronic, mild versus moderate, diffuse versus regional) and the effect of the use of CMR in myocarditis on outcomes has not been prospectively studied, the current approach allows for a robust assessment of the extent of injury and dysfunction in clinically acute scenarios. Of note, the presence of necrosis or scar is a strong predictor of prognosis in patients with myocarditis. 14