Application of cardiac MRI in microvascular obstruction and myocardial hemorrhage after myocardial infarction
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摘要: 微血管阻塞或无复流现象是急性心肌梗死行冠状动脉再灌注治疗中常见的并发症。这种现象是不良预后的征象,亦是导致不良左心室重构的原因。尽管微血管病变可以通过心电图、心肌声学造影、核素扫描及冠状动脉造影等检查,但远没有心脏磁共振有效、全面。微血管病变的评估已经成为了心肌梗死行再灌注治疗后效果评价及指导药物治疗的重要辅助手段。本文就微血管的病理生理,心脏磁共振用于该病变的诊断、临床意义及将来发展方向作一综述。Abstract: Microvascular obstruction and no reflow phenomenon are the common complications in coronary reperfusion after acute myocardial infarction.They induce left ventricular remodeling and indicate the adverse prognosis.Microvascular lesions are assessed by cardiac magnetic resonance imaging comprehensively.In this review,we demonstrate the diagnosis,clinical significance and progress of cardiac magnetic resonance imaging application in coronary microvascular diseases post myocardial infarction.
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