心梗后心肌瘢痕的DE-MRI检测及其与室性心律失常关系的研究现状

蔡仁慧; 赵新湘

心梗后心肌瘢痕的DE-MRI检测及其与室性心律失常关系的研究现状

蔡仁慧^1,2,
赵新湘²

1. 武汉亚洲心脏病医院
2. 昆明医科大学第二附属医院放射科

基金项目:

基金：国家自然科学基金资助项目(81260213); 昆明医科大学研究生创新基金资助项目(2015S103); 云南省教育厅科学研究重点基金资助项目(2014Z057);

计量
- 文章访问数: 1714
- HTML全文浏览量: 626
- PDF下载量: 97
- 被引次数: 0
出版历程
- 收稿日期: 2016-05-20

Detection of Myocardial Scar after Myocardial Infarction by DE-MRI and Its Relationship with Ventricular Arrhythmias

Cai Ren Hui ^1,2,
Zhao Xin Xiang ²

Funds:

基金：国家自然科学基金资助项目(81260213); 昆明医科大学研究生创新基金资助项目(2015S103); 云南省教育厅科学研究重点基金资助项目(2014Z057);

摘要

摘要: MI常并发心律失常,其中室性心律失常最为常见.MRI是评价心肌存活性强有力的工具,DE-MRI检测心肌瘢痕是心肌梗死判定的“金标准”,就DE-MRI对心梗瘢痕的检测及其与心梗后室性心律的关系作一综述.
- MRI延迟增强 /
- 活性心肌 /
- 室性心律失常 /
- 心梗后心肌瘢痕
Abstract: MI is often associated with cardiac arrhythmias,and ventricular arrhythmia is the most common.MRI is a powerful tool for the assessment of myocardial viability,DE-MRI detection of myocardial scar is the“gold standard”for diagnosis myocardial infarction,Now we summarized the detection of myocardial infarction scar by DE-MRI and the relationship between myocardial infarction scar and ventricular arrhythmia.
- Delayed enhanced MRI /
- Activity of myocardial /
- Ventricular arrhythmia /
- Pathological changes after myocardial infarction

HTML全文

参考文献(29)

[1]	[1]DHARMARAJAN K,LI J,LI X,et al.The china patient-centered evaluative assessment of cardiac event(China PEACE)retrospective study of acute myocardial infarction:Study design[J].Circ Cardiovasc Qual Outcomes,2013,6(6):732-740.
[2]	[2] CSONKA C,KUPAI K,KOCSIS G F,et al.Measurement of myocardial infarct size in preclinical studies[J].J Pharmacol Toxicol Methods,2010,61(2):163-170.
[3]	[3]ALEXANDRE J,SALOUX E,DUGUE A E,et al.Scar extent evaluated by late gadolinium enhancement CMR:Apowerful predictor of long term appropriate ICD therapy in patients with coronary artery disease[J].J Cardiovasc Magn Reson,2013,15(3):12.
[4]	[4]BHATIA M.Evaluation of ischemic heart disease and viability by cardiac MRI[J].Indian Heart J,2014,66(1):143-144.
[5]	[5]HOMBACH V,MERKLE N,BERNHARD P,et al.Prognostic significance of cardiac magnetic resonance imaging:Update 2010[J].Cardiol J,2010,17(6):549-557.
[6]	[6]LIN L Y,SU M Y,CHEN J J,et al.Conductive channels identified with contrast-enhanced MR imaging predict ventricular tachycardia in systolic heart failure[J].JACC Cardiovasc Imaging,2013,6(11):1152-1159.
[7]刘东霞,王茜,许哲通.炎症反应与房颤的发生机制及治疗[J].中外医疗,2013,21(6):188-190.
[8]	[8]DEREJKO P,PODZIEMSKI P,ZEBROWSKI J J,et al.Effect of the restitution properties of cardiac tissue on the repeatability of entrainment mapping response[J].Circ Arrhythm Electrophysiol,2014,7(5):497-504.
[9]	[9]DESJARDINS B,CRAWFORD T,GOOD E,et al.Infarct architecture and characteristics on delayed enhanced magnetic resonance imaging and electroanatomic mapping in patients with postinfarction ventricular arrhythmia[J].Heart Rhythm,2009,6(5):644-651.
[10]	[10]YAMADA T,DOPPALAPUDI H,MCELDERRY H T,et al.Epicardial macroreentrant ventricular tachycardia associated with a left ventricular aneurysm[J].Pacing Clin Electrophysiol,2012,35(1):13-16.
[11]	[11]YU Y,GAO M X,GU C X.Epicardial unipolar radiofrequency ablation for left ventricular aneurysm related ventricular arrhythmia[J].J Cardiothorac Surg,2013,8(6):124.
[12]	[12]VERMA A,MARROUCHE N F,SCHWEIKERT R A,et al.Relationship between successful ablation sitesand the scar border zone definedbysubstratemappingfor ventriculartachycardiapostmyocardial infarction[J].J CardiovascElectrophysiol,2005,16(7):465-471.
[13]	[13]LI W,KNOWLTON D,VAN WINKLE D M.Infarction alters both the distribution andnoradrenergicpropertiesof cardiacsympathetic neurons[J].Am J Physiol Heart CircPhysiol,2004,286(5):2229-2236.
[14]	[14]PARK K M,NAM G B,CHOI K J,et al.Recurrent polymorphic ventricular tachycardia treated by ablation of purkinje arborization within an infarct border-zone[J].Tex Heart Inst J,2011,38(3):291-294.
[15]	[15]WAGNER A,MAHRHOLDT H,HOLLY TA et al.Contrast-enhanced mri and routine single photon emission computed tomography(spect)perfusion imaging for detection of subendocardial myocardial infarcts:An imaging study[J].Lancet,2003,361(9355):37437-37439.
[16]	[16]HETLAND M,HAUGAA K H,SARVARI S I,et al.A novel ECG-index for prediction of ventricular arrhythmias in patients after myocardial infarction[J].Ann Noninvasive Electrocardiol,2014,19(4):330-337.
[17]	[17]WU K C,GERSTENBLITH G,GUALLAR E,et al.Combined cardiac magnetic resonance imaging and c-reactive protein levels identify a cohort at low risk for defibrillator firings and death[J].Circ Cardiovasc Imaging,2012,5(2):178-186.
[18]	[18]GUPTA S,DESJARDINS B,BAMAN T,et al.Delayed-enhanced MR scar imagingand intraprocedural registration into an electroanatomical mapping system inpostinfarction patients[J].JACC Cardiovasc Imaging,2012,5(2):207-210.
[19]	[19]ROES S D,BORLEFFS C J,VAN DER GEEST R J,et al.Infarct tissue heterogeneity assessed with contrast-enhanced mri predicts spontaneous ventricular arrhythmia in patients with ischemic cardiomyopathy and implantable cardioverter-defibrillator[J].Circ Cardiovasc Imaging,2009,2(3):183-190.
[20]	[20]AMANO Y,KITAMURA M,et al.Delayde enhancement magnetic resonance imaging in hypertropic cardiomyopathy with Basal septal hypertrophy and preserved ejection fraction:Relationship with ventricular tachyarrhythmia[J].J Comput Assist Tomogr,2014,38(1):67-71.
[21]	[21]SASAKI T,MILLER C F.Impact of nonischemic scar features on local ventricular electrograms and scar-related ventricular tachycardia circuits in patients with nonischemic cardiomyopathy[J].Circ Arrhythm Electrophysiol,2013,6(6):1139-1147.
[22]	[22]MAVROGENI S,SFIKAKIS P.Edema and fibrosis imaging by cardiovascular magnetic resonance:How can the experience of cardiology be best utilized in rheumatological practice[J].Semin Arthritis Rheum,2014,23(4):211-214.
[23]	[23]CSONKA C,KUPAI K,KOCSIS G F,et al.Measurement of myocardial infarct size in preclinical studies[J].J Pharmacol Toxicol Methods,2010,61(2):163-170.
[24]	[24]WIENER I,MINDICH B,PITEHON R.Fragmented endoeardial electrical activity in patients with vontrieular tochyeardin:A new guide to surgical therapy[J].Am Heart J,1984,107(1):86-90.
[25]	[25]BOYE P,ABDEL-ATY H,ZACHARZOWSKY U,et al.Prediction of life-threatening arrhythmic events in patients with chronic myocardial infarction by contrast-enhanced cmr[J].JACC Cardiovasc Imaging,2011,4(8):871-879.
[26]	[26]ALEXANDRE J,SALOUX E,LEBON A,et al.Scar extent as a predictive factor of ventricular tachycardia cycle length after myocardial infarction:Implications for implantable cardioverter-defibrillator programming optimization[J].Europace,2014,16(2):220-226.
[27]	[27]YANG Y,CONNELLY K A,ZEIDAN-SHWIRI T,et al.Multi-contrast late enhancement CMR determined gray zone and papillary muscle involvement predict appropriate ICD therapy in patients with ischemic heart disease[J].J Cardiovasc Magn Reson,2013,15(3):57.
[28]	[28] CSONKA C,KUPAI K,KOCSIS G F,et al.Measurement of myocardial infarct size in preclinical studies[J].J Pharmacol Toxicol Methods,2010,61(2):163-170.
[29]	[29]MAVROGENI S,PETROU E,KOLOVOU G,et al.Prediction of ventricular arrhythmias using cardiovascular magnetic resonance[J].Eur Heart J Cardiovasc Imaging,2013,14(6):518-525.

相关文章(20)

[1]	尚蒙, 高晓龙, 匡晓晖, 张曦, 张进, 王礼琳. 沙库巴曲缬沙坦在植入埋藏式心律转复除颤器慢性心力衰竭患者中的应用, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20231109
[2]	李文卓, 杨莉, 夏婧. 心脉隆注射液对脓毒症心肌病的临床疗效观察, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20221221
[3]	苏勇, 龙佑玲, 王秀琼, 戴静, 李娟, 卢僖, 熊霖. 利用Lorenz RR散点图快速诊断急危重心律失常, 昆明医科大学学报.
[4]	龙琴, 方凯, 李庆, 周春美, 周咏梅. 普罗帕酮与胺碘酮治疗室上性心律失常疗效及对血气指标和心肌损伤标志物的影响, 昆明医科大学学报.
[5]	皮静虹, 陈文敏, 贾政, 那竹惠, 杨佳, 付琼芬. 瓣膜置换术后早期并发恶性心律失常致患者心脏骤停, 昆明医科大学学报.
[6]	吴剑. 前降支结扎构建滇南小耳猪心梗诱导的缺血性心肌病模型, 昆明医科大学学报.
[7]	陈剑. 急性前壁心肌梗塞猪模型左室流场变化的相关研究, 昆明医科大学学报.
[8]	陈卓. 二维斑点追踪技术评价心肌梗死患者冠脉内支架术后左室收缩同步性变化, 昆明医科大学学报.
[9]	吴剑. 急性心肌梗死并发左室室壁瘤的外科治疗, 昆明医科大学学报.
[10]	伏忠阳. 胺碘酮与普罗帕酮治疗心律失常的疗效对比分析, 昆明医科大学学报.
[11]	俸永红. 护理干预对冠心病并发心律失常患者治疗效果的影响, 昆明医科大学学报.
[12]	ShaikhRezwanhussian. 延迟增强MRI在慢性心肌梗死中的作用, 昆明医科大学学报.
[13]	尹昵. 封堵器治疗室间隔缺损并发心律失常与腔内传导参数的关系, 昆明医科大学学报.
[14]	王碧成. 双黄连与利多卡因抗乌头碱诱发大鼠心律失常的疗效对比, 昆明医科大学学报.
[15]	陈剑. 前壁心肌梗塞患者左室壁三维运动与左室流场变化相关性研究, 昆明医科大学学报.
[16]	郝应禄. 三维电标测指导下室性心律失常的射频消融治疗临床研究, 昆明医科大学学报.
[17]	鲁一兵. 继发孔型房缺封堵术前后心律失常的变化, 昆明医科大学学报.
[18]	景舒南. 急性心肌梗死直接PCI术后NT-proBNP与左室重构的变化, 昆明医科大学学报.
[19]	周友俊. 两种β受体阻滞剂对碘-131治疗Graves病伴快速心律失常的疗效观察, 昆明医科大学学报.
[20]	. 血浆脑钠肽对诊断急性心肌梗死后心衰的临床观察, 昆明医科大学学报.