系统性红斑狼疮心脏受累的心脏磁共振评价进展  

Cardiac Magnetic Resonance in Evaluation of Cardiac Involvement in Systemic Lupus Erythematosus

作　　者：蒲华霞 彭礼清[1] PU Huaxia;PENG Liqing(Department of Radiology,West China Hospital,Sichuan University,Chengdu 610041,Sichuan,China)

机构地区：[1]四川大学华西医院放射科,四川成都610041

出　　处：《心血管病学进展》2021年第8期716-719,729,共5页Advances in Cardiovascular Diseases

基　　金：四川省科技厅科技重点研发项目(2021YFS0142);国家自然科学基金资助项目(81601462);四川大学华西医院学科卓越发展1·3·5工程项目(ZYGD18013)。

摘　　要：系统性红斑狼疮心脏受累可表现为心包炎、心肌炎和冠状动脉疾病等,其临床症状具有非特异性及隐匿性,是导致患者发病率和死亡率增加的重要因素。多序列心脏磁共振成像,包括新的定量序列T1 mapping和T2 mapping,可准确评价心脏功能和心肌组织特征,对系统性红斑狼疮患者心脏受累的早期识别、治疗方案制定、疗效评价及预后评估具有重要价值。现就心脏磁共振的多种序列在系统性红斑狼疮患者心脏受累评价中的应用进展进行简要综述。Cardiac involvement in systemic lupus erythematosus(SLE)can be manifested as pericarditis,myocarditis,coronary artery disease,etc.The clinical symptoms of SLE are non-specific and silent,which is an important contributor to the increased morbidity and mortality in patients.Multi-sequence cardiac magnetic resonance imaging(CMR),including T1 mapping and T2 mapping,can accurately evaluate cardiac function and myocardial tissue characteristics,which are important for SLE patients in terms of early identification of cardiac involvement,treatment strategy-making,therapeutic evaluation,and prognosis assessment.This article briefly reviewed the research progress of multi-sequences of CMR in assessing cardiac involvement in SLE patients.

关 键 词：系统性红斑狼疮 心脏磁共振 心肌 应变 纤维化 

分 类 号：R59[医药卫生—内科学]