心脏磁共振评估肥厚型心肌病微循环障碍的研究进展  

Research Progress of Cardiac Magnetic Resonance in Evaluating Microvascular Dysfunction of Hypertrophic Cardiomyopathy

作　　者：陈梓娴[1] 张莉[2] 南江 庄辛[1] 郭顺林[1] 雷军强[1] CHEN Zixian;ZHANG Li;NAN Jiang;ZHUANG Xin;GUO Shunlin;LEI Junqiang(Department of Radiology,the First Hospital of Lanzhou University,Gansu Intelligent Imaging Medical Engineering Research Center,Precision Image Collaborative Innovation Gansu International Science and Technology Cooperation Base,Gansu Radiology Clinical Medicine Research Center,Lanzhou 730000,China;不详)

机构地区：[1]兰州大学第一医院放射科,甘肃省智能影像医学工程研究中心,精准影像协同创新甘肃省国际科技合作基地,甘肃省放射影像医学临床医学研究中心,甘肃兰州730000 [2]西安交通大学第二附属医院医学影像科,陕西西安710000

出　　处：《中国医学影像学杂志》2023年第2期180-184,共5页Chinese Journal of Medical Imaging

基　　金：兰州市科技计划项目(2020-2D-80);兰州大学第一医院院内基金(ldyyyn2019-78,ldyyyn2015-06)。

摘　　要：冠状动脉微血管功能障碍(CMD)是肥厚型心肌病患者心肌缺血的主要原因。CMD是发生左心室不良重构、收缩功能障碍和恶性心律失常的预测因子,因此准确评估CMD对肥厚型心肌病的危险分层、治疗决策制订及预后评估具有重要意义。心脏磁共振在CMD诊断中具有重要作用。本文拟对心脏磁共振评估肥厚型心肌病微循环障碍的研究进展进行综述。Coronary microvascular dysfunction(CMD)is the main cause of myocardial ischemia in patients with hypertrophic cardiomyopathy.CMD is a predictor of left ventricular remodeling,systolic dysfunction and malignant arrhythmia.Therefore,accurate assessment of CMD is of great significance for risk stratification,therapeutic decision-making and prognosis assessment of hypertrophic cardiomyopathy.Cardiac magnetic resonance plays an important role in the diagnosis of CMD.This paper reviews the progress of cardiac magnetic resonance in the evaluation of CMD in hypertrophic cardiomyopathy.

关 键 词：肥厚型心肌病 冠状动脉微血管功能障碍 磁共振成像 综述 

分 类 号：R542.2[医药卫生—心血管疾病] R445.2[医药卫生—内科学]