缺血性卒中患者心脏磁共振检查专家共识  

Consensus of Experts on the Application of Cardiac Magnetic Resonance in Patients with Ischemic Stroke

作　　者：中国卒中学会医学影像分会 中国研究型医院学会磁共振专业委员会 云南省卒中学会 赵新湘[2] 陆敏杰 蒲军[4] 程敬亮[5] 马运婷 Medical Imaging Society of Chinese Stroke Association;Society of Magnetic Resonance,Chinese Research Hospital Association;Yunnan Stroke Association;ZHAO Xinxiang;LU Minjie;PU Jun;CHENG Jingliang(不详;Department of Radiology,The Second Affiliated Hospital of Kunming Medical University,Kunming 650101,China;Department of Magnetic Resonance,Fuwai Hospital,Chinese Academy of Medical Science,Beijing 100037,China;Department of Neurosurgery,The Second Affiliated Hospital of Kunming Medical University,Kunming 650101,China;Department of Magnetic Resonance,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]不详 [2]昆明医科大学第二附属医院放射科,昆明650101 [3]中国医学科学院阜外医院磁共振科 [4]昆明医科大学第二附属医院神经外科 [5]郑州大学第一附属医院磁共振科 [6]昆明医科大学第二附属医院

出　　处：《中国卒中杂志》2024年第10期1188-1196,共9页Chinese Journal of Stroke

基　　金：云南省科技厅重点研发计划(心脑同治)(202203AC10007);云南省科技人才与平台(202305AF150033);云南省科技厅科技计划项目(202201AY070001-097)。

摘　　要：卒中是我国居民致死、致残的首要原因,缺血性卒中(ischemic stroke,IS)约占卒中患者的70%。在IS中,心源性栓塞性卒中和来源不明的栓塞性卒中分别占20%~30%和30%~40%。心脏磁共振(cardiac magnetic resonance,CMR)检查作为一种重要的补充检查手段,不仅有助于IS病因的确认,还可以揭示IS新的发病机制。本文阐述了IS患者CMR检查的必要性、CMR检查技术的价值及在IS患者中的应用适应证,并推荐了IS患者的CMR检查流程,以便更好地为IS的病因诊断、治疗及二级预防提供帮助。Stroke is the leading cause of death and disability in Chinese residents,with ischemic stroke(IS)accounting for approximately 70%of stroke patients.In IS,cardioembolic stroke and embolic stroke of undetermined source account for 20%-30%and 30%-40%,respectively.Cardiac magnetic resonance(CMR)examination is an important adjunctive diagnostic tool,facilitating the identification of IS etiology while also revealing the novel pathogenesis.This article discussed the necessity of CMR examination in IS patients,the value of CMR examination techniques,and the indications for its application in IS patients.It also recommended the procedure of CMR examination for IS patients to provide better help for the diagnosis,treatment,and secondary prevention of IS.

关 键 词：缺血性卒中 心脏磁共振 来源不明的栓塞性卒中 隐匿性心肌病 风险分层 

分 类 号：R74[医药卫生—神经病学与精神病学]