دورية أكاديمية
أعرض في EDS

Cardiovascular magnetic resonance patterns of biopsy proven cardiac involvement in systemic sclerosis.

التفاصيل البيبلوغرافية
العنوان: Cardiovascular magnetic resonance patterns of biopsy proven cardiac involvement in systemic sclerosis.
المؤلفون: Krumm P; Department of Radiology, Diagnostic and Interventional Radiology, University of Tübingen, Hoppe-Seyler-Str. 3, Tübingen, 72076, Germany. patrick.krumm@uni-tuebingen.de., Mueller KA; Department of Internal Medicine III, Cardiology and Cardiovascular Medicine, University of Tübingen, Tübingen, Germany., Klingel K; Department of Pathology and Neuropathology, Molecular Pathology, University of Tübingen, Tübingen, Germany., Kramer U; Department of Radiology, Diagnostic and Interventional Radiology, University of Tübingen, Hoppe-Seyler-Str. 3, Tübingen, 72076, Germany., Horger MS; Department of Radiology, Diagnostic and Interventional Radiology, University of Tübingen, Hoppe-Seyler-Str. 3, Tübingen, 72076, Germany., Zitzelsberger T; Department of Radiology, Diagnostic and Interventional Radiology, University of Tübingen, Hoppe-Seyler-Str. 3, Tübingen, 72076, Germany., Kandolf R; Department of Pathology and Neuropathology, Molecular Pathology, University of Tübingen, Tübingen, Germany., Gawaz M; Department of Internal Medicine III, Cardiology and Cardiovascular Medicine, University of Tübingen, Tübingen, Germany., Nikolaou K; Department of Radiology, Diagnostic and Interventional Radiology, University of Tübingen, Hoppe-Seyler-Str. 3, Tübingen, 72076, Germany., Klumpp BD; Department of Radiology, Diagnostic and Interventional Radiology, University of Tübingen, Hoppe-Seyler-Str. 3, Tübingen, 72076, Germany., Henes JC; Department of Internal Medicine II, Rheumatology, University of Tübingen, Tübingen, Germany.
المصدر: Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance [J Cardiovasc Magn Reson] 2016 Oct 21; Vol. 18 (1), pp. 70. Date of Electronic Publication: 2016 Oct 21.
نوع المنشور: Journal Article; Video-Audio Media
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: England NLM ID: 9815616 Publication Model: Electronic Cited Medium: Internet ISSN: 1532-429X (Electronic) Linking ISSN: 10976647 NLM ISO Abbreviation: J Cardiovasc Magn Reson Subsets: MEDLINE
أسماء مطبوعة: Publication: 2024- : London : Elsevier
Original Publication: New York : M. Dekker, Inc., c1998-
مواضيع طبية MeSH: Magnetic Resonance Imaging, Cine*, Cardiomyopathies/*diagnostic imaging , Myocardium/*pathology , Scleroderma, Systemic/*complications, Adult ; Biopsy ; Cardiomyopathies/pathology ; Cardiomyopathies/physiopathology ; Contrast Media/administration & dosage ; Female ; Humans ; Male ; Middle Aged ; Myocardial Contraction ; Organometallic Compounds/administration & dosage ; Pericardial Effusion/diagnostic imaging ; Pericardial Effusion/pathology ; Pericardial Effusion/physiopathology ; Predictive Value of Tests ; Retrospective Studies ; Scleroderma, Systemic/diagnosis ; Stroke Volume ; Ventricular Dysfunction, Left/diagnostic imaging ; Ventricular Dysfunction, Left/pathology ; Ventricular Dysfunction, Left/physiopathology ; Ventricular Dysfunction, Right/diagnostic imaging ; Ventricular Dysfunction, Right/pathology ; Ventricular Dysfunction, Right/physiopathology ; Ventricular Function, Left ; Ventricular Function, Right
مستخلص: Background: To determine morphological and functional cardiovascular magnetic resonance (CMR) patterns in histopathologically confirmed myocardial involvement in patients with systemic sclerosis (SSc).
Methods: Twenty patients (6 females; mean age 41 ± 11 years) with histopathologically proven cardiac involvement in SSc in the years 2008-2016 were retrospectively evaluated. Morphological, functional and late gadolinium enhancement (LGE) images were acquired in standard angulations at 1.5 T CMR. Pathologies were categorized: 1) Pericardial effusion; 2) pathologic left (LV) or right ventricular (RV) contractility (hypokinesia, dyssynchrony, and diastolic restriction); 3) reduced left (LV-EF) and right ventricular ejection fraction (RV-EF); 4) fibrosis and/or inflammation (positive LGE); 5) RV dilatation. 95 % confidence intervals (CI) were calculated for appearance of pathologic EF and RV dilatation.
Results: Seven patients (35 %) had positive CMR findings in three categories, 9 patients (45 %) in four categories and 4 patients (20 %) in five categories. The distribution of pathologic findings was: minimal pericardial effusion in 7 patients (35 %), moderate pericardial effusion >5 mm in nine patients (45 %); abnormal LV or RV contractility in 19 patients (95 %), reduced LV or RV function in 14 patients (70 %; 95 % CI: 51-88 %), pathologic LGE in all patients, RV dilatation in 6 patients (30 %; 95 % CI: 15-54 %).
Conclusions: CMR diagnosis of myocardial involvement in SSc requires increased attention to subtle findings. Pathologic findings in at least three of five categories indicate myocardial involvement in SSc.
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فهرسة مساهمة: Keywords: Cardiomyopathy; Cardiovascular magnetic resonance; Rheumatic heart disease; Systemic sclerosis
المشرفين على المادة: 0 (Contrast Media)
0 (Organometallic Compounds)
1BJ477IO2L (gadobutrol)
تواريخ الأحداث: Date Created: 20161022 Date Completed: 20171212 Latest Revision: 20240117
رمز التحديث: 20240117
مُعرف محوري في PubMed: PMC5073418
DOI: 10.1186/s12968-016-0289-3
PMID: 27765061
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-429X
DOI:10.1186/s12968-016-0289-3