何贵新, 玉黎燕, 秦伟彬, 肖婷, 申永艳, 郑国坤, 冯雨菲. 心脏磁共振对冠脉微循环功能障碍的临床评估[J]. 心脏杂志, 2020, 32(4): 429-433. DOI: 10.12125/j.chj.202004097
    引用本文: 何贵新, 玉黎燕, 秦伟彬, 肖婷, 申永艳, 郑国坤, 冯雨菲. 心脏磁共振对冠脉微循环功能障碍的临床评估[J]. 心脏杂志, 2020, 32(4): 429-433. DOI: 10.12125/j.chj.202004097
    Gui-xin HE, Li-yan YU, Wei-bin QIN, Ting XIAO, Yong-yan SHEN, Guo-kun ZHENG, Yu-fei FENG. Clinical evaluation of cardiac magnetic resonance for coronary microcirculation dysfunction[J]. Chinese Heart Journal, 2020, 32(4): 429-433. DOI: 10.12125/j.chj.202004097
    Citation: Gui-xin HE, Li-yan YU, Wei-bin QIN, Ting XIAO, Yong-yan SHEN, Guo-kun ZHENG, Yu-fei FENG. Clinical evaluation of cardiac magnetic resonance for coronary microcirculation dysfunction[J]. Chinese Heart Journal, 2020, 32(4): 429-433. DOI: 10.12125/j.chj.202004097

    心脏磁共振对冠脉微循环功能障碍的临床评估

    Clinical evaluation of cardiac magnetic resonance for coronary microcirculation dysfunction

    • 摘要: 心肌梗死严重威胁人民生命健康,经皮冠状动脉介入(PCI)治疗是当前重建冠脉血管,恢复心肌再灌注的重要手段之一,但在临床上有部分患者会出现微血管功能障碍或阻塞,导致冠脉血供异常而出现再灌注后冠脉无复流或慢血流现象。近年来心血管磁共振对冠脉微血管病变的准确评估及防治对改善临床预后的独特优势得到显现和重视,其评估心脏结构和功能的安全性、灵活性和准确性得到临床肯定。本文阐述心脏磁共振(CMR)在PCI术后微血管病变的临床评估和应用价值,以期探讨冠脉微循环障碍的精准化治疗前景。

       

      Abstract: Myocardial infarction is a serious threat to people’s lives and health. Currently, percutaneous coronary intervention (PCI) is one of the important means to rebuild coronary blood vessels and restore myocardial reperfusion, but clinically some patients have microvascular dysfunction or obstruction. Their blood supply is abnormal and there is no reflow or slow blood flow in the coronary artery after reperfusion. In recent years, the unique advantages of accurate assessment and prevention of coronary microvascular disease by cardiac magnetic resonance (CMR) in improving clinical prognosis have been shown and valued, and its safety, flexibility and accuracy of cardiac structure and function assessment have been clinically affirmed. This article describes the clinical evaluation and application value of CMR in microvascular lesions after PCI, with a view to exploring the prospect of precise treatment of coronary microcirculation disorders.

       

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