Dilated cardiomyopathy

U. Tayal, S. Prasad, T. Germans, A. V. van Rossum
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Abstract

Dilated cardiomyopathy (DCM) is characterized by enlargement of the heart with associated reduced left ventricular function. From an imaging perspective, important requirements are to exclude other pathologies, assess disease severity, guide therapeutic management, and identify complications. Establishing the imaging diagnosis of DCM is key to guiding the management of DCM. In this chapter we discuss how to use imaging to make an accurate diagnosis of DCM, and review how to exclude coronary artery disease (CAD) and valvular disease as these are two important differentials with differing management strategies. We then review the diagnostic and prognostic capabilities of echocardiography, cardiovascular magnetic resonance imaging (CMR) and nuclear techniques including single-photon emission computed tomography (SPECT) and positron emission tomography (PET) in DCM, with a focus on where imaging can identify particular causes of DCM.
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扩张型心肌病
扩张型心肌病(DCM)的特征是心脏增大并伴有左心室功能降低。从影像学角度来看,重要的要求是排除其他病理,评估疾病严重程度,指导治疗管理,识别并发症。建立DCM的影像学诊断是指导DCM治疗的关键。在本章中,我们讨论了如何使用影像学来准确诊断DCM,并回顾了如何排除冠状动脉疾病(CAD)和瓣膜疾病,因为这是两个重要的区别,不同的治疗策略。然后,我们回顾了超声心动图、心血管磁共振成像(CMR)和包括单光子发射计算机断层扫描(SPECT)和正电子发射断层扫描(PET)在内的核技术在DCM中的诊断和预后能力,重点是成像可以识别DCM的特定原因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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