心脏淀粉样变性:当前多模态成像诊断策略。

Kenji Fukushima, Shintaro Nakano, Ichiro Matsunari
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引用次数: 0

摘要

淀粉样变性是一种异常的淀粉样蛋白沉积在身体器官,导致器官功能障碍和死亡的全身性疾病。心脏淀粉样蛋白沉积,引起一种限制性心肌病,并与死亡风险增加有关。大多数心脏淀粉样变病例为轻链型或转甲状腺素型。早期准确诊断心脏淀粉样变可改善预后。然而,当遇到可疑的候选者时,诊断需要系统的方法,包括心电图和生物标志物。通过多模态无创成像诊断已经进行了大量的研究,并建立了从亚型区分。淀粉样变治疗的最新进展提供了治疗监测和预后。
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Cardiac Amyloidosis: Current Diagnostic Strategies Using Multimodality Imaging.

Amyloidosis is a systemic disorder in which abnormal amyloid proteins deposit in body organs, leading to organ dysfunction and death. Cardiac amyloid deposition, causing a sort of restrictive cardiomyopathy and associated with increased risk of mortality. Most cases of cardiac amyloidosis are of either light chain or transthyretin type. Early and accurate diagnosis of cardiac amyloidosis may improve outcomes. However, diagnosis requires systematic approach including electrocardiography and biomarkers when encountered suspicious candidate. Diagnosis by multimodality noninvasive imaging have been substantially studied and established for differentiation from subtypes. Recent advance in the treatment of amyloidosis offers therapeutic monitoring and prognosis.

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