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雑誌文献

臨床検査58巻13号

2014年12月発行

文献概要

今月の特集2 とても怖い心臓病ACSの診断と治療

—画像検査②—ACS診断における冠動脈CT・心臓MRIの役割

著者: 寺島正浩1

所属機関: 1心臓画像クリニック飯田橋

ページ範囲:P.1638 - P.1645

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●冠動脈CTによる急性冠症候群(ACS)迅速診断の有用性が確立されつつある.

●心臓MRIによりACS患者の心筋虚血を正確に診断することが可能である.

●心臓MRIは心筋生存性評価,心筋梗塞サイズ,リスク領域の判定が可能である.

●冠動脈CT,心臓MRIは,虚血性心疾患の診断に今後もさらに重要な役割を果たすことが期待される.

参考文献

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8)Kim RJ, Wu E, Rafael A, et al:The use of contrast-enhanced magnetic resonance imaging to identify reversible myocardial dysfunction. N Engl J Med 343:1445-1453,2000
9)Gerber BL, Garot J, Bluemke DA, et al:Accuracy of contrast-enhanced magnetic resonance imaging in predicting improvement of regional myocardial function in patients after acute myocardial infarction. Circulation 106:1083-1089,2002
10)Cury RC, Shash K, Nagurney JT, et al:Cardiac magnetic resonance with T2-weighted imaging improves detection of patients with acute coronary syndrome in the emergency department. Circulation 118:837-844,2008
11)Wagner A, Mahrholdt H, Holly TA, et al:Contrast-enhanced MRI and routine single photon emission computed tomography (SPECT) perfusion imaging for detection of subendocardial myocardial infarcts: an imaging study. Lancet 361:374-379,2003
12)El Aidi H, Adams A, Moons KG, et al:Cardiac magnetic resonance imaging findings and the risk of cardiovascular events in patients with recent myocardial infarction or suspected or known coronary artery disease: a systematic review of prognostic studies. J Am Coll Cardiol 63:1031-1045,2014

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1367

印刷版ISSN:0485-1420

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