心脏磁共振成像在妊娠合并心脏疾病中的应用研究进展

Research progress in application of cardiac magnetic resonance imaging in pregnant women complicated with heart diseases

  • 摘要: 心脏疾病导致怀孕的风险升高。女性妊娠期的特征是多器官、多系统的变化,诊断过程中要考虑胎儿的安全。心脏磁共振(CMR)成像具有无辐射、无创伤等优势,不仅能够很好地显示心脏结构、功能、心肌组织特征、血流、心肌瘢痕及纤维化灶,而且可以对疾病的危险分层、预后等提供依据。目前,CMR在先天性心脏病、心脏瓣膜病、冠状动脉疾病、心肌病等心血管疾病中发挥着越来越重要的作用。本研究对CMR在妊娠合并心脏疾病女性中的应用进展进行综述。

     

    Abstract: Heart diseases can increase the risk of pregnancy. The feature of pregnancy is the change of multiple organs and systems, and the safety of fetus should be considered in the process of diagnosis. Cardiac magnetic resonance (CMR) imaging has the advantages of no radiation and trauma, which can not only well display the structures and functions of the heart, the characteristics of myocardial tissue, blood flow, and myocardial scar and fibrosis, but also provide the references for the risk stratification and prognosis of the disease. At present, CMR plays a more and more important role in diagnosis of congenital heart disease, valvular heart disease, coronary artery disease, cardiomyopathy and other cardiovascular diseases. This study reviewed the progress in application of CMR in pregnant women with heart diseases.

     

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