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2018 ; 5
(ä): 26
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English Wikipedia
Cardiovascular Imaging Techniques in Systemic Rheumatic Diseases
#MMPMID29497612
Atzeni F
; Corda M
; Gianturco L
; Porcu M
; Sarzi-Puttini P
; Turiel M
Front Med (Lausanne)
2018[]; 5
(ä): 26
PMID29497612
show ga
The risk of cardiovascular (CV) events and mortality is significantly higher in
patients with systemic rheumatic diseases than in the general population.
Although CV involvement in such patients is highly heterogeneous and may affect
various structures of the heart, it can now be diagnosed earlier and promptly
treated. Various types of assessments are employed for the evaluation of CV risk
such as transthoracic or transesophageal echocardiography, magnetic resonance
imaging (MRI), and computed tomography (CT) to investigate valve abnormalities,
pericardial disease, and ventricular wall motion defects. The diameter of
coronary arteries can be assessed using invasive quantitative coronarography or
intravascular ultrasound, and coronary flow reserve can be assessed using
non-invasive transesophageal or transthoracic ultrasonography (US), MRI, CT, or
positron emission tomography (PET) after endothelium-dependent vasodilation.
Finally, peripheral circulation can be measured invasively using strain-gauge
plethysmography in an arm after the arterial infusion of an endothelium-dependent
vasodilator or non-invasively by means of US or MRI measurements of flow-mediated
vasodilation of the brachial artery. All of the above are reliable methods of
investigating CV involvement, but more recently, introduced use of speckle
tracking echocardiography and 3-dimensional US are diagnostically more accurate.