心血管病学进展
心血管病學進展
심혈관병학진전
ADVANCES IN CARDIOVASCULAR DISEASES
2015年
3期
250-254
,共5页
段雪飞(综述)%曾智(审校)
段雪飛(綜述)%曾智(審校)
단설비(종술)%증지(심교)
糖尿病性心肌病%病理%心肌纤维化%影像检查%磁共振%超声心动图
糖尿病性心肌病%病理%心肌纖維化%影像檢查%磁共振%超聲心動圖
당뇨병성심기병%병리%심기섬유화%영상검사%자공진%초성심동도
diabetic cardiomyopathy%pathophysiology%myocardial fibrosis%non-invasive imaging%echocardiography%magnetic reso-nance imaging
糖尿病是一种累及全身多器官的慢性疾病，对心血管系统的影响尤为明显。细胞氧化损伤、脂代谢障碍以及细胞外基质沉积等病理改变均参与在糖尿病导致心肌改变过程中，其中心肌及大血管的纤维化为糖尿病性心肌病的普遍表现，也是最终导致心力衰竭的主要原因。目前对糖尿病性心肌病影像学诊断主要依靠超声心电图及磁共振技术。现就疾病病理改变及各影像学检查的发展加以综述。
糖尿病是一種纍及全身多器官的慢性疾病，對心血管繫統的影響尤為明顯。細胞氧化損傷、脂代謝障礙以及細胞外基質沉積等病理改變均參與在糖尿病導緻心肌改變過程中，其中心肌及大血管的纖維化為糖尿病性心肌病的普遍錶現，也是最終導緻心力衰竭的主要原因。目前對糖尿病性心肌病影像學診斷主要依靠超聲心電圖及磁共振技術。現就疾病病理改變及各影像學檢查的髮展加以綜述。
당뇨병시일충루급전신다기관적만성질병，대심혈관계통적영향우위명현。세포양화손상、지대사장애이급세포외기질침적등병리개변균삼여재당뇨병도치심기개변과정중，기중심기급대혈관적섬유화위당뇨병성심기병적보편표현，야시최종도치심력쇠갈적주요원인。목전대당뇨병성심기병영상학진단주요의고초성심전도급자공진기술。현취질병병리개변급각영상학검사적발전가이종술。
Diabetes mellitus is a multi-organ disease that is associated with a significant increase in cardiovascular risk.Lipid and glucose metabolic disorders, oxidative stress and myocardial fibrosis are all involved in the pathological process of diabetic cardiomyopathy.In recent years, with the development of image technology, non-invasive imaging techniques such as echocardiography and magnetic reso-nance imaging have been applied extensively in diabetic cardiomyopathy examinations and allow a better measurement of myocardial fibrosis in vivo.This review focuses on the development of non-invasive evaluation methods of diabetic cardiomyopathy, and briefly summarizes rele-vant literature on these imaging modalities.
