Đa phương tiện chẩn đoán hình ảnh tim mạch không xấm lấn giúp phát hiện tình trạng xơ hóa cơ tim

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DAPHUONG TIENCHAN DOAN lÌN ANHTIM MACH KHONG
XAMLANGIUPPHAT HIEN TINH TRANG XO HOA COTIM

Ths Dung Phi Sn; PGS'S, Nguyen Tun Vi

Bs Phan Thanh Hai

TTYK Medi- cHoa Hio

Dit van de

+ Xo hao i MF) mi qu tin tic tric nh ph bien tong bia

bent) tim mach

* Gay nen hing hi qua bit oi tr i oan hyp tin, suy tm hode dott dot,

* Xorhoa co tm thing duoc phan thin 2 nom,
+ Xba tay th bio oti cht (Repraie brs)

+ Xo ha ing gin bi oot (Xa do thi bem ch.)

Leyi Zhu “Detection of myocardivaoil Where we stand” From Carhovase Med, 222; 9: 926378

=baie
Ta”

uớnmniei iii | elelupluiaggtnl

ee mì wan

————

kughhlahtudlg — Đuyllwtg
Nhtttthna

tp kh

Lyd ‘Donoric Wee slCadred 1 Fs,

Xo hoa eo tim

VAY I \ Ww \

Í V7 W4
| \ j 0 loay) Y
IS vớl| \\

Xora phye hiv xo a phn ig

Extracellar matrix Reparative/eplacement Reactive diffuse

inthe healthy heart fibrosis myocardial firosis

Colagen ber Inestium

Flitllal V D \ e
Ít
: Resident fioblast

Kabarina Schinmel ‘Cardia Fibrosis in he Pressure OverloaLedfteadnd Right Tnea Therapewi Tr From, Carina, Me, 06 May 2022

Phong phap chin dda vim in

«hit hin x ha co ti ua inh tht nb mg (EM) va ttt.

+Diahluong tang oa nim bin huong phpnut the

tic sot collagen (Collagen volume fraction - CVF),

Ty akin hong phi i in

Levi Zhu "Detection of myocardial fibrosis: Where we sland” Front Cardovase Med, 20229: 926378

Phong php chin don khing tản lt

* Xet gig sinh hoa (collagen-denved biomarker)

+ Siu dnt,

* Cong hung tim mach (CMR)

YY hoe hat han,

Leyi hu "Detection of myocardial bri: Where we sand Front Cardivase Med 2022; 9 926378

TOs WA)

LÔ

Synod HM (Type) dy ning
vach hin that day, SAM (+)

VOTO,

LVOT0 (+), LVEF= 75%, LGE mass=3 gram, LGE massLV mass=3%o


LGE, ECV, NATIVE TIMRI

GLOBAL LV TISSUE CHARACTERIZATION

CARDIAC Anylidsisis a group of iseases character by misfolded pot

AMYLOIDOSIS. Ceposton, Caria amyloidosis refers to hen amid proteins bul up inthe

tetra adit masetobcniet

Normal myocar ft |

Amyloid Hanan Uightchan

proteins misfld

mm WNOCARDIUM
Muscat fhe bear

Tronstyretinamylodois DIFFERENT TYPES Heredity amylose oma
OFTRANSTHYRETIN tt the an nshyetn gee,

+00 AMYLOIDOSIS

x lhdtype ames acura the
(TA pt ae TTR poten becoming unstable with age,

misfold

MandaArras “Comprehensive Amylodosis Program"

`...) Ca Lai
Ũ A lllu

Bénh nin nam 6 tu, dau

ng tr, kh tho va ph chi

duc,

3w (íctinytin lu
| titttigin(LVE=M),
ự day vic linnthi dần 2l,
lse | it dich ming ngos ti vi cd"\Mu\ Ự

y ) du bu “sparking sign’,

CI TW MI

Ct — HH tute

NIÊN MU Che ning tht pi

' .'..)
binhthvdng (TAPSE=16 Sun,
a Ũ
tng ip ding mach ph he

(PAPS=36mune) va ti lu

chi ington ti

git doan Ll (E'=28),

T1 Py In
MA

3D can te true dov vi 4 bung

thom: Day that td co tin
thi tht rt ocho bt thuong
Situ dn Sram * Cherry on the

topsgn!" va du bu “Apical
spain”,

+ Thi diy ning ing tin, nai ahi

(RA=SSnm, LA-39mm),

GLOBAL LV ASSESSMENT

VALUE/ HONGHT (ILUIIIA

1I#ftllN Ndi?

In a8 int

$#Illn SA niin!

in gt

1184 mm
SAXSD Stack

II
(J8

566mm

4mm
64mm

StrainI] MRI

Thi gin matt iu oti (oar nll ont nse) tude
mau(Blood null-point 40sec),

Tr dich mang ti tin dich ming ph 2

bens LGE: Seo xo ba lan at no mac rach

Vi ccunerentalhypetenhancement

Native TI=1492ms: ECV=44%

Soh tht mi bung Lindon it any

tog in ets, min dh buh
quan ph hop AL. Amoi cut a

Kappa,