Multimodality imaging for the diagnosis and treatment of constrictive pericarditis
| Autor: | Milind Y. Desai, Natalie Szpakowski, Michael Chetrit |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Constrictive pericarditis
medicine.medical_specialty Disease 030204 cardiovascular system & hematology Multimodal Imaging Multimodality 03 medical and health sciences 0302 clinical medicine Internal Medicine medicine Pericardium Humans 030212 general & internal medicine Prospective cohort study Subclinical infection Inflammation business.industry Pericarditis Constrictive General Medicine medicine.disease Prognosis Magnetic Resonance Imaging Natural history medicine.anatomical_structure cardiovascular system Radiology Cardiology and Cardiovascular Medicine business Cardiac magnetic resonance |
| Zdroj: | Expert review of cardiovascular therapy. 17(9) |
| ISSN: | 1744-8344 |
| Popis: | Introduction: Constrictive pericarditis can result in debilitating congestive right heart failure and has been considered an important cause of morbidity and mortality in patients with cardiovascular disease. Multimodality imaging continues to play a fundamental role in the individual approach to diagnosis, management, and prognosis of patients with this clinical syndrome. Areas covered: This article gives an overview of the clinical spectrum of constrictive pericardial diseases and the role of multimodality imaging in the diagnosis of constrictive pericarditis. There is a focus on the emerging role of cardiac magnetic resonance (CMR) for the diagnosis, management, and prognostication of patients with constrictive pericarditis based on more recent case series, retrospective and prospective studies, which have helped to define the role of CMR. Expert opinion: Advanced multimodality imaging assists with identification of both overt and subclinical pericardial inflammation. This allows the pericardiologist to recognize patients with potentially reversible disease, trial medical therapy, and thereby avoid mechanical removal of the pericardium. Further, pericardial characterization by CMR has provided novel information about the natural history of these pericardial conditions, which can help tailor therapy and improve prognosis. |
| Databáze: | OpenAIRE |
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