Cardiac Imaging in Carcinoid Heart Disease
| Autor: | Johannes Bergsten, Kjell Öberg, Frank A. Flachskampf, Lennart Lundin, Jens Nørkær Sørensen, Tomasz Baron, Anders Albåge |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Heart disease Carcinoid Heart Disease Disease 030204 cardiovascular system & hematology Neuroendocrine tumors 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Predictive Value of Tests Internal medicine Medicine Humans Radiology Nuclear Medicine and imaging Cardiac imaging business.industry valvular heart disease medicine.disease Prognosis Pathophysiology Echocardiography Cardiology Cardiology and Cardiovascular Medicine business Valve disease |
| Zdroj: | JACC. Cardiovascular imaging. 14(11) |
| ISSN: | 1876-7591 |
| Popis: | Carcinoid disease is caused by neuroendocrine tumors, most often located in the gut, and leads in approximately 20% of cases to specific, severe heart disease, most prominently affecting right-sided valves. If cardiac disease occurs, it determines the patient's prognosis more than local growth of the tumor. Surgical treatment of carcinoid-induced valve disease has been found to improve survival in observational studies. Cardiac imaging is crucial for both diagnosis and management of carcinoid heart disease; in the past, imaging was accomplished largely by echocardiography, but more recently, imaging for carcinoid heart disease has increasingly become multimodal and warrants awareness of the particular diagnostic challenges of this disease. This paper reviews the pathophysiology and manifestations of carcinoid heart disease in light of the different imaging modalities. |
| Databáze: | OpenAIRE |
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