Imaging-Guided Therapies for Pericardial Diseases

被引:74
作者
Chetrit, Michael [1 ,2 ]
Xu, Bo [1 ,2 ]
Kwon, Deborah H. [1 ,2 ]
Ramchand, Jay [1 ,2 ]
Rodriguez, Rene E. [2 ]
Tan, Carmela D. [2 ]
Jellis, Christine L. [1 ,2 ]
Johnston, Douglas R. [1 ,4 ]
Renapurkar, Rahul D. [1 ,3 ]
Cremer, Paul C. [1 ,2 ]
Klein, Allan L. [1 ,2 ]
机构
[1] Cleveland Clin, Dept Cardiovasc Med, Ctr Diag & Treatment Pericardial Dis, Heart & Vasc Inst, Cleveland, OH 44106 USA
[2] Cleveland Clin, Dept Cardiovasc Med, Cleveland, OH 44106 USA
[3] Cleveland Clin, Dept Thorac & Cardiovasc Surg, Cleveland, OH 44106 USA
[4] Cleveland Clin, Imaging Inst, Cleveland, OH 44106 USA
关键词
constrictive; delayed enhancement; pericarditis; treatment; CARDIOVASCULAR MAGNETIC-RESONANCE; CONSTRICTIVE PERICARDITIS; RECURRENT PERICARDITIS; DELAYED HYPERENHANCEMENT; EUROPEAN ASSOCIATION; AMERICAN SOCIETY; RISK-FACTORS; MANAGEMENT; COLCHICINE; DIAGNOSIS;
D O I
10.1016/j.jcmg.2019.08.027
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Frequently, multimodality imaging is indispensable in the care of patients with pericardial disease. With cardiac magnetic resonance imaging, pericardial inflammation can be characterized as acute, subacute, or chronic. This spectrum of inflammation is variably associated with reduced compliance of the pericardium, which may result in constrictive pathophysiology, typically well-defined with echocardiography. This interplay between inflammation and hemodynamics is often optimally characterized with multimodality imaging and has redefined the approach of pericardiologists to diagnose, prognosticate, and tailor individual therapies. (c) 2020 by the American College of Cardiology Foundation.
引用
收藏
页码:1422 / 1437
页数:16
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