PMID- 25772526
OWN - NLM
STAT- MEDLINE
DCOM- 20151110
LR  - 20181113
IS  - 1534-3170 (Electronic)
IS  - 1523-3782 (Linking)
VI  - 17
IP  - 4
DP  - 2015
TI  - Multimodality imaging of pericardial disease.
PG  - 24
LID - 10.1007/s11886-015-0577-9 [doi]
AB  - The emergence of multimodality imaging of pericardial diseases has improved 
      diagnosis and management. In acute pericarditis, echocardiography is the 
      first-line test, but cardiac magnetic resonance (CMR) may be beneficial in 
      patients who fail to respond to therapy. An increased T2 short-tau inversion 
      recovery time (STIR) suggests pericardial edema, and increased late gadolinium 
      enhancement (LGE) suggests organizing pericarditis. Computed tomography (CT) can 
      be helpful in procedural planning, either to guide percutaneous drainage of an 
      effusion or to assess calcification and the location of vascular structures 
      before pericardiectomy. On echocardiography, a respiratory septal shift in 
      combination with either a preserved medial e' velocity or prominent expiratory 
      diastolic hepatic vein flow reversal performs well in diagnosing constrictive 
      pericarditis. These patients also have decreased regional longitudinal strain in 
      the anterolateral and right ventricular free walls, presumably related to 
      pericardial to myocardial tethering. Finally, prominent LGE may identify patients 
      with constrictive pericarditis who improve with anti-inflammatory therapy.
FAU - Cremer, Paul C
AU  - Cremer PC
AD  - Department of Cardiovascular Medicine, Heart & Vascular Institute, Cleveland 
      Clinic, 9500 Euclid Avenue, Desk J1-5, Cleveland, OH, 44195, USA.
FAU - Kwon, Deborah H
AU  - Kwon DH
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Curr Cardiol Rep
JT  - Current cardiology reports
JID - 100888969
SB  - IM
MH  - Cardiac Imaging Techniques/*methods
MH  - Cardiac Tamponade/*diagnostic imaging
MH  - Humans
MH  - Multimodal Imaging/*methods
MH  - Pericarditis/*diagnostic imaging
MH  - Ultrasonography
EDAT- 2015/03/17 06:00
MHDA- 2015/11/11 06:00
CRDT- 2015/03/17 06:00
PHST- 2015/03/17 06:00 [entrez]
PHST- 2015/03/17 06:00 [pubmed]
PHST- 2015/11/11 06:00 [medline]
AID - 10.1007/s11886-015-0577-9 [doi]
PST - ppublish
SO  - Curr Cardiol Rep. 2015;17(4):24. doi: 10.1007/s11886-015-0577-9.