PMID- 29270320 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2090-1941 (Print) IS - 2090-195X (Electronic) IS - 2090-195X (Linking) VI - 2017 DP - 2017 TI - Restrictive Cardiomyopathies: The Importance of Noninvasive Cardiac Imaging Modalities in Diagnosis and Treatment-A Systematic Review. PG - 2874902 LID - 10.1155/2017/2874902 [doi] LID - 2874902 AB - Restrictive cardiomyopathy (RCM) is the least common among cardiomyopathies. It can be idiopathic, familial, or secondary to systematic disorders. Marked increase in left and/or right ventricular filling pressures causes symptoms and signs of congestive heart failure. Electrocardiographic findings are nonspecific and include atrioventricular conduction and QRS complex abnormalities and supraventricular and ventricular arrhythmias. Echocardiography and cardiac magnetic resonance (CMR) play a major role in diagnosis. Echocardiography reveals normal or hypertrophied ventricles, preserved systolic function, marked biatrial enlargement, and impaired diastolic function, often with restrictive filling pattern. CMR offering a higher spatial resolution than echocardiography can provide detailed information about anatomic structures, perfusion, ventricular function, and tissue characterization. CMR with late gadolinium enhancement (LGE) and novel approaches (myocardial mapping) can direct the diagnosis to specific subtypes of RCM, depending on the pattern of scar formation. When noninvasive studies have failed, endomyocardial biopsy is required. Differentiation between RCM and constrictive pericarditis (CP), nowadays by echocardiography, is important since both present as heart failure with normal-sized ventricles and preserved ejection fraction but CP can be treated by means of anti-inflammatory and surgical treatment, while the treatment options of RCM are dictated by the underlying condition. Prognosis is generally poor despite optimal medical treatment. FAU - Rammos, Aidonis AU - Rammos A AUID- ORCID: 0000-0002-3578-1009 AD - Department of Cardiology, Chatzikosta General Hospital, Ioannina, Greece. FAU - Meladinis, Vasileios AU - Meladinis V AD - Department of Cardiology, Chatzikosta General Hospital, Ioannina, Greece. FAU - Vovas, Georgios AU - Vovas G AD - Department of Cardiology, Agrinio General Hospital, Agrinio, Greece. FAU - Patsouras, Dimitrios AU - Patsouras D AD - Department of Cardiology, Chatzikosta General Hospital, Ioannina, Greece. LA - eng PT - Journal Article PT - Review DEP - 20171115 PL - Egypt TA - Radiol Res Pract JT - Radiology research and practice JID - 101566860 PMC - PMC5705874 EDAT- 2017/12/23 06:00 MHDA- 2017/12/23 06:01 PMCR- 2017/11/15 CRDT- 2017/12/23 06:00 PHST- 2017/08/14 00:00 [received] PHST- 2017/11/02 00:00 [accepted] PHST- 2017/12/23 06:00 [entrez] PHST- 2017/12/23 06:00 [pubmed] PHST- 2017/12/23 06:01 [medline] PHST- 2017/11/15 00:00 [pmc-release] AID - 10.1155/2017/2874902 [doi] PST - ppublish SO - Radiol Res Pract. 2017;2017:2874902. doi: 10.1155/2017/2874902. Epub 2017 Nov 15.