Cardiac tamponade CT scan: Difference between revisions
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==Overview== | ==Overview== | ||
A CT scan is not commonly used for the diagnosis of cardiac tamponade as it is effectively diagnosed based on clinical features and echocardiography. | A CT scan is not commonly used for the diagnosis of cardiac tamponade as it is effectively diagnosed based on clinical features and echocardiography. Findings on CT include [Superior vena cava]] and[[Inferior vena cava]] enlargement, [[Hepatic vein|Hepatic]] and [[renal vein]] enlargment, periportal edema, reflux of contrast material, collapse of the [[right atrium]], [[Pericardial]] thickening. | ||
==CT scan== | ==CT scan== | ||
* | * CT scan provides pivotal information about the underlying cause of pericardial effusion based on attenuation measurements of collection.<ref name="urlCardiac tamponade | Radiology Reference Article | Radiopaedia.org">{{cite web |url=https://radiopaedia.org/articles/cardiac-tamponade?lang=us |title=Cardiac tamponade | Radiology Reference Article | Radiopaedia.org |format= |work= |accessdate=}}</ref><ref name="pmid29588309">{{cite journal |vauthors=Xu B, Harb SC, Klein AL |title=Utility of multimodality cardiac imaging in disorders of the pericardium |journal=Echo Res Pract |volume= |issue= |pages= |date=March 2018 |pmid=29588309 |pmc=5911773 |doi=10.1530/ERP-18-0019 |url=}}</ref><ref name="pmid27429911">{{cite journal |vauthors=Hoey ET, Shahid M, Watkin RW |title=Computed tomography and magnetic resonance imaging evaluation of pericardial disease |journal=Quant Imaging Med Surg |volume=6 |issue=3 |pages=274–84 |date=June 2016 |pmid=27429911 |pmc=4929280 |doi=10.21037/qims.2016.01.03 |url=}}</ref><ref name="pmid26839855">{{cite journal |vauthors=Baxi AJ, Restrepo C, Mumbower A, McCarthy M, Rashmi K |title=Cardiac Injuries: A Review of Multidetector Computed Tomography Findings |journal=Trauma Mon |volume=20 |issue=4 |pages=e19086 |date=November 2015 |pmid=26839855 |pmc=4727463 |doi=10.5812/traumamon.19086 |url=}}</ref><ref name="pmid30927107">{{cite journal |vauthors=Ünal E, Karcaaltincaba M, Akpinar E, Ariyurek OM |title=The imaging appearances of various pericardial disorders |journal=Insights Imaging |volume=10 |issue=1 |pages=42 |date=March 2019 |pmid=30927107 |pmc=6441059 |doi=10.1186/s13244-019-0728-4 |url=}}</ref> | ||
*[[Superior vena cava]] and[[Inferior vena cava]] enlargement | *The following are the findings on CT scan: | ||
*[[Hepatic vein|Hepatic]] and [[renal vein]] enlargment | **[[Superior vena cava]] and[[Inferior vena cava]] enlargement | ||
*Periportal edema | **[[Hepatic vein|Hepatic]] and [[renal vein]] enlargment | ||
*Reflux of contrast material | **Periportal edema | ||
*Compression of [[coronary sinus]] | **Reflux of contrast material | ||
*Angulation of [[Ventricular septum|interventricular septum]] | **Compression of [[coronary sinus]] | ||
*[[Pericardial]] thickening | **Angulation of [[Ventricular septum|interventricular septum]] | ||
*Collapse of the [[right atrium]] | **[[Pericardial]] thickening | ||
*[[Aorta|Aortic]] blood contrast level | **Collapse of the [[right atrium]] | ||
**[[Aorta|Aortic]] blood contrast level | |||
[[File:PMC4584444 JCIS-5-48-g007.png|center|thumbnail|Contrast enhanced MDCT for assesing a traumatic injury in a tamponade patient.<ref name="ShergillMaraj2015">{{cite journal|last1=Shergill|first1=Arvind K|last2=Maraj|first2=Tishan|last3=Barszczyk|first3=Mark S|last4=Cheung|first4=Helen|last5=Singh|first5=Navneet|last6=Zavodni|first6=Anna E|title=Identification of Cardiac and Aortic Injuries in Trauma with Multi-detector Computed Tomography|journal=Journal of Clinical Imaging Science|volume=5|year=2015|pages=48|issn=2156-7514|doi=10.4103/2156-7514.163992}}</ref>]] | [[File:PMC4584444 JCIS-5-48-g007.png|center|thumbnail|Contrast enhanced MDCT for assesing a traumatic injury in a tamponade patient.<ref name="ShergillMaraj2015">{{cite journal|last1=Shergill|first1=Arvind K|last2=Maraj|first2=Tishan|last3=Barszczyk|first3=Mark S|last4=Cheung|first4=Helen|last5=Singh|first5=Navneet|last6=Zavodni|first6=Anna E|title=Identification of Cardiac and Aortic Injuries in Trauma with Multi-detector Computed Tomography|journal=Journal of Clinical Imaging Science|volume=5|year=2015|pages=48|issn=2156-7514|doi=10.4103/2156-7514.163992}}</ref>]] | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Intensive care medicine]] | [[Category:Intensive care medicine]] | ||
[[Category:Chest trauma]] | [[Category:Chest trauma]] | ||
[[Category: | [[Category:Radiology]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category: | [[Category:Medicine]] | ||
Latest revision as of 18:02, 19 March 2020
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Cardiac tamponade CT scan On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ramyar Ghandriz MD[2]
Overview
A CT scan is not commonly used for the diagnosis of cardiac tamponade as it is effectively diagnosed based on clinical features and echocardiography. Findings on CT include [Superior vena cava]] andInferior vena cava enlargement, Hepatic and renal vein enlargment, periportal edema, reflux of contrast material, collapse of the right atrium, Pericardial thickening.
CT scan
- CT scan provides pivotal information about the underlying cause of pericardial effusion based on attenuation measurements of collection.[1][2][3][4][5]
- The following are the findings on CT scan:
- Superior vena cava andInferior vena cava enlargement
- Hepatic and renal vein enlargment
- Periportal edema
- Reflux of contrast material
- Compression of coronary sinus
- Angulation of interventricular septum
- Pericardial thickening
- Collapse of the right atrium
- Aortic blood contrast level
References
- ↑ "Cardiac tamponade | Radiology Reference Article | Radiopaedia.org".
- ↑ Xu B, Harb SC, Klein AL (March 2018). "Utility of multimodality cardiac imaging in disorders of the pericardium". Echo Res Pract. doi:10.1530/ERP-18-0019. PMC 5911773. PMID 29588309.
- ↑ Hoey ET, Shahid M, Watkin RW (June 2016). "Computed tomography and magnetic resonance imaging evaluation of pericardial disease". Quant Imaging Med Surg. 6 (3): 274–84. doi:10.21037/qims.2016.01.03. PMC 4929280. PMID 27429911.
- ↑ Baxi AJ, Restrepo C, Mumbower A, McCarthy M, Rashmi K (November 2015). "Cardiac Injuries: A Review of Multidetector Computed Tomography Findings". Trauma Mon. 20 (4): e19086. doi:10.5812/traumamon.19086. PMC 4727463. PMID 26839855.
- ↑ Ünal E, Karcaaltincaba M, Akpinar E, Ariyurek OM (March 2019). "The imaging appearances of various pericardial disorders". Insights Imaging. 10 (1): 42. doi:10.1186/s13244-019-0728-4. PMC 6441059. PMID 30927107.
- ↑ Shergill, Arvind K; Maraj, Tishan; Barszczyk, Mark S; Cheung, Helen; Singh, Navneet; Zavodni, Anna E (2015). "Identification of Cardiac and Aortic Injuries in Trauma with Multi-detector Computed Tomography". Journal of Clinical Imaging Science. 5: 48. doi:10.4103/2156-7514.163992. ISSN 2156-7514.