Constrictive pericarditis MRI: Difference between revisions
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{{ | __NOTOC__ | ||
{{CMG}}; '''Associate Editor-In-Chief:''' Atif Mohammad, M.D. | {{Constrictive pericarditis}} | ||
{{CMG}}; '''Associate Editor-In-Chief:''' Atif Mohammad, M.D., {{Hudakarman}} | |||
==Overview== | |||
[[MRI]] has been included in the multi-modality imaging guidelines for the diagnosis of constrictive pericarditis. It is of great value when [[echocardiography]] is non diagnostic of constrictive pericarditis and the suspicion remains high. MRI delineates two essential components of the evaluation: pericardial anatomy and functional imaging demonstrating ventricular interdependence. It also can be used to rule out [[restrictive cardiomyopathy]]. [[MRI]] is especially useful with the use of late gadolinium enhancement as it identifies pericardial [[inflammation]] when suspected in the context of a short duration of symptoms and elevated inflammatory markers. | |||
==MRI== | ==MRI== | ||
[[ | Shown below is a video demonstrating MR findings of constrictive pericarditis where, in mid-diastole, the thickened [[pericardium]] begins to restrict right ventricular filling, causing a rapid increase in ventricular pressure<ref name="pmid7664509">{{cite journal| author=Fowler NO| title=Constrictive pericarditis: its history and current status. | journal=Clin Cardiol | year= 1995 | volume= 18 | issue= 6 | pages= 341-50 | pmid=7664509 | doi=10.1002/clc.4960180610 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7664509 }}</ref> <ref name="pmid1732952">{{cite journal| author=Masui T, Finck S, Higgins CB| title=Constrictive pericarditis and restrictive cardiomyopathy: evaluation with MR imaging. | journal=Radiology | year= 1992 | volume= 182 | issue= 2 | pages= 369-73 | pmid=1732952 | doi=10.1148/radiology.182.2.1732952 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1732952 }}</ref> <ref name="pmid10428666">{{cite journal| author=Kojima S, Yamada N, Goto Y| title=Diagnosis of constrictive pericarditis by tagged cine magnetic resonance imaging. | journal=N Engl J Med | year= 1999 | volume= 341 | issue= 5 | pages= 373-4 | pmid=10428666 | doi=10.1056/NEJM199907293410515 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10428666 }}</ref>. Early changes of septal flattening and bowing of the [[interventricular septum]] toward the [[left ventricle]] (normally concave in shape toward the left ventricle during diastolic filling) are seen. This pressure change results in [[diastolr|diastolic]] septal dysfunction, the septal bounce described in [[echocardiography]]. | ||
{{#ev:youtube|PED4t1Z9sVI}} | |||
== References == | == References == | ||
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{{Circulatory system pathology}} | {{Circulatory system pathology}} | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Emergency medicine]] | |||
[[Category:Intensive care medicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Up-To-Date cardiology]] | |||
[[Category:Needs overview]] | |||
Latest revision as of 18:30, 27 December 2019
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Constrictive Pericarditis Microchapters |
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Differentiating Constrictive Pericarditis from other Diseases |
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Treatment |
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Case Studies |
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Constrictive pericarditis MRI On the Web |
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American Roentgen Ray Society Images of Constrictive pericarditis MRI |
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Risk calculators and risk factors for Constrictive pericarditis MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Atif Mohammad, M.D., Huda A. Karman, M.D.
Overview
MRI has been included in the multi-modality imaging guidelines for the diagnosis of constrictive pericarditis. It is of great value when echocardiography is non diagnostic of constrictive pericarditis and the suspicion remains high. MRI delineates two essential components of the evaluation: pericardial anatomy and functional imaging demonstrating ventricular interdependence. It also can be used to rule out restrictive cardiomyopathy. MRI is especially useful with the use of late gadolinium enhancement as it identifies pericardial inflammation when suspected in the context of a short duration of symptoms and elevated inflammatory markers.
MRI
Shown below is a video demonstrating MR findings of constrictive pericarditis where, in mid-diastole, the thickened pericardium begins to restrict right ventricular filling, causing a rapid increase in ventricular pressure[1] [2] [3]. Early changes of septal flattening and bowing of the interventricular septum toward the left ventricle (normally concave in shape toward the left ventricle during diastolic filling) are seen. This pressure change results in diastolic septal dysfunction, the septal bounce described in echocardiography.
{{#ev:youtube|PED4t1Z9sVI}}
References
- ↑ Fowler NO (1995). "Constrictive pericarditis: its history and current status". Clin Cardiol. 18 (6): 341–50. doi:10.1002/clc.4960180610. PMID 7664509.
- ↑ Masui T, Finck S, Higgins CB (1992). "Constrictive pericarditis and restrictive cardiomyopathy: evaluation with MR imaging". Radiology. 182 (2): 369–73. doi:10.1148/radiology.182.2.1732952. PMID 1732952.
- ↑ Kojima S, Yamada N, Goto Y (1999). "Diagnosis of constrictive pericarditis by tagged cine magnetic resonance imaging". N Engl J Med. 341 (5): 373–4. doi:10.1056/NEJM199907293410515. PMID 10428666.