Cardiac tamponade MRI
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Priyamvada Singh, M.D. [2] Ramyar Ghandriz MD[3]
Overview
Cardiovascular MRI is not commonly used for the diagnosis of cardiac tamponade as it is effectively diagnosed based on clinical features and echocardiography.
MRI
- MRI has a limited role in the setting of cardiac tamponade due to the emergent and life-threatening nature of the disease.[1][2][3][4][5][6]
- Cardiac tamponade is characterized by the diastolic collapse the right-sided chambers and sometimes the left-sided chambers on cine images.
Findings
- Pericardial effusion
- Distension of the vena cavae and hepatic veins
- Collapse of the right sided cardiac chambers
- Interventricular septum shifts towards the left (paradoxical septal motion)
References
- ↑ Restrepo, C. Santiago; Lemos, Diego F.; Lemos, Julio A.; Velasquez, Enrique; Diethelm, Lisa; Ovella, Ty A.; Martinez, Santiago; Carrillo, Jorge; Moncada, Rogelio; Klein, Jeffrey S. (2007). "Imaging Findings in Cardiac Tamponade with Emphasis on CT". RadioGraphics. 27 (6): 1595–1610. doi:10.1148/rg.276065002. ISSN 0271-5333.
- ↑ Aldweib N, Farah V, Biederman R (2018). "Clinical Utility of Cardiac Magnetic Resonance Imaging in Pericardial Diseases". Curr Cardiol Rev. 14 (3): 200–212. doi:10.2174/1573403X14666180619104515. PMC 6131401. PMID 29921208. Vancouver style error: initials (help)
- ↑ 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.
- ↑ Kaneda K, Yamamura H, Yamamoto T, Matsumoto K, Ehara S, Mizobata Y (January 2016). "Efficacy of cardiac magnetic resonance for the qualitative diagnosis of blunt cardiac injury". Acute Med Surg. 3 (1): 53–56. doi:10.1002/ams2.122. PMC 5667227. PMID 29123751.
- ↑ 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.