nach oben

Current Cardiology Reports

Erschienen in:

01.05.2017 | Pericardial Disease (AL Klein, Section Editor)

New Cardiac Imaging Algorithms to Diagnose Constrictive Pericarditis Versus Restrictive Cardiomyopathy

verfasst von: Ahmad Mahmoud, Manish Bansal, Partho P. Sengupta

Erschienen in: Current Cardiology Reports | Ausgabe 5/2017

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

Echocardiography is the mainstay in the diagnostic evaluation of constrictive pericarditis (CP) and restrictive cardiomyopathy (RCM), but no single echocardiographic parameter is sufficiently robust to accurately distinguish between the two conditions. The present review summarizes the recent advances in echocardiography that promise to improve its diagnostic performance for this purpose. The role of other imaging modalities such as cardiac computed tomography, magnetic resonance imaging, and invasive hemodynamic assessment in the overall diagnostic approach is also discussed briefly.

Recent Findings

A recent study has demonstrated improved diagnostic accuracy of echocardiography with integration of multiple conventional echocardiographic parameters in to a step-wise algorithm. Concurrently, the studies using speckle-tracking echocardiography have revealed distinct and disparate patterns of myocardial mechanical abnormalities in CP and RCM with their ability to distinguish between the two conditions. The incorporation of machine-learning algorithms into echocardiography workflow permits easy integration of the wealth of the diagnostic data available and promises to further enhance the diagnostic accuracy of echocardiography.

Summary

New imaging algorithms are continuously being evolved to permit accurate distinction between CP and RCM. Further research is needed to validate the accuracy of these newer algorithms and to define their place in the overall diagnostic approach for this purpose.

•• Dal-Bianco JP, Sengupta PP, Mookadam F, Chandrasekaran K, Tajik AJ, Khandheria BK. Role of echocardiography in the diagnosis of constrictive pericarditis. J Am Soc Echocardiogr. 2009;22(1):24–33. doi:10.1016/j.echo.2008.11.004. Quiz 103-4. An excellent review article summarizing various conventional echocardiographic criteria, along with their diagnostic accuracies, for distinguishing between restrictive cardiomyopathy and constrictive pericarditis PubMedCrossRef

•• Geske JB, Anavekar NS, Nishimura RA, Oh JK, Gersh BJ. Differentiation of constriction and restriction: complex cardiovascular hemodynamics. J Am Coll Cardiol. 2016;68(21):2329–47. doi:10.1016/j.jacc.2016.08.050. An excellent review article describing pathophysiological differences between restrictive cardiomyopathy and constrictive pericarditis and approach to the differential diagnosis of the two conditions PubMedCrossRef

•• Klein AL, Abbara S, Agler DA, Appleton CP, Asher CR, Hoit B et al. American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease: endorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography. J Am Soc Echocardiogr. 2013;26(9):965–1012 e15. doi:10.1016/j.echo.2013.06.023. The American Society of Echocardiography guideline for multimodality imaging in pericardial diseases

• Welch TD, Ling LH, Espinosa RE, Anavekar NS, Wiste HJ, Lahr BD, et al. Echocardiographic diagnosis of constrictive pericarditis: Mayo Clinic criteria. Circ Cardiovasc Imaging. 2014;7(3):526–34. The original study that formed the basis for the Mayo Clinic criteria for differentiating constrictive pericarditis from restrictive cardiomyopathy PubMedCrossRef

Himelman RB, Lee E, Schiller NB. Septal bounce, vena cava plethora, and pericardial adhesion: informative two-dimensional echocardiographic signs in the diagnosis of pericardial constriction. J Am Soc Echocardiogr. 1988;1(5):333–40.PubMedCrossRef

Engel PJ, Fowler NO, Tei CW, Shah PM, Driedger HJ, Shabetai R, et al. M-mode echocardiography in constrictive pericarditis. J Am Coll Cardiol. 1985;6(2):471–4.PubMedCrossRef

Candell-Riera J, Garcia del Castillo H, Permanyer-Miralda G, Soler-Soler J. Echocardiographic features of the interventricular septum in chronic constrictive pericarditis. Circulation. 1978;57(6):1154–8.PubMedCrossRef

Sengupta PP, Mohan JC, Mehta V, Arora R, Khandheria BK, Pandian NG. Doppler tissue imaging improves assessment of abnormal interventricular septal and posterior wall motion in constrictive pericarditis. J Am Soc Echocardiogr. 2005;18(3):226–30. doi:10.1016/j.echo.2004.11.017.PubMedCrossRef

Oki T, Tabata T, Yamada H, Abe M, Onose Y, Wakatsuki T, et al. Right and left ventricular wall motion velocities as diagnostic indicators of constrictive pericarditis. Am J Cardiol. 1998;81(4):465–70.PubMedCrossRef

10.

Tei C, Child JS, Tanaka H, Shah PM. Atrial systolic notch on the interventricular septal echogram: an echocardiographic sign of constrictive pericarditis. J Am Coll Cardiol. 1983;1(3):907–12. doi:10.1016/s0735-1097(83)80207-1.PubMedCrossRef

11.

Coylewright M, Welch TD, Nishimura RA. Mechanism of septal bounce in constrictive pericarditis: a simultaneous cardiac catheterisation and echocardiographic study. Heart. 2013;99(18):1376. doi:10.1136/heartjnl-2013-304070.PubMedCrossRef

12.

Voelkel AG, Pietro DA, Folland ED, Fisher ML, Parisi AF. Echocardiographic features of constrictive pericarditis. Circulation. 1978;58(5):871–5.PubMedCrossRef

13.

Oh JK, Hatle LK, Seward JB, Danielson GK, Schaff HV, Reeder GS, et al. Diagnostic role of Doppler echocardiography in constrictive pericarditis. J Am Coll Cardiol. 1994;23(1):154–62.PubMedCrossRef

14.

Hatle LK, Appleton CP, Popp RL. Differentiation of constrictive pericarditis and restrictive cardiomyopathy by Doppler echocardiography. Circulation. 1989;79(2):357–70.PubMedCrossRef

15.

Rajagopalan N, Garcia MJ, Rodriguez L, Murray RD, Apperson-Hansen C, Stugaard M, et al. Comparison of new Doppler echocardiographic methods to differentiate constrictive pericardial heart disease and restrictive cardiomyopathy. Am J Cardiol. 2001;87(1):86–94.PubMedCrossRef

16.

Oh JK, Tajik AJ, Appleton CP, Hatle LK, Nishimura RA, Seward JB. Preload reduction to unmask the characteristic Doppler features of constrictive pericarditis. A new observation Circulation. 1997;95(4):796–9.PubMedCrossRef

17.

Ha JW, Oh JK, Ommen SR, Ling LH, Tajik AJ. Diagnostic value of mitral annular velocity for constrictive pericarditis in the absence of respiratory variation in mitral inflow velocity. J Am Soc Echocardiogr. 2002;15(12):1468–71. doi:10.1067/mje.2002.127452.PubMedCrossRef

18.

Cosyns B, Plein S, Nihoyanopoulos P, Smiseth O, Achenbach S, Andrade MJ, et al. European Association of Cardiovascular Imaging (EACVI) position paper: multimodality imaging in pericardial disease. Eur Heart J Cardiovasc Imaging. 2015;16(1):12–31. doi:10.1093/ehjci/jeu128.PubMedCrossRef

19.

Boonyaratavej S, Oh JK, Tajik AJ, Appleton CP, Seward JB. Comparison of mitral inflow and superior vena cava Doppler velocities in chronic obstructive pulmonary disease and constrictive pericarditis. J Am Coll Cardiol. 1998;32(7):2043–8.PubMedCrossRef

20.

Ha JW, Ommen SR, Tajik AJ, Barnes ME, Ammash NM, Gertz MA, et al. Differentiation of constrictive pericarditis from restrictive cardiomyopathy using mitral annular velocity by tissue Doppler echocardiography. Am J Cardiol. 2004;94(3):316–9.PubMedCrossRef

21.

Sengupta PP, Mohan JC, Mehta V, Arora R, Pandian NG, Khandheria BK. Accuracy and pitfalls of early diastolic motion of the mitral annulus for diagnosing constrictive pericarditis by tissue Doppler imaging. Am J Cardiol. 2004;93(7):886–90. doi:10.1016/j.amjcard.2003.12.029.PubMedCrossRef

22.

Choi EY, Ha JW, Kim JM, Ahn JA, Seo HS, Lee JH, et al. Incremental value of combining systolic mitral annular velocity and time difference between mitral inflow and diastolic mitral annular velocity to early diastolic annular velocity for differentiating constrictive pericarditis from restrictive cardiomyopathy. J Am Soc Echocardiogr. 2007;20(6):738–43. doi:10.1016/j.echo.2006.11.005.PubMedCrossRef

23.

Nagueh SF, Smiseth OA, Appleton CP, Byrd III BF, Dokainish H, Edvardsen T, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2016;29(4):277–314. doi:10.1016/j.echo.2016.01.011.PubMedCrossRef

24.

Ha JW, Oh JK, Ling LH, Nishimura RA, Seward JB, Tajik AJ. Annulus paradoxus: transmitral flow velocity to mitral annular velocity ratio is inversely proportional to pulmonary capillary wedge pressure in patients with constrictive pericarditis. Circulation. 2001;104(9):976–8.PubMedCrossRef

25.

Klein AL, Dahiya A. Annular velocities in constrictive pericarditis. J Am Coll Cardiol Img. 2011;4(6):576.CrossRef

26.

Reuss CS, Wilansky SM, Lester SJ, Lusk JL, Grill DE, Oh JK, et al. Using mitral 'annulus reversus' to diagnose constrictive pericarditis. Eur J Echocardiogr. 2009;10(3):372–5. doi:10.1093/ejechocard/jen258.PubMedCrossRef

27.

Veress G, Ling LH, Kim KH, Dal-Bianco JP, Schaff HV, Espinosa RE, et al. Mitral and tricuspid annular velocities before and after pericardiectomy in patients with constrictive pericarditis. Circ Cardiovasc Imaging. 2011;4(4):399–407. doi:10.1161/CIRCIMAGING.110.959619.PubMedCrossRef

28.

Choi JH, Choi JO, Ryu DR, Lee SC, Park SW, Choe YH, et al. Mitral and tricuspid annular velocities in constrictive pericarditis and restrictive cardiomyopathy: correlation with pericardial thickness on computed tomography. JACC Cardiovasc Imaging. 2011;4(6):567–75. doi:10.1016/j.jcmg.2011.01.018.PubMedCrossRef

29.

• Sengupta PP, Krishnamoorthy VK, Abhayaratna WP, Korinek J, Belohlavek M, Sundt 3rd TM, et al. Disparate patterns of left ventricular mechanics differentiate constrictive pericarditis from restrictive cardiomyopathy. JACC Cardiovasc Imaging. 2008a;1(1):29–38. doi:10.1016/j.jcmg.2007.10.006. One of the earliest studies to use two-dimensional speckle tracking echocardiography to characterize changes in myocardial mechanics in patients with constricve pericarditis and restricive cardiomyopathy PubMedCrossRef

30.

Leitman M, Bachner-Hinenzon N, Adam D, Fuchs T, Theodorovich N, Peleg E, et al. Speckle tracking imaging in acute inflammatory pericardial diseases. Echocardiography. 2011;28(5):548–55. doi:10.1111/j.1540-8175.2010.01371.x.PubMedCrossRef

31.

Ling LH, Oh JK, Tei C, Click RL, Breen JF, Seward JB, et al. Pericardial thickness measured with transesophageal echocardiography: feasibility and potential clinical usefulness. J Am Coll Cardiol. 1997;29(6):1317–23.PubMedCrossRef

32.

Talreja DR, Edwards WD, Danielson GK, Schaff HV, Tajik AJ, Tazelaar HD, et al. Constrictive pericarditis in 26 patients with histologically normal pericardial thickness. Circulation. 2003;108(15):1852–7. doi:10.1161/01.CIR.0000087606.18453.FD.PubMedCrossRef

33.

Garcia MJ. Constrictive pericarditis versus restrictive cardiomyopathy? J Am Coll Cardiol. 2016;67(17):2061–76. doi:10.1016/j.jacc.2016.01.076.PubMedCrossRef

34.

•• Madeira M, Teixeira R, Costa M, Goncalves L, Klein AL. Two-dimensional speckle tracking cardiac mechanics and constrictive pericarditis: systematic review. Echocardiography. 2016;33(10):1589–99. doi:10.1111/echo.13293. An excellent review article describing the role of speckle tracking echocardiography in the evaluation of constrictive pericarditis PubMedCrossRef

35.

Sengupta PP, Korinek J, Belohlavek M, Narula J, Vannan MA, Jahangir A, et al. Left ventricular structure and function: basic science for cardiac imaging. J Am Coll Cardiol. 2006;48(10):1988–2001. doi:10.1016/j.jacc.2006.08.030.PubMedCrossRef

36.

Sengupta PP, Tajik AJ, Chandrasekaran K, Khandheria BK. Twist mechanics of the left ventricle: principles and application. JACC Cardiovasc Imaging. 2008b;1(3):366–76. doi:10.1016/j.jcmg.2008.02.006.PubMedCrossRef

37.

Sengupta PP, Khandheria BK, Narula J. Twist and untwist mechanics of the left ventricle. Heart Fail Clin. 2008c;4(3):315–24. doi:10.1016/j.hfc.2008.03.001.PubMedCrossRef

38.

Sengupta PP, Krishnamoorthy VK, Korinek J, Narula J, Vannan MA, Lester SJ, et al. Left ventricular form and function revisited: applied translational science to cardiovascular ultrasound imaging. J Am Soc Echocardiogr. 2007;20(5):539–51.PubMedPubMedCentralCrossRef

39.

Geyer H, Caracciolo G, Abe H, Wilansky S, Carerj S, Gentile F, et al. Assessment of myocardial mechanics using speckle tracking echocardiography: fundamentals and clinical applications. J Am Soc Echocardiogr. 2010;23(4):351–69. quiz 453-5 doi:10.1016/j.echo.2010.02.015.PubMedCrossRef

40.

Omar AM, Bansal M, Sengupta PP. Advances in echocardiographic imaging in heart failure with reduced and preserved ejection fraction. Circ Res. 2016;119(2):357–74. doi:10.1161/CIRCRESAHA.116.309128.PubMedCrossRef

41.

Claus P, Omar AM, Pedrizzetti G, Sengupta PP, Nagel E. Tissue tracking technology for assessing cardiac mechanics: principles, normal values, and clinical applications. JACC Cardiovasc Imaging. 2015;8(12):1444–60. doi:10.1016/j.jcmg.2015.11.001.PubMedCrossRef

42.

Bansal M, Mehrotra R, Kasliwal RR. Loss of left ventricular torsion as the predominant mechanism of left ventricular systolic dysfunction in a patient with tubercular cardiomyopathy. Echocardiography. 2012;29(9):E221–5. doi:10.1111/j.1540-8175.2012.01768.x.PubMedCrossRef

43.

Garcia MJ, Rodriguez L, Ares M, Griffin BP, Thomas JD, Klein AL. Differentiation of constrictive pericarditis from restrictive cardiomyopathy: assessment of left ventricular diastolic velocities in longitudinal axis by Doppler tissue imaging. J Am Coll Cardiol. 1996;27(1):108–14. doi:10.1016/0735-1097(95)00434-3.PubMedCrossRef

44.

• Kusunose K, Dahiya A, Popovic ZB, Motoki H, Alraies MC, Zurick AO, et al. Biventricular mechanics in constrictive pericarditis comparison with restrictive cardiomyopathy and impact of pericardiectomy. Circ Cardiovasc Imaging. 2013;6(3):399–406. doi:10.1161/CIRCIMAGING.112.000078. Another important study to describe changes in myocardial mechanics in patients with constrictive pericarditis and restrictive cardiomyopathy and the impact of pericardiectomy on myocardial mechanics PubMedCrossRef

45.

Phelan D, Collier P, Thavendiranathan P, Popovic ZB, Hanna M, Plana JC, et al. Relative apical sparing of longitudinal strain using two-dimensional speckle-tracking echocardiography is both sensitive and specific for the diagnosis of cardiac amyloidosis. Heart. 2012;98(19):1442–8. doi:10.1136/heartjnl-2012-302353.PubMedCrossRef

46.

Baccouche H, Maunz M, Beck T, Gaa E, Banzhaf M, Knayer U, et al. Differentiating cardiac amyloidosis and hypertrophic cardiomyopathy by use of three-dimensional speckle tracking echocardiography. Echocardiography. 2012;29(6):668–77. doi:10.1111/j.1540-8175.2012.01680.x.PubMedCrossRef

47.

Negishi K, Popovic ZB, Negishi T, Motoki H, Alraies MC, Chirakarnjanakorn S, et al. Pericardiectomy is associated with improvement in longitudinal displacement of left ventricular free wall due to increased counterclockwise septal-to-lateral rotational displacement. J Am Soc Echocardiogr. 2015;28(10):1204–13.e2. doi:10.1016/j.echo.2015.05.011.PubMedCrossRef

48.

Amaki M, Savino J, Ain DL, Sanz J, Pedrizzetti G, Kulkarni H, et al. Diagnostic concordance of echocardiography and cardiac magnetic resonance-based tissue tracking for differentiating constrictive pericarditis from restrictive cardiomyopathy. Circ Cardiovasc Imaging. 2014;7(5):819–27. doi:10.1161/CIRCIMAGING.114.002103.PubMedCrossRef

49.

Vogel JH, Horgan JA, Strahl CL. Left ventricular dysfunction in chronic constrictive pericarditis. Chest. 1971;59(5):484–92.PubMedCrossRef

50.

Motoki H, Alraies MC, Dahiya A, Saraiva RM, Hanna M, Marwick TH, et al. Changes in left atrial mechanics following pericardiectomy for pericardial constriction. J Am Soc Echocardiogr. 2013;26(6):640–8. doi:10.1016/j.echo.2013.02.014.PubMedCrossRef

51.

Liu S, Ma C, Ren W, Zhang J, Li N, Yang J, et al. Regional left atrial function differentiation in patients with constrictive pericarditis and restrictive cardiomyopathy: a study using speckle tracking echocardiography. Int J Cardiovasc Imaging. 2015;31(8):1529–36. doi:10.1007/s10554-015-0726-7.PubMedCrossRef

52.

• Sengupta PP, Huang YM, Bansal M, Ashrafi A, Fisher M, Shameer K et al. Cognitive machine-learning algorithm for cardiac imaging: a pilot study for differentiating constrictive pericarditis from restrictive cardiomyopathy. Circ Cardiovasc Imaging. 2016;9(6). doi:10.1161/CIRCIMAGING.115.004330. The first study to evaluate the role of automated machine-learning algorithms in differential diagnosis of constrictive pericarditis and restrictive cardiomyopathy.

53.

Narula S, Shameer K, Salem Omar AM, Dudley JT, Sengupta PP. Machine-learning algorithms to automate morphological and functional assessments in 2D echocardiography. J Am Coll Cardiol. 2016;68(21):2287–95. doi:10.1016/j.jacc.2016.08.062.PubMedCrossRef

54.

Dilsizian SE, Siegel EL. Artificial intelligence in medicine and cardiac imaging: harnessing big data and advanced computing to provide personalized medical diagnosis and treatment. Curr Cardiol Rep. 2014;16(1):441. doi:10.1007/s11886-013-0441-8.PubMedCrossRef

55.

Bull RK, Edwards PD, Dixon AK. CT dimensions of the normal pericardium. Br J Radiol. 1998;71(849):923–5. doi:10.1259/bjr.71.849.10195005.PubMedCrossRef

56.

Verhaert D, Gabriel RS, Johnston D, Lytle BW, Desai MY, Klein AL. The role of multimodality imaging in the management of pericardial disease. Circ Cardiovasc Imaging. 2010;3(3):333–43. doi:10.1161/CIRCIMAGING.109.921791.PubMedCrossRef

57.

Ghersin E, Lessick J, Litmanovich D, Ofer A, Elhasid R, Lorber A, et al. Septal bounce in constrictive pericarditis. Diagnosis and dynamic evaluation with multidetector CT. J Comput Assist Tomogr. 2004;28(5):676–8.PubMedCrossRef

58.

Soulen RL, Stark DD, Higgins CB. Magnetic resonance imaging of constrictive pericardial disease. Am J Cardiol. 1985;55(4):480–4.PubMedCrossRef

59.

Masui T, Finck S, Higgins CB. Constrictive pericarditis and restrictive cardiomyopathy: evaluation with MR imaging. Radiology. 1992;182(2):369–73. doi:10.1148/radiology.182.2.1732952.PubMedCrossRef

60.

Alter P, Figiel JH, Rupp TP, Bachmann GF, Maisch B, Rominger MB. MR, CT, and PET imaging in pericardial disease. Heart Fail Rev. 2013;18(3):289–306. doi:10.1007/s10741-012-9309-z.PubMedCrossRef

61.

Zurick AO, Bolen MA, Kwon DH, Tan CD, Popovic ZB, Rajeswaran J, et al. Pericardial delayed hyperenhancement with CMR imaging in patients with constrictive pericarditis undergoing surgical pericardiectomy: a case series with histopathological correlation. JACC Cardiovasc Imaging. 2011;4(11):1180–91. doi:10.1016/j.jcmg.2011.08.011.PubMedCrossRef

62.

Feng D, Glockner J, Kim K, Martinez M, Syed IS, Araoz P, et al. Cardiac magnetic resonance imaging pericardial late gadolinium enhancement and elevated inflammatory markers can predict the reversibility of constrictive pericarditis after antiinflammatory medical therapy: a pilot study. Circulation. 2011;124(17):1830–7. doi:10.1161/CIRCULATIONAHA.111.026070.PubMedCrossRef

63.

Cremer PC, Kumar A, Kontzias A, Tan CD, Rodriguez ER, Imazio M, et al. Complicated pericarditis: understanding risk factors and pathophysiology to inform imaging and treatment. J Am Coll Cardiol. 2016;68(21):2311–28. doi:10.1016/j.jacc.2016.07.785.PubMedCrossRef

64.

Cremer PC, Tariq MU, Karwa A, Alraies MC, Benatti R, Schuster A et al. Quantitative assessment of pericardial delayed hyperenhancement predicts clinical improvement in patients with constrictive pericarditis treated with anti-inflammatory therapy. Circ Cardiovasc Imaging. 2015;8(5). doi: 10.1161/CIRCIMAGING.114..

65.

Giorgi B, Mollet NR, Dymarkowski S, Rademakers FE, Bogaert J. Clinically suspected constrictive pericarditis: MR imaging assessment of ventricular septal motion and configuration in patients and healthy subjects. Radiology. 2003;228(2):417–24.PubMedCrossRef

66.

Anavekar NS, Wong BF, Foley TA, Bishu K, Kolipaka A, Koo CW, et al. Index of biventricular interdependence calculated using cardiac MRI: a proof of concept study in patients with and without constrictive pericarditis. Int J Cardiovasc Imaging. 2013;29(2):363–9. doi:10.1007/s10554-012-0101-x.PubMedCrossRef

67.

Francone M, Dymarkowski S, Kalantzi M, Rademakers FE, Bogaert J. Assessment of ventricular coupling with real-time cine MRI and its value to differentiate constrictive pericarditis from restrictive cardiomyopathy. Eur Radiol. 2006;16(4):944–51.PubMedCrossRef

68.

Thavendiranathan P, Verhaert D, Walls MC, Bender JA, Rajagopalan S, Chung YC, et al. Simultaneous right and left heart real-time, free-breathing CMR flow quantification identifies constrictive physiology. JACC Cardiovasc Imaging. 2012;5(1):15–24. doi:10.1016/j.jcmg.2011.07.010.PubMedPubMedCentralCrossRef

69.

Kojima S, Yamada N, Goto Y. Diagnosis of constrictive pericarditis by tagged cine magnetic resonance imaging. N Engl J Med. 1999;341(5):373–4. doi:10.1056/NEJM199907293410515.PubMedCrossRef

70.

Bogabathina H, Biederman RW. Lack of slippage by cardiovascular magnetic resonance imaging is sine qua non for constrictive pericarditis. Circulation. 2011;123(16):e418–9. doi:10.1161/CIRCULATIONAHA.110.955229.PubMedCrossRef

71.

Cheng H, Zhao S, Jiang S, Lu M, Yan C, Ling J, et al. The relative atrial volume ratio and late gadolinium enhancement provide additive information to differentiate constrictive pericarditis from restrictive cardiomyopathy. J Cardiovasc Magn Reson. 2011;13:15. doi:10.1186/1532-429X-13-15.PubMedPubMedCentralCrossRef

72.

Syed IS, Glockner JF, Feng D, Araoz PA, Martinez MW, Edwards WD, et al. Role of cardiac magnetic resonance imaging in the detection of cardiac amyloidosis. JACC Cardiovasc Imaging. 2010;3(2):155–64. doi:10.1016/j.jcmg.2009.09.023.PubMedCrossRef

73.

Muehlberg F, Toepper A, Fritschi S, Prothmann M, Schulz-Menger J. Magnetic resonance imaging applications on infiltrative cardiomyopathies. J Thorac Imaging. 2016;31(6):336–47. doi:10.1097/RTI.0000000000000199.PubMedCrossRef

74.

Boynton SJ, Geske JB, Dispenzieri A, Syed IS, Hanson TJ, Grogan M, et al. LGE provides incremental prognostic information over serum biomarkers in AL cardiac amyloidosis. JACC Cardiovasc Imaging. 2016;9(6):680–6. doi:10.1016/j.jcmg.2015.10.027.PubMedCrossRef

Titel: New Cardiac Imaging Algorithms to Diagnose Constrictive Pericarditis Versus Restrictive Cardiomyopathy
verfasst von: Ahmad Mahmoud
Manish Bansal
Partho P. Sengupta
Publikationsdatum: 01.05.2017
Verlag: Springer US
Erschienen in: Current Cardiology Reports / Ausgabe 5/2017
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI: https://doi.org/10.1007/s11886-017-0851-0

Neu im Fachgebiet Kardiologie

„Jeder Fall von plötzlichem Tod muss obduziert werden!“

17.05.2024 Plötzlicher Herztod Nachrichten

Ein signifikanter Anteil der Fälle von plötzlichem Herztod ist genetisch bedingt. Um ihre Verwandten vor diesem Schicksal zu bewahren, sollten jüngere Personen, die plötzlich unerwartet versterben, ausnahmslos einer Autopsie unterzogen werden.

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

17.05.2024 Direkte orale Antikoagulanzien Nachrichten

Kommt es zu einer nichttraumatischen Hirnblutung, spielt es keine große Rolle, ob die Betroffenen zuvor direkt wirksame orale Antikoagulanzien oder Marcumar bekommen haben: Die Prognose ist ähnlich schlecht.

Schlechtere Vorhofflimmern-Prognose bei kleinem linken Ventrikel

17.05.2024 Vorhofflimmern Nachrichten

Nicht nur ein vergrößerter, sondern auch ein kleiner linker Ventrikel ist bei Vorhofflimmern mit einer erhöhten Komplikationsrate assoziiert. Der Zusammenhang besteht nach Daten aus China unabhängig von anderen Risikofaktoren.

Semaglutid bei Herzinsuffizienz: Wie erklärt sich die Wirksamkeit?

17.05.2024 Herzinsuffizienz Nachrichten

Bei adipösen Patienten mit Herzinsuffizienz des HFpEF-Phänotyps ist Semaglutid von symptomatischem Nutzen. Resultiert dieser Benefit allein aus der Gewichtsreduktion oder auch aus spezifischen Effekten auf die Herzinsuffizienz-Pathogenese? Eine neue Analyse gibt Aufschluss.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

New Cardiac Imaging Algorithms to Diagnose Constrictive Pericarditis Versus Restrictive Cardiomyopathy

Abstract

Purpose of Review

Recent Findings

Summary

Neu im Fachgebiet Kardiologie

„Jeder Fall von plötzlichem Tod muss obduziert werden!“

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

Schlechtere Vorhofflimmern-Prognose bei kleinem linken Ventrikel

Semaglutid bei Herzinsuffizienz: Wie erklärt sich die Wirksamkeit?

Update Kardiologie

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

Purpose of Review

Recent Findings

Summary

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2017

Strengths and Limitations of Using the Polypill in Cardiovascular Prevention

Revascularization for Advanced Coronary Artery Disease in Type 2 Diabetic Patients: Choosing Wisely Between PCI and Surgery

Coronary Artery Anomalies: When You Need to Worry

Current Status of Catheter-Based Treatment of Mitral Valve Regurgitation

Genetic Architecture of Familial Hypercholesterolaemia

Genetics of Dyslipidemia and Ischemic Heart Disease

Neu im Fachgebiet Kardiologie

„Jeder Fall von plötzlichem Tod muss obduziert werden!“

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

Schlechtere Vorhofflimmern-Prognose bei kleinem linken Ventrikel

Semaglutid bei Herzinsuffizienz: Wie erklärt sich die Wirksamkeit?

Update Kardiologie