Imaging-Guided Therapies for Pericardial Diseases

JACC Cardiovasc Imaging. 2020 Jun;13(6):1422-1437. doi: 10.1016/j.jcmg.2019.08.027. Epub 2019 Nov 13.

Abstract

Frequently, multimodality imaging is indispensable in the care of patients with pericardial disease. With cardiac magnetic resonance imaging, pericardial inflammation can be characterized as acute, subacute, or chronic. This spectrum of inflammation is variably associated with reduced compliance of the pericardium, which may result in constrictive pathophysiology, typically well-defined with echocardiography. This interplay between inflammation and hemodynamics is often optimally characterized with multimodality imaging and has redefined the approach of pericardiologists to diagnose, prognosticate, and tailor individual therapies.

Keywords: constrictive; delayed enhancement; pericarditis; treatment.

Publication types

  • Review
  • Video-Audio Media

MeSH terms

  • Acute Disease
  • Asymptomatic Diseases
  • Cardiac Imaging Techniques*
  • Chronic Disease
  • Clinical Decision-Making
  • Hemodynamics
  • Humans
  • Multimodal Imaging
  • Pericarditis / diagnostic imaging*
  • Pericarditis / physiopathology
  • Pericarditis / therapy*
  • Pericardium / diagnostic imaging*
  • Pericardium / physiopathology
  • Predictive Value of Tests