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Published on: July 20, 2022
Cardiac apical swinging detected by computed tomography
Ryo Takeshige1, Shumpei Mori1, Tatsuya Nishii2
1Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
Cardiac apical swinging, a sign of pericardial effusion, can be mistaken for an artifact on CT scans. Multidisciplinary review of cardiac imaging is crucial for accurate diagnosis.
Area of Science:
- Cardiology
- Radiology
- Medical Imaging
Background:
- Significant pericardial effusion can lead to cardiac apical swinging.
- This phenomenon is typically diagnosed using echocardiography and electrocardiography.
Observation:
- A case presented with cardiac apical swinging initially identified as a computed tomography (CT) artifact.
- The swinging motion was characteristic of cardiac apical swinging.
Findings:
- Computed tomography (CT) can produce artifacts that mimic dynamic cardiac motion.
- Distinguishing between static CT images and dynamic echocardiographic visualization is essential.
Implications:
- Highlights the importance of multidisciplinary interpretation in cardiac imaging.
- Emphasizes the need to consider imaging modality limitations when diagnosing cardiac conditions.
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