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CT for evaluation of acute pericardial emergencies in the ED

Abhishek Chaturvedi1, Daniel Vargas2, Daniel Ocazionez3

  • 1Department of Imaging Science, University of Rochester, 601 Elmwood Ave, Rochester, NY, 14642, USA. toabhic@gmail.com.

Emergency Radiology
|March 24, 2018
PubMed

Insights

Acute pericardial emergencies, a cause of chest pain, require prompt diagnosis. Computed tomography (CT) is crucial for identifying life-threatening pericardial diseases in the emergency department (ED).

Area of Science:

  • Emergency Medicine
  • Radiology
  • Cardiology

Background:

  • Acute pericardial disease can present with non-specific chest pain, mimicking other thoracic or abdominal conditions.
  • Many pericardial diseases are fatal without prompt intervention, emphasizing the need for rapid diagnosis.

Purpose of the Study:

  • To highlight the critical role of computed tomography (CT) in diagnosing acute pericardial emergencies.
  • To underscore the importance of optimizing CT scans and radiologist awareness for timely intervention.

Main Methods:

  • Review of clinical presentations and diagnostic imaging in acute pericardial emergencies.
  • Emphasis on the utility of CT in the emergency department (ED) setting.

Main Results:

  • CT is vital for identifying the cause of chest pain in acute pericardial disease.
  • Timely diagnosis via CT can facilitate emergent treatment, improving patient outcomes.

Conclusions:

  • Optimized CT imaging is imperative when acute pericardial disease is suspected.
  • Radiologists must be aware of emergent pericardial conditions to ensure urgent therapeutic intervention.

Keywords:
FistulaHemopericardiumPericardial perforationPericardiumPneumopericardium

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