Cardiac Imaging in Systemic Diseases: What the Clinician should Know

Cesar J Herrera1,2, Pamela Pina1, Jorge Martinez1

  • 1Department of Cardiology, CEDIMAT Cardiovascular Center, Santo Domingo, Dominican Republic.

Insights

Systemic diseases impacting the cardiovascular system require advanced imaging. Non-invasive techniques like cardiac ultrasound, CT, and MRI aid diagnosis when clinical suspicion guides their use for early detection of cardiac involvement.

Area of Science:

  • Cardiology
  • Radiology
  • Systemic Diseases

Background:

  • Systemic diseases frequently involve the cardiovascular system, posing diagnostic and therapeutic challenges.
  • Cardiac manifestations of systemic diseases can be subtle or late-onset.
  • Multidisciplinary specialist involvement is crucial for managing these complex cases.

Purpose of the Study:

  • To review the role of advanced non-invasive imaging modalities in evaluating cardiac involvement in systemic diseases.
  • To highlight the importance of clinical suspicion in guiding the appropriate use of imaging techniques.
  • To emphasize the critical need for early diagnosis of cardiac manifestations.

Main Methods:

  • Bibliographic search of major databases (PubMed, Cochrane, EBSCO, Google Scholar).
  • Focus on English language publications concerning the clinical application of cardiac imaging.
  • Review of recent advances in cardiac ultrasound, CT, CMR, and nuclear scintigraphy.

Main Results:

  • Advanced imaging provides crucial anatomical and functional information without invasive procedures.
  • Cardiac ultrasound, CT, CMR, and nuclear scintigraphy have significantly impacted patient management.
  • These techniques offer valuable insights into cardiac involvement secondary to systemic conditions.

Conclusions:

  • Clinical suspicion is paramount in directing the judicious use of cardiac imaging.
  • Imaging modalities serve a supportive role and are not always the diagnostic gold standard.
  • Prompt diagnosis of cardiac involvement is essential, as it often presents late in the course of systemic disease.
Abstract

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