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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.
Importance:
Systemic diseases that affect the cardiovascular system constitute a diagnostic and therapeutic challenge for all specialists involved; imaging tools along with clinical suspicion play an essential role in their evaluation. These entities share neurological, immunological, renal, hematologic, oncologic, infectious and endocrine processes, all of which may have associated cardiac involvement.
Observations:
Recent advances in cardiac ultrasound, Computed Tomography (CT), cardiac Magnetic Resonance (CMR) and nuclear scintigraphy have impacted the management of these conditions when involving the heart since they provide valuable anatomical and functional information while avoiding the use of invasive techniques. For this review, bibliographic sources were gathered from diverse databases, including PubMed, Cochrane, EBSCO and Google Scholar, concentrating on English language publications dealing with the clinical use of these tools.
Conclusion:
Clinical suspicion should always guide the use of imaging since in many instances, these techniques only play a supportive role rather than representing a diagnostic gold standard. Early diagnosis is critical due to the fact that cardiac manifestations are commonly a late phenomenon.
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