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Multimodality approach to the diagnosis and management of constrictive pericarditis

Kianoush Ansari-Gilani1, Robert C Gilkeson1, Elias G Kikano1

  • 1University Hospital Cleveland Medical Center, Cleveland, Ohio.

Echocardiography (Mount Kisco, N.Y.)
|April 3, 2020
PubMed

Insights

Diagnosing constrictive pericarditis (CP) is difficult. Multimodality imaging is crucial for assessing pericardial disease and guiding treatment in complex cases.

Area of Science:

  • Cardiology
  • Radiology
  • Medical Imaging

Background:

  • Constrictive pericarditis (CP) diagnosis remains challenging despite advances in cardiovascular imaging.
  • A comprehensive assessment of pericardial thickening, calcification, and hemodynamic impact is vital for effective management.

Purpose of the Study:

  • To review the role and diagnostic ambiguities of multimodality imaging in constrictive pericarditis.
  • To emphasize the importance of a multimodality approach for diagnosis and management.

Main Methods:

  • Case-based review of multimodality imaging techniques.
  • Analysis of diagnostic challenges and ambiguities in constrictive pericarditis.

Main Results:

  • Multimodality imaging is essential for evaluating pericardial extent and hemodynamic consequences.
  • Specific imaging modalities offer complementary information in diagnosing CP.

Conclusions:

  • A multimodality imaging strategy is indispensable for the accurate diagnosis and optimal management of constrictive pericarditis.
  • Addressing diagnostic ambiguities requires a thorough understanding of each imaging modality's strengths and limitations.

Keywords:
constrictive pericarditisdelayed enhancementimagingmultimodality

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