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Related Concept Videos

Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

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Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
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Imaging Studies for Cardiovascular System III: X-Ray01:20

Imaging Studies for Cardiovascular System III: X-Ray

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The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
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Imaging Studies for Cardiovascular System IV: CMRI01:21

Imaging Studies for Cardiovascular System IV: CMRI

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Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
173
Imaging Studies for Cardiovascular System I:Echocardiography01:17

Imaging Studies for Cardiovascular System I:Echocardiography

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Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
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Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

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Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
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Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT01:25

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT

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Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
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Cardiac Imaging in Carcinoid Heart Disease.

Tomasz Baron1, Johannes Bergsten2, Anders Albåge3

  • 1Uppsala Clinical Research Center, Uppsala University, Uppsala, Sweden; Department of Medical Sciences, Cardiology, and Clinical Physiology, Uppsala University, Uppsala, Sweden.

JACC. Cardiovascular Imaging
|April 18, 2021
PubMed
Summary

Carcinoid disease, caused by neuroendocrine tumors, can lead to severe carcinoid heart disease affecting heart valves. Early cardiac imaging and treatment are vital for improving patient prognosis and survival.

Keywords:
carcinoid diseasemultimodality imagingpulmonary regurgitationtricuspid regurgitationvalvular heart disease

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Area of Science:

  • Cardiology
  • Oncology
  • Medical Imaging

Background:

  • Carcinoid disease originates from neuroendocrine tumors, frequently in the gut.
  • Approximately 20% of carcinoid disease cases develop severe cardiac complications, primarily impacting right-sided heart valves.
  • Carcinoid heart disease significantly influences patient prognosis, often more than tumor progression.

Purpose of the Study:

  • To review the pathophysiology and clinical manifestations of carcinoid heart disease.
  • To discuss the role and challenges of various imaging modalities in diagnosing and managing carcinoid heart disease.

Main Methods:

  • Review of existing literature on carcinoid heart disease.
  • Analysis of diagnostic and prognostic implications of cardiac imaging techniques.
  • Discussion of multimodal imaging approaches.

Main Results:

  • Carcinoid heart disease is a severe complication of neuroendocrine tumors, predominantly affecting right-sided valves.
  • Surgical intervention for carcinoid-induced valve disease shows improved survival in observational data.
  • Multimodal cardiac imaging is increasingly essential for diagnosis and management, presenting unique challenges.

Conclusions:

  • Carcinoid heart disease is a critical determinant of prognosis in carcinoid syndrome.
  • Effective diagnosis and management rely on understanding the disease pathophysiology and leveraging advanced cardiac imaging.
  • Awareness of imaging challenges is crucial for optimal patient care.