Assessment of Pericardial Disease with Cardiovascular MRI

Ho, Natalie; Nesbitt, Gillian C.; Hanneman, Kate; Thavendiranathan, Paaladinesh

doi:10.1016/j.hfc.2020.08.008

Cited by 5 publications

(5 citation statements)

References 37 publications

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“…Statistics have shown that about 42% of neonatal deaths every year are attributed to congenital heart malformations, and the disease has become the main contributor to infant death [17][18][19]. Most patients with congenital heart malformations are complicated with extracardiac malformations, which seriously compromise the growth and development of fetuses [20][21][22]. Prenatal routine B-ultrasound is an effective method to detect congenital heart malformations complicated with extracardiac malformations, with high safety and reliability.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Value of Abdominal B-Ultrasound for Congenital Heart Disease Complicated with Extracardiac Malformation in the Second Trimester of Pregnancy

Deng

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To explore the diagnostic value of abdominal B-ultrasound in the diagnosis of congenital heart disease complicated with extracardiac malformations in the second trimester of pregnancy. Methods. 50 pregnant women with congenital cardiac malformations and extracardiac malformations diagnosed in our hospital from 2015 to 2019 were retrospectively analyzed. The diagnostic results and the types of congenital heart disease complicated with extracardiac malformations were compared to analyze the diagnostic value of abdominal B-ultrasound. Results. In the diagnosis of 50 fetuses with congenital heart disease and extracardiac malformation, the tetralogy of Fallot syndrome accounts for the largest proportion. Abdominal B-ultrasound in the second trimester was associated with a higher detection rate of fetal heart malformation (72%) versus in the third trimester (40%) ( P < 0.05 ). The single atrium and single ventricle had the highest diagnostic accuracy of fetal congenital heart malformation in the second trimester. The highest success rate of detection at different gestational weeks was observed at the 14th gestational week ( P < 0.05 ). Four-chamber cardiac section (4CV) had the lowest diagnostic accuracy (62%) for cardiac malformations, and the 4CV + three-vessel-trachea plane (3VVT) had the highest diagnostic accuracy (90%) for cardiac malformations. Conclusion. Abdominal B-ultrasound features a high diagnostic value for congenital heart disease complicated with extracardiac malformations in the second trimester of pregnancy, and the second trimester is the optimal detection timing with the highest detection accuracy.

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Section: Discussionmentioning

confidence: 99%

Diagnostic Value of Abdominal B-Ultrasound for Congenital Heart Disease Complicated with Extracardiac Malformation in the Second Trimester of Pregnancy

Deng

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…CMR is a superior technique to TTE for detecting distribution and the amount of fluid accumulation, especially loculated effusions. CMR, as a complimentary modality, may also aid in the detection of abnormal filling patterns and early signs of tamponade physiology in patients with a pericardial effusion [145], although it is not a good option for a patient with signs of tamponade physiology and any hemodynamic instability.…”

Section: Goals Of Examinationmentioning

confidence: 99%

“…However, similar guidance is not widely available for size of a pericardial effusion relative to body size in pediatrics. Describing the size and location of the fluid qualitatively is clinically useful [145]. CMR can also characterize the effusion.…”

Section: Goals Of Examinationmentioning

confidence: 99%

SCMR expert consensus statement for cardiovascular magnetic resonance of acquired and non-structural pediatric heart disease

Dorfman

Geva

Samyn

et al. 2022

Journal of Cardiovascular Magnetic Resonance

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Cardiovascular magnetic resonance (CMR) is widely used for diagnostic imaging in the pediatric population. In addition to structural congenital heart disease (CHD), for which published guidelines are available, CMR is also performed for non-structural pediatric heart disease, for which guidelines are not available. This article provides guidelines for the performance and reporting of CMR in the pediatric population for non-structural (“non-congenital”) heart disease, including cardiomyopathies, myocarditis, Kawasaki disease and systemic vasculitides, cardiac tumors, pericardial disease, pulmonary hypertension, heart transplant, and aortopathies. Given important differences in disease pathophysiology and clinical manifestations as well as unique technical challenges related to body size, heart rate, and sedation needs, these guidelines focus on optimization of the CMR examination in infants and children compared to adults. Disease states are discussed, including the goals of CMR examination, disease-specific protocols, and limitations and pitfalls, as well as newer techniques that remain under development.

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“…Due to its high inherent tissue contrast, excellent spatial and temporal resolution, and ability to reconstruct in multiple planes, CMR is well-suited for the evaluation of pericardial disease ( 77 ). While not necessary for the diagnosis of acute pericarditis, CMR can be helpful for those with incessant (ongoing symptoms >4–6 weeks, but <3 months), recurrent, or chronic (>3 months) of symptoms, or those in which clinical suspicion is high but initial evaluation (EKG, echo) has been negative.…”

Section: Pericardial Diseasementioning

confidence: 99%

“…While not necessary for the diagnosis of acute pericarditis, CMR can be helpful for those with incessant (ongoing symptoms >4–6 weeks, but <3 months), recurrent, or chronic (>3 months) of symptoms, or those in which clinical suspicion is high but initial evaluation (EKG, echo) has been negative. Pericardial thickening is readily viewed, and pericardial edema and inflammation can be evaluated by both T2-weighted LGE imaging ( 77 ). Fat suppression can increase the specificity of these findings.…”

Section: Pericardial Diseasementioning

confidence: 99%

Cardiovascular Imaging for Systemic Sclerosis Monitoring and Management

Glynn

Hale

Hussain

et al. 2022

Front. Cardiovasc. Med.

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Systemic sclerosis (SSc) is a complex connective tissue disease with multiple clinical and subclinical cardiac manifestations. SSc can affect most structural components of the heart, including the pericardium, myocardium, valves, and conduction system through a damaging cycle of inflammation, ischemia, and fibrosis. While cardiac involvement is the second leading SSc-related cause of death, it is frequently clinically silent in early disease and often missed with routine screening. To facilitate identification of cardiac disease in this susceptible population, we present here a review of cardiac imaging modalities and potential uses in the SSc patient population. We describe well-characterized techniques including electrocardiography and 2D echocardiography with Doppler, but also discuss more advanced imaging approaches, such as speckle-tracking echocardiography, cardiovascular magnetic resonance imaging (CMR), and stress imaging, among others. We also suggest an algorithm for the appropriate application of these modalities in the workup and management of patients with SSc. Finally, we discuss future opportunities for cardiac imaging in SSc research to achieve early detection and to optimize treatment.

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Assessment of Pericardial Disease with Cardiovascular MRI

Cited by 5 publications

References 37 publications

Diagnostic Value of Abdominal B-Ultrasound for Congenital Heart Disease Complicated with Extracardiac Malformation in the Second Trimester of Pregnancy

Diagnostic Value of Abdominal B-Ultrasound for Congenital Heart Disease Complicated with Extracardiac Malformation in the Second Trimester of Pregnancy

SCMR expert consensus statement for cardiovascular magnetic resonance of acquired and non-structural pediatric heart disease

Cardiovascular Imaging for Systemic Sclerosis Monitoring and Management

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