Cardiomyopathy and cardiac computed tomography: What the radiologist needs to know

Troupis, John; Pasricha, Sundeep Singh; Gunaratnam, Kughan; Nasis, Arthur; Cameron, James D.; Seneviratne, Sujith

doi:10.1016/j.crad.2012.08.031

Cited by 6 publications

(3 citation statements)

References 82 publications

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“…Cardiac CT can also visualize most morphological features of the different cardiomyopathies, including ventricular wall dimensions and structure, cavity sizes, global contractile function, and even regional wall motion abnormalities. 137,138 However, although cardiac CT very accurately measures global ventricular function, its practical use is limited by the radiation exposure, 139 hence, echocardiography and CMR are preferred. In case of suboptimal echocardiographic images Left-sided valve morphology can be assessed well, while CT imaging of the right-sided valves is more challenging and requires specific attention to contrast timing.…”

Section: Computed Tomographymentioning

confidence: 99%

European Association of Preventive Cardiology (EAPC) and European Association of Cardiovascular Imaging (EACVI) joint position statement: recommendations for the indication and interpretation of cardiovascular imaging in the evaluation of the athlete’s heart

Pelliccia¹,

Caselli²,

Sharma

et al. 2017

European Heart Journal

241

202

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SCD in the family Echocardiography Cardiomyopathies Clinical and genetic family screening in selected cases Known cardiomyopathy in the family CMR Mitral valve prolapse Palpitations Echocardiography Cardiomyopathies Consider 24-h and/or long-term ambulatory ECG monitoring and/or electrophysiological study in selected cases Syncope CMR Coronary artery disease/ anomalies CT according to clinical suspicion Consider stress echo to rule out LV outflow obstruction Chest pain Echocardiography Coronary artery disease/ anomalies Consider the risk profile, age and radiation exposure CMR Consider exercise stress imaging CT Nuclear imaging Physical examination Imaging tests of choice Heart disease Additional testing Cardiac murmurs Echocardiography Valvular heart disease Additional tests on the basis of echocardiographic findings and clinical suspicion (e.g. CMR) Abnormal cardiac sound Congenital heart defects Marfanoid habitus Echocardiography Marfan disease Clinical and genetic family screening CT Accurate evaluation of thoracic aorta CMR 12-leads electrocardiogram Imaging tests of choice Heart disease Additional testing T-wave inversion Echocardiogram Cardiomyopathies Clinical and genetic family screening CMR Myocarditis Annual follow-up with imaging tests in athletes with normal findings at initial evaluation ST-segment depression Echocardiogram Cardiomyopathies Consider exercise stress imaging CMR Myocarditis Coronary CT or nuclear imaging in athletes with clinical suspicion of coronary artery disease Coronary artery disease Valve disease Pathologic Q-waves Echocardiogram Cardiomyopathies Consider exercise stress imaging CMR Myocarditis Coronary CT or nuclear imaging in athletes with clinical suspicion of coronary artery disease Coronary artery disease Complete LBBB Echocardiogram Cardiomyopathies Comprehensive cardiac evaluation for exclusion CMR Myocarditis of heart disease CT Cardiac sarcoidosis Consider exercise stress imaging Nuclear imaging Valve disease Coronary artery disease/ anomalies Bifascicular block (RBBB and left anterior hemiblock) Echocardiogram Cardiomyopathies Additional tests on the basis of echocardiographic findings and clinical suspicion Myocarditis Cardiac sarcoidosis Coronary artery disease Non-specific intraventricular conduction delay Echocardiogram Cardiomyopathies Additional tests on the basis of echocardiographic findings and clinical suspicion Coronary artery disease/ anomalies Minor non-voltage criteria for LV or RV hypertrophy (atrial enlargement and QRS axis deviation) Echocardiogram Cardiomyopathies Additional tests on the basis of echocardiographic findings and clinical suspicion Valve disease Congenital heart disease Pulmonary hypertension Abnormal exercise testing (repolarization abnormalities/ symptoms/arrhythmias) Echocardiography Coronary artery disease/ anomalies Consider the cardiovascular risk profile and age CMR Consider also exercise stress imaging CT Cardiomyopathies Low-radiation examinations advised in young individuals Nuclear imaging Myocarditis CMR, cardiac magnetic re...

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Section: Computed Tomographymentioning

confidence: 99%

European Association of Preventive Cardiology (EAPC) and European Association of Cardiovascular Imaging (EACVI) joint position statement: recommendations for the indication and interpretation of cardiovascular imaging in the evaluation of the athlete’s heart

Pelliccia¹,

Caselli²,

Sharma

et al. 2017

European Heart Journal

241

202

View full text Add to dashboard Cite

show abstract

“…uzlin u sarkoidózy). Některé práce vyzdvihují přínos CT k diagnostice spongiózní kardiomyopatie, ale i dalších kardiomyopatií [54][55][56][57], posouzení funkce levé a pravé komory s měřením velikosti dutin a tloušťky myokardu. Lze kvantifi kovat i parametr, který je analogií "pozdního sycení" z CMR -obě metody spolu dle některých prací dobře korelují [58,59], naše počáteční zkušenosti s touto metodou však nejsou tak optimistické.…”

Section: Obr 2 -Tkáňová Dopplerovská Echokardiografi E U Pacienta S Hypertrofi Ckou Kardiomyopatií Tdi Ze Septální čáSti Mitrálního Prsteunclassified

Imaging methods in cardiomyopathies

Gregor

Línková

2017

Cor Vasa

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Základní zobrazovací metodou je echokardiografi e -je široce dostupná a relativně levná, plní nezastupitelnou funkci screeningové metody. Z novějších metod může být užitečná trojrozměrná echokardiografi e především u spongiózních a dále pak u apikálních hypertrofi ckých kardiomyopatií, speckle-tracking při rozlišení atletického srdce od hypertrofi cké kardiomyopatie, jednotlivých forem restriktivních kardiomyopatií (včetně počátečních stadií srdeční amyloidózy), při rozpoznání stresové a spongiózní kardiomyopatie. Přesnější informace k rozpoznání výše uvedených stavů přináší magnetická rezonance, zvláště u arytmogenní kardiomyopatie pravé komory a dále při prognostickém posuzování všech typů kardiomyopatií. Výpočetní tomografi e srdce slouží především k odlišení ischemické choroby srdeční a k detekci různých extrakardiálních struktur, zásadní nevýhodou je však radiační zátěž znemožňující využití metody v dlouhodobém sledování kardiomyopatií.

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“…However, these patients are mostly immobilized and intubated, ruling out the application of most imaging techniques of cardiac hemodynamic assessment, such as ultrasound, computed tomography angiography (CTA), magnetic resonance imaging (MRI), and emission computed tomography (ECT) ( 8 ). Coronary CTA (CCTA) has been considered the most effective noninvasive method for evaluating coronary arteries, but traditional CCTA requires heart rate control and respiratory coordination, which are challenging under ECMO support ( 9 ). ECMO can change blood flow, causing difficulties in the venous injection of contrast agents for CCTA examinations ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

Identifying the cause of cardiac arrest through coronary computed tomography angiography with high heart rate under venoarterial extracorporeal membrane oxygenation support: a case description

Wang,

Liu,

et al. 2024

Quant Imaging Med Surg

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Cardiomyopathy and cardiac computed tomography: What the radiologist needs to know

Cited by 6 publications

References 82 publications

European Association of Preventive Cardiology (EAPC) and European Association of Cardiovascular Imaging (EACVI) joint position statement: recommendations for the indication and interpretation of cardiovascular imaging in the evaluation of the athlete’s heart

European Association of Preventive Cardiology (EAPC) and European Association of Cardiovascular Imaging (EACVI) joint position statement: recommendations for the indication and interpretation of cardiovascular imaging in the evaluation of the athlete’s heart

Imaging methods in cardiomyopathies

Identifying the cause of cardiac arrest through coronary computed tomography angiography with high heart rate under venoarterial extracorporeal membrane oxygenation support: a case description

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