Ansari-Gilani Kianoush, Gilkeson Robert C, Kikano Elias G, Hoit Brian D
University Hospital Cleveland Medical Center, Cleveland, Ohio.
Harrington Heart & Vascular Institute, University Hospital Cleveland Medical Center, Cleveland, Ohio.
Echocardiography. 2020 Apr;37(4):632-636. doi: 10.1111/echo.14649. Epub 2020 Apr 2.
Despite advances in cardiovascular imaging, the diagnosis of constrictive pericarditis remains challenging. A multimodality approach to the diagnosis of CP is essential to (a) fully assess the extent of pericardial thickening and calcification, (b) detect the functional and hemodynamic consequences of the constricting pericardium, and (c) implement the optimal management strategy in these often complex cases. This case-based review highlights the role and diagnostic ambiguities of multimodality imaging.
尽管心血管成像技术不断进步,但缩窄性心包炎的诊断仍然具有挑战性。采用多模态方法诊断缩窄性心包炎对于(a)全面评估心包增厚和钙化的程度,(b)检测缩窄心包的功能和血流动力学后果,以及(c)在这些通常较为复杂的病例中实施最佳管理策略至关重要。本基于病例的综述强调了多模态成像的作用和诊断模糊性。