Heart,Vascular and Thoracic Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Department of Internal Medicine, University of Louisville, 530 S Jackson St, Louisville, KY 40202, USA.
Eur Heart J Cardiovasc Imaging. 2021 Oct 19;22(11):1228-1240. doi: 10.1093/ehjci/jeab131.
Systemic autoimmune diseases are an important cause of pericardial involvement and contribute to up to ∼22% cases of pericarditis with a known aetiology. The underlying mechanism for pericardial involvement varies with each systemic disease and leads to a poor understanding of its management. Multimodality imaging establishes the diagnosis and determines the type and extent of pericardial involvement. In this review, we elaborate upon various pericardial syndromes associated with different systemic autoimmune and autoinflammatory diseases and the multitude of imaging modalities that can be used to further characterize autoimmune pericardial involvement. Lastly, these forms of pericarditis have a greater likelihood of recurrence, and clinicians need to understand their unique treatment approaches to improve patient outcomes.
系统性自身免疫性疾病是心包受累的重要原因,在已知病因的情况下,约有 22%的心包炎与之相关。心包受累的潜在机制因每种系统性疾病而异,导致其管理难以理解。多模态成像可建立诊断,并确定心包受累的类型和程度。在这篇综述中,我们详细阐述了与不同系统性自身免疫性和自身炎症性疾病相关的各种心包综合征,以及可用于进一步描述自身免疫性心包受累的多种成像方式。最后,这些类型的心包炎更有可能复发,临床医生需要了解其独特的治疗方法,以改善患者的预后。