Mano T Branco, Santos H, Rosa S Aguiar, Thomas B, Baquero L
Department of Cardiology, Hospital de Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Rua de Santa Marta, nr. 50, 1169-024 Lisbon, Portugal.
Cardiology Service, Centro Hospitalar Barreiro Montijo, Barreiro, Portugal.
Eur Heart J Case Rep. 2021 Nov 8;5(12):ytab444. doi: 10.1093/ehjcr/ytab444. eCollection 2021 Dec.
Cardiac magnetic resonance (CMR) has a unique role in evaluating pericardial disease, permitting non-invasive tissue analysis, and haemodynamic assessment.
In Case 1 of recurrent pericarditis, CMR confirmed reactivation of inflammation with late gadolinium enhancement and native T1/T2 mapping techniques, prompting therapeutic changes. In constrictive pericarditis, CMR is the only modality capable of differentiating a subacute potentially reversible form (Case 2), from a chronic, burnt out irreversible phase characterized by constrictive physiology (Case 3).
Cardiac magnetic resonance is an effective tool to tailor individual therapy, particularly in cases of recurrent and constrictive pericarditis. Late gadolinium enhancement provides diagnostic and prognostic information, and multiparametric mapping has emerged as a promising tool with incremental diagnostic value.
心脏磁共振成像（CMR）在评估心包疾病、进行无创组织分析和血流动力学评估方面具有独特作用。
在复发性心包炎病例1中，CMR通过延迟钆增强和固有T1/T2映射技术证实炎症再次激活，从而促使治疗方案的改变。在缩窄性心包炎中，CMR是唯一能够区分亚急性潜在可逆形式（病例2）与以缩窄生理学为特征的慢性、陈旧性不可逆阶段（病例3）的检查方法。
心脏磁共振成像是制定个体化治疗方案的有效工具，特别是在复发性和缩窄性心包炎病例中。延迟钆增强可提供诊断和预后信息，多参数映射已成为一种具有越来越高诊断价值的有前景的工具。
