Clinic for Cardiology, Elisabeth Krankenhaus Essen, Essen, Germany.
Echocardiography. 2024 Dec;41(12):e70037. doi: 10.1111/echo.70037.
This case highlights the use of multimodality imaging in the diagnosis and management of chronic constrictive pericarditis (CP) in a 37-year-old male with a history of T-wave inversions on electrocardiogram (ECG). The patient underwent adenosine stress cardiac magnetic resonance (CMR) due to suspicion of coronary artery disease (CAD). CMR revealed findings suggestive of chronic CP, including pericardial thickening and septal shudder, with computed tomography (CT) confirming the presence of pericardial calcification. The diagnosis was established through the combination of CMR and CT imaging. The patient underwent a successful pericardiectomy. This case emphasizes the crucial role of CMR and CT in diagnosing and guiding the management of CP.
本病例强调了多模态影像学在诊断和治疗慢性缩窄性心包炎（CP）中的作用，患者为 37 岁男性，既往心电图（ECG）显示 T 波倒置。因怀疑冠状动脉疾病（CAD），该患者行腺苷负荷心脏磁共振（CMR）检查。CMR 显示出慢性 CP 的特征性表现，包括心包增厚和室间隔震颤，CT 证实心包钙化。CMR 和 CT 联合成像确立了诊断。患者随后成功接受心包切除术。本病例强调了 CMR 和 CT 在诊断和指导 CP 治疗中的关键作用。
