Abstract
Constrictive pericarditis is characterized by constriction of the heart secondary to pericardial inflammation. Cardiovascular magnetic resonance (CMR) imaging is useful imaging modality for addressing the challenges of confirming this diagnosis. It can be used to exclude other causes of right heart failure, such as pulmonary hypertension or myocardial infarction, determine whether the pericardium is causing constriction and differentiate it from restrictive cardiomyopathy, which also causes impaired cardiac filling. A 77-year-old man from a country with high incidence of tuberculosis presented with severe dyspnea. Echocardiography revealed a small left ventricle with normal systolic and mildly impaired diastolic function. Left heart catheterization revealed non-obstructive coronary disease, not felt contributory to the dyspnea. Anatomy imaging with cardiovascular magnetic resonance imaging (CMR) showed global, severely thickened pericardium. Short tau inversion recovery (STIR) sequences for detection of oedema/ inflammation showed increased signal intensity and free breathing sequences confirmed septal flattening on inspiration. Late gadolinium imaging confirmed enhancement in the pericardium, with all findings suggestive of pe...Continue Reading
References
Jul 30, 1999·American Heart Journal·R B Myers, D H Spodick
Jul 31, 1999·The New England Journal of Medicine·S KojimaY Goto
Sep 29, 1999·Circulation·L H LingA J Tajik
Nov 17, 2001·Heart·R A Nishimura
Oct 1, 2003·Circulation·Deepak R TalrejaJae K Oh
Mar 6, 2004·Lancet·Richard W TroughtonAllan L Klein
Dec 7, 2005·Circulation·Bongani M MayosiAnton F Doubell
Jan 7, 2006·BMC Infectious Diseases·Bongani M MayosiPatrick J Commerford
Mar 16, 2006·Heart·J-W HaB-W Choi
Jan 22, 2008·Journal of the American College of Cardiology·Deepak R TalrejaDavid R Holmes
May 6, 2009·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·Jan Bogaert, Marco Francone
Jul 30, 2011·Future Cardiology·Farouk MookadamA Jamil Tajik
Nov 19, 2011·JACC. Cardiovascular Imaging·Andrew O ZurickAllan L Klein
Mar 20, 2012·Heart Failure Reviews·Mpiko Ntsekhe, Bongani M Mayosi
Jul 24, 2012·The International Journal of Cardiovascular Imaging·Nandan S AnavekarPhillip M Young
Apr 9, 2013·The Thoracic and Cardiovascular Surgeon·Wu WeiDiao Xin
Sep 3, 2014·The New England Journal of Medicine·Bongani M MayosiUNKNOWN IMPI Trial Investigators
Mar 3, 2015·Current Cardiology Reports·Terrence D Welch, Jae K Oh
Citations
Oct 22, 2016·IJC Heart & Vasculature·Lois ChoyGary Tse
Jun 16, 2016·Frontiers in Physiology·Gary TseSunny Hei Wong
Jun 16, 2016·Frontiers in Physiology·Gary TseBryan P Yan
Jul 6, 2016·Frontiers in Physiology·Gary TseSunny H Wong
Aug 6, 2016·Frontiers in Physiology·Gary TseBryan P Yan
Aug 19, 2016·Frontiers in Physiology·Gary TseYu Huang
Sep 20, 2016·Journal of Diabetes Research·Gary TseJie Ming Yeo
Oct 6, 2016·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Gary Tse, Bryan P Yan
Jan 8, 2017·Journal of Basic and Clinical Physiology and Pharmacology·Jie Ming YeoGary Tse
Oct 26, 2016·Molecular Medicine Reports·Gary TseBing Sun
Jan 19, 2017·International Journal of Molecular Medicine·Pui WongGary Tse
Nov 14, 2017·SA Journal of Radiology·Vishesh SoodNtobeko Ntusi
Jan 21, 2017·Biomedical Reports·Hiu Yu LinGary Tse
Sep 3, 2016·Biomedical Reports·Gary TseJie Ming Yeo
Apr 30, 2017·Biomedical Reports·Yee Ting LeeGary Tse