Restrictive Cardiomyopathies: The Importance of Noninvasive Cardiac Imaging Modalities in Diagnosis and Treatment—A Systematic Review
| العنوان: | Restrictive Cardiomyopathies: The Importance of Noninvasive Cardiac Imaging Modalities in Diagnosis and Treatment—A Systematic Review |
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| المؤلفون: | Dimitrios Patsouras, Vasileios Meladinis, Aidonis Rammos, Georgios Vovas |
| المصدر: | Radiology Research and Practice Radiology Research and Practice, Vol 2017 (2017) |
| بيانات النشر: | Hindawi, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | lcsh:Medical physics. Medical radiology. Nuclear medicine, Constrictive pericarditis, medicine.medical_specialty, lcsh:R895-920, Review Article, 030204 cardiovascular system & hematology, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, QRS complex, 0302 clinical medicine, Internal medicine, medicine, Radiology, Nuclear Medicine and imaging, cardiovascular diseases, Cardiac imaging, Ejection fraction, Radiological and Ultrasound Technology, business.industry, Restrictive cardiomyopathy, medicine.disease, Electrocardiographic Finding, Heart failure, Cardiology, cardiovascular system, business, Perfusion |
| الوصف: | Restrictive cardiomyopathy (RCM) is the least common among cardiomyopathies. It can be idiopathic, familial, or secondary to systematic disorders. Marked increase in left and/or right ventricular filling pressures causes symptoms and signs of congestive heart failure. Electrocardiographic findings are nonspecific and include atrioventricular conduction and QRS complex abnormalities and supraventricular and ventricular arrhythmias. Echocardiography and cardiac magnetic resonance (CMR) play a major role in diagnosis. Echocardiography reveals normal or hypertrophied ventricles, preserved systolic function, marked biatrial enlargement, and impaired diastolic function, often with restrictive filling pattern. CMR offering a higher spatial resolution than echocardiography can provide detailed information about anatomic structures, perfusion, ventricular function, and tissue characterization. CMR with late gadolinium enhancement (LGE) and novel approaches (myocardial mapping) can direct the diagnosis to specific subtypes of RCM, depending on the pattern of scar formation. When noninvasive studies have failed, endomyocardial biopsy is required. Differentiation between RCM and constrictive pericarditis (CP), nowadays by echocardiography, is important since both present as heart failure with normal-sized ventricles and preserved ejection fraction but CP can be treated by means of anti-inflammatory and surgical treatment, while the treatment options of RCM are dictated by the underlying condition. Prognosis is generally poor despite optimal medical treatment. |
| اللغة: | English |
| تدمد: | 2090-195X 2090-1941 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::01844ac6b9b3ccf2a7529c23b657c271 http://europepmc.org/articles/PMC5705874 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....01844ac6b9b3ccf2a7529c23b657c271 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 2090195X 20901941 |
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