By Massimo Imazio
This booklet studies present wisdom and up to date advances within the analysis and administration of myopericardial ailments, a spectrum of clinical ailments and syndromes affecting an important percentage of sufferers in medical perform and featuring both as an remoted technique or as a manifestation of a systemic sickness. not like in different books, either pericardial and myocardial ailments are totally lined. unique tips is equipped on prognosis and the position of built-in cardiovascular imaging, scientific remedy, interventional prognosis and remedy, and surgical prognosis and remedy. Importantly, up to date unique info is gifted on symptoms and guidelines/recommendations deliberate for book in 2015. This well-illustrated publication should be a useful reduction to analysis and administration for practitioners in a number of scientific specialties, together with cardiology, inner medication, rheumatology, relations drugs, cardiac surgical procedure, nephrology, and endocrinology.
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Additional info for Myopericardial Diseases: Diagnosis and Management
CT is the most accurate technique to image calcified tissue, and it is especially helpful to depict the extension of calcifications allowing a better surgical plan for pericardiectomy. Nowadays modern multi-detector CT scanners combine both acquisition speed and high contrast and spatial resolution providing excellent anatomical details. Low-radiation cardiac CT is feasible using prospective electrocardiographic triggering. In clinical practice, CT provides limited contribution to the functional study of the heart and pericardium [2, 10].
Left pleural effusion can be differentiated from pericardial effusion since pleural effusion is posterior to the thoracic descending aorta (Fig. 6). 0 mm. The pericardial sinuses and their respective recesses are well visible on computed tomography (CT). 4 Computed Tomography (CT) a 31 b c Fig. 5 Multimodality imaging of epicardial fat: an echo-free space on echocardiography (panel a) that is better characterized on CT (panel b) and especially on CMR (panel c). Single red arrows indicating epicardial fat, while double arrows indicate subcutaneous fat (note the same appearance of epicardial fat on CMR) Pericardial Effusion Pleuropericardial Effusion Fig.
Curr Opin Cardiol. 2012;27:308–17. 4. LeWinter MM. Clinical practice. Acute pericarditis. N Engl J Med. 2014;371:2410–6. 5. Imazio M, Gaita F. Diagnosis and treatment of pericarditis. Heart. 2015;101:1159–68. 6. Ariyarajah V, Spodick DH. Acute pericarditis: diagnostic cues and common electrocardiographic manifestations. Cardiol Rev. 2007;15:24–30. 7. Roy CL, Minor MA, Brookhart MA, Choudhry NK. Does this patient with a pericardial effusion have cardiac tamponade? JAMA. 2007;297:1810–8. 8. Pollak P, Brady W.