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首页> 外文期刊>The American Journal of Cardiology >Usefulness of Cardiac Magnetic Resonance for Recurrent Pericarditis
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Usefulness of Cardiac Magnetic Resonance for Recurrent Pericarditis

机译：复发性心包炎心脏磁共振的有用性

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摘要

Cardiac magnetic resonance (CMR) offers the capability to objectively detect pericarditis by identifying pericardial thickening, edema/inflammation by Short-TI Inversion Recovery-T2 weighted (STIR-T2w) imaging, edema/inflammation or fibrosis by late gadolinium enhancement (LGE), and presence of pericardial effusion. This is especially helpful for the diagnosis of recurrent pericarditis. Aim of the present paper is to assess the diagnostic accuracy of CMR findings as well as their potential prognostic value for the diagnosis of recurrent pericarditis. Multicenter cohort study of consecutive patients with recurrent pericarditis evaluated by CMR. We included 128 consecutive cases (60 males, 47%; mean age 48 +/- 14 years). CMR was performed at a mean time of 12 days (95% confidence interval 15 to 21) after the clinical diagnosis. We evaluated the diagnostic accuracy and areas under the receiver operating characteristic (ROC) curve for CMR diagnostic criteria and complications (additional recurrences, cardiac tamponade, and constrictive pericarditis). Areas under the ROC curve were respectively 64% for pericardial thickening, 84% for pericardial edema, 82% for pericardial LGE, and 71% for pericardial effusion. After a mean follow-up of 34 months, recurrences occurred in 52% of patients, tamponade in 6 %, and constrictive pericarditis in 11 %. Using a multivariable Cox model, elevation of CRP and presence of CMR pericardial thickening were predictors of adverse events, whereas the presence of CMR LGE was associated with a lower risk. The prognostic model for adverse events using gender, age, CRP level, and all CMR variables showed a C-index of 0.84. In conclusion, CMR findings show high diagnostic accuracy and may help identifying patients at higher risk of complications. (C) 2019 Elsevier Inc. All rights reserved.
机译：心脏磁共振（CMR）提供了通过鉴定心包增厚，水肿/炎症通过晚期钆增强（LGE），通过鉴定心包增稠，水肿/炎症，通过鉴定心包增厚，水肿/炎症，和心包积液的存在。这对诊断复发性心包炎特别有用。本文的目的是评估CMR调查结果的诊断准确性以及诊断复发性心包炎的潜在预后价值。 CMR评估的连续患者的多中心队列研究。我们连续128例（60名男性，47％;平均48岁+/- 14岁）。在临床诊断后，CMR在12天（95％置信区间15至21）的平均时间进行。我们评估了CMR诊断标准和并发症的接收器操作特征（ROC）曲线下的诊断准确性和区域（额外的复发，心脏局部局衣和收缩心包炎）。 ROC曲线下的区域分别为心包增厚的64％，对于心包水肿的84％，包心肠道的82％，含有71％的心包积液。平均随访34个月后，52％的患者中发生的复发，局部局部局部，6％，收缩性心膜膜炎11％。使用多变量的COX模型，CRP的升高和CMR心包增厚的存在是不良事件的预测因子，而CMR LGE的存在与较低的风险相关。使用性别，年龄，CRP水平和所有CMR变量的不良事件的预后模型显示C折射率为0.84。总之，CMR结果显示出高的诊断准确性，并有助于识别患者以更高的并发症风险。 （c）2019 Elsevier Inc.保留所有权利。

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