Role of non-invasive multimodality imaging in autoimmune pericarditis

Author:

Jain Vardhmaan1,Chhabra Garvit2,Chetrit Michael1,Bansal Agam1,Berglund Felix1,Montanè Bryce1,Furqaan Muhammad M1,Bachour Salaam P1,Kontzias Apostolos3,Forte Alexandra Villa1,Aronow Wilbert S4,Imazio Massimo5,Cremer Paul C6,Klein Allan L6ORCID

Affiliation:

1. Heart,Vascular and Thoracic Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA

2. Department of Internal Medicine, University of Louisville, 530 S Jackson St, Louisville, KY 40202, USA

3. Department of Rheumatology, Stony Brook University Hospital, 101 Nicolls Road, Stony Brook, NY 11794, USA

4. Department of Cardiology, Westchester Medical Centre, 100 Woods Rd, Valhalla, NY 10595, USA

5. University Division of Cardiology, Department of Medical Sciences, AOU Città della Salute e della Scienza di Torino, Corso Bramante, 88, 10126 Torino, TO, Italy

6. Center for Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart, Vascular and Thoracic Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA

Abstract

Abstract Systemic autoimmune diseases are an important cause of pericardial involvement and contribute to up to ∼22% cases of pericarditis with a known aetiology. The underlying mechanism for pericardial involvement varies with each systemic disease and leads to a poor understanding of its management. Multimodality imaging establishes the diagnosis and determines the type and extent of pericardial involvement. In this review, we elaborate upon various pericardial syndromes associated with different systemic autoimmune and autoinflammatory diseases and the multitude of imaging modalities that can be used to further characterize autoimmune pericardial involvement. Lastly, these forms of pericarditis have a greater likelihood of recurrence, and clinicians need to understand their unique treatment approaches to improve patient outcomes.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine,Radiology Nuclear Medicine and imaging,General Medicine

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