Why the study?
Although constrictive pericarditis has long been considered a surgical disease, a subset of patients experience transient constriction, necessitating evaluation of disease duration and potential for reversal to determine appropriate treatment.
Population
Patients with constrictive pericarditis
Design
Review
Key result
Multi-modality imaging, including cardiac MRI and 18F-FDG PET/CT, helps identify active pericardial inflammation and predict which patients with transient constrictive pericarditis may respond to medical therapy.
Authors
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May support medical management in transient constriction; leaves open optimal imaging protocols pending prospective validation.
Multi-modality imaging is essential in constrictive pericarditis to differentiate chronic surgical disease from transient, medically treatable inflammation.
Chang et al. (2019) conducted a review in Constrictive pericarditis. Multi-modality imaging (CMR, 18F-FDG PET/CT) and anti-inflammatory therapy was evaluated. Multi-modality imaging, including cardiac MRI and 18F-FDG PET/CT, helps identify active pericardial inflammation and predict which patients with transient constrictive pericarditis may respond to medical therapy.