Restrictive Cardiomyopathies: The Importance of Noninvasive Cardiac Imaging Modalities in Diagnosis and Treatment—A Systematic Review
Joint Authors
Rammos, Aidonis
Meladinis, Vasileios
Vovas, Georgios
Patsouras, Dimitrios
Source
Radiology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-14, 14 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-11-15
Country of Publication
Egypt
No. of Pages
14
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Rammos, Aidonis& Meladinis, Vasileios& Vovas, Georgios& Patsouras, Dimitrios. 2017. Restrictive Cardiomyopathies: The Importance of Noninvasive Cardiac Imaging Modalities in Diagnosis and Treatment—A Systematic Review. Radiology Research and Practice،Vol. 2017, no. 2017, pp.1-14.
https://search.emarefa.net/detail/BIM-1197687
Modern Language Association (MLA)
Rammos, Aidonis…[et al.]. Restrictive Cardiomyopathies: The Importance of Noninvasive Cardiac Imaging Modalities in Diagnosis and Treatment—A Systematic Review. Radiology Research and Practice No. 2017 (2017), pp.1-14.
https://search.emarefa.net/detail/BIM-1197687
American Medical Association (AMA)
Rammos, Aidonis& Meladinis, Vasileios& Vovas, Georgios& Patsouras, Dimitrios. Restrictive Cardiomyopathies: The Importance of Noninvasive Cardiac Imaging Modalities in Diagnosis and Treatment—A Systematic Review. Radiology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-14.
https://search.emarefa.net/detail/BIM-1197687
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1197687