[1]夏雪 周建中.缩窄性心包炎诊断技术的进展[J].心血管病学进展,2024,(7):608.[doi:10.16806/j.cnki.issn.1004-3934.2024.07.008]
 XIA Xue,ZHOU Jianzhong.Diagnostic Techniques for Constrictive Pericarditis[J].Advances in Cardiovascular Diseases,2024,(7):608.[doi:10.16806/j.cnki.issn.1004-3934.2024.07.008]
点击复制

缩窄性心包炎诊断技术的进展()
分享到:

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2024年7期
页码:
608
栏目:
综述
出版日期:
2024-07-25

文章信息/Info

Title:
Diagnostic Techniques for Constrictive Pericarditis
作者:
夏雪 周建中
(重庆医科大学附属第一医院心内科,重庆 400016)
Author(s):
XIA XueZHOU Jianzhong
(Department of Cardiology,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)
关键词:
缩窄性心包炎诊断外周静脉压无创影像学
Keywords:
Constrictive pericarditisDiagnosisPeripheral venous pressureNon-invasive imaging
DOI:
10.16806/j.cnki.issn.1004-3934.2024.07.008
摘要:
缩窄性心包炎(CP)是由于各种原因导致心包的增厚、粘连和纤维化等,致使心脏舒张功能受限,早期出现右心衰竭的症状和体征,若不经及时治疗,可导致全心衰竭等不良心血管事件的发生。由于症状非特异性,起病隐匿,CP常被误诊为其他心血管或非心血管疾病,如冠心病、限制型心肌病和淤血性肝病等。现阶段对于CP的诊断集中在无创影像技术上,超声心动图是首要的检查方法,CT和磁共振成像可显示心包解剖结构及评估心包炎症等;当无创技术不能明确诊断时,可监测血流动力学以及监测因CP所致静脉系统压力升高测得的外周静脉压以辅助诊断;而以上均无法明确时,可通过手术行病理活检明确诊断。CP的诊断具有挑战性,容易漏诊和误诊,为此现综述该病的诊断技术现状及进展。
Abstract:
Constrictive pericarditis(CP) is caused by various causes of pericardial thickening,adhesions and fibrosis,resulting in limited diastolic function of the heart,so that the symptoms and signs of right heart failure appear in the early stage of CP. If not treated in time,it can lead to adverse cardiovascular events such as total heart failure. Due to non-specific symptoms and insidious onset,CP is often misdiagnosed as other cardiovascular or non-cardiovascular diseases,such as coronary heart disease,restrictive cardiomyopathy,and congestive liver disease . Now the diagnosis of CP focuses on non-invasive imaging techniques, for example,echocardiography is the primary examination method,CT and magnetic resonance imaging can show the anatomical structure of the pericardium and assess pericardial inflammation. While the non-invasive techniques fail to make a clear diagnosis, hemodynamics can be monitored and peripheral venous pressure measured for elevated venous pressure due to CP can be used to aid diagnosis . If none of the above can be determined,the diagnosis can be confirmed by surgical pathological biopsy. The diagnosis of CP is challenging,and it is easy to be missed or misdiagnosed. Therefore,this article reviews the current status and progress of diagnostic techniques for this disease.

参考文献/References:

[1].Welch TD,Oh JK. Constrictive pericarditis[J]. Cardiol Clin,2017,35(4):539-549.
[2].Adler Y,Charron P,Imazio M,et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases:the task force for the diagnosis and management of pericardial diseases of the European Society of Cardiology(ESC) e ndorsed by:The European Association for Cardio-Thoracic Surgery(EACTS)[J]. Eur Heart J,2015,36(42):2921-2964.
[3].Bhasin A,Hughes ZH. Pathologic ventricular interdependence in constrictive pericarditis[J]. J Gen Intern Med,2023,38(7):1759-1760.
[4].Geske JB,Anavekar NS,Nishimura RA,et al. Differentiation of constriction and restriction:complex cardiovascular hemodynamics[J]. J Am Coll Cardiol,2016,68(21):2329-2347.
[5].Welch TD. Constrictive pericarditis:diagnosis,management and clinical outcomes[J]. Heart,2018,104(9):725-731.
[6].Welch TD,Ling LH,Espinosa RE,et al. Echocardiographic diagnosis of constrictive pericarditis:Mayo Clinic criteria[J]. Circ Cardiovasc Imaging,2014,7(3):526-534.
[7].Lloyd JW,Anavekar NS,Oh JK,et al. Multimodality imaging in differentiating constrictive pericarditis from restrictive cardiomyopathy:a comprehensive overview for clinicians and imagers[J]. J Am Soc Echocardiogr,2023,36(12):1254-1265.
[8].Kang SH,Song JM,Kim M,et al. Prognostic predictors in pericardiectomy for chronic constrictive pericarditis[J]. J Thorac Cardiovasc Surg,2014,147(2):598-605.
[9].Miranda WR,Oh JK. Constrictive pericarditis:a practical clinical approach[J]. Prog Cardiovasc Dis,2017,59(4):369-379.
[10].Aldajani A,Mardigyan V,Chetrit M. A contemporary approach to the diagnosis and management of constrictive pericarditis[J]. Can J Cardiol,2023,39(8):1144-1148.
[11].Li J,Li R,Cheng G,et al. A case series of constrictive pericarditis and suggested echocardiographic diagnostic criteria[J]. J Int Med Res,2022,50(11):3000605221134468.
[12].Yang JH,Miranda WR,Nishimura RA,et al. Prognostic importance of mitral e’ velocity in constrictive pericarditis[J]. Eur Heart J Cardiovasc Imaging,2021,22(3):357-364.
[13].Garcia MJ. Constrictive pericarditis versus restrictive cardiomyopathy?[J]. J Am Coll Cardiol ,2016,67(17):2061-2076.
[14].茅卫卫,姜峰. 超声二维斑点追踪技术观察缩窄性心包炎患者心脏功能变化[J]. 现代仪器与医疗,2018,24(6):20-22.
[15].Wang X,Qiao W,Xiao Y,et al. Experimental research on the evaluation of left ventricular function by layered speckle tracking in a constrictive pericarditis rat model[J]. J Ultrasound Med,2020,39(11):2219-2229.
[16].Alajaji W,Xu B,Sripariwuth A,et al. Noninvasive multimodality imaging for the diagnosis of constrictive pericarditis[J]. Circ Cardiovasc Imaging,2018,11(11):e007878.
[17].Antonopoulos AS,Vrettos A,Androulakis E,et al. Cardiac magnetic resonance imaging of pericardial diseases:a comprehensive guide[J]. Eur Heart J Cardiovasc Imaging,2023,24(8):983-998.
[18].Yamamoto H,Isogai J. Transient constrictive pericarditis following coxsackievirus A4 infection as a rare cause of acute mediastinitis:a case report [J]. Heliyon,2023,9(9):e19555.
[19].Conte E,Agalbato C,Melotti E,et al. The contemporary role of cardiac computed tomography and cardiac magnetic resonance imaging in the diagnosis and management of pericardial diseases[J]. Can J Cardiol,2023,39(8):1111-1120.
[20].Chetrit M,Xu B,Kwon DH,et al. Imaging-guided therapies for pericardial diseases[J]. JACC Cardiovasc Imaging,2020,13(6):1422-1437.
[21].Power JA,Thompson DV,Rayarao G,et al. Cardiac magnetic resonance radiofrequency tissue tagging for diagnosis of constrictive pericarditis :a proof of concept study [J]. J Thorac Cardiovasc Surg,2016,151(5):1348-1355.
[22].Sohal S,Mathai SV,Lipat K,et al. Multimodality imaging of constrictive pericarditis:pathophysiology and new concepts[J]. Curr Cardiol Rep,2022,24(10):1439-1453.
[23].Yang Z,Wang H,Chang S,et al. Left ventricular strain-curve morphology to distinguish between constrictive pericarditis and restrictive cardiomyopathy[J]. ESC Heart Fail,2021,8(6):4863-4872.
[24].Bogaert J,Dresselaers T,Imazio M,et al. Noninvasive assessment of congestive hepatopathy in patients with constrictive pericardial physiology using MR relaxometry[J]. Int J Cardiol,2021,338:265-273.
[25].Jain CC,Miranda WR,El Sabbagh A,et al. A simplified method for the diagnosis of constrictive pericarditis in the cardiac catheterization laboratory[J]. JAMA Cardiol,2022,7(1):100-104.
[26].Yang JH,Miranda WR,Borlaug BA,et al. Right atrial/pulmonary arterial wedge?pressure ratio in primary and?mixed constrictive pericarditis[J]. J Am Coll Cardiol,2019,73(25):3312-3321.
[27].Gonzalez C,Chamberland ME,Aldred MP,et al. Constrictive pericarditis:portal,splenic,and femoral venous Doppler pulsatility:a case series[J]. Can J Anaesth,2022,69(1):119-128.
[28].Garg R,Paleru V,Mukhopadhyay E. Near miss diagnosis:a case of refractory hypervolemia due to constrictive pericarditis[J]. J Am Coll Cardiol,2023,81(8):2639.
[29].Bao L,Huang J,Wang F,et al. Echocardiography with elevated central venous pressure diagnosing constrictive pericarditis more accurately than chest CT scan :a retrospective study in 36 cases[J]. Heart Surg Forum,2018,21(3):E190-E193.
[30].Masutani S,Kurishima C,Yana A,et al. Assessment of central venous physiology of Fontan circulation using peripheral venous pressure[J]. J Thorac Cardiovasc Surg,2017,153(4):912-920.
[31].Rusia A,Schott J,Franklin B,et al. Correlation of peripheral and central venous pressure in patients who underwent right heart catheterization[J]. Am J Cardiol,2022,167:162-164.
[32].Sperry BW,Campbell J,Yanavitski M,et al. Peripheral Venous Pressure Measurements in Patients With Acute Decompensated Heart Failure(PVP-HF)[J]. Circ Heart Fail,2017,10(7):e004130.
[33].谷珊珊,周雪艳. 肘中心静脉压测定诊断缩窄性心包炎1例报告[J].吉林大学学报(医学版),2012,38(5):888.
[34].刘永太,严晓伟,朱文玲. 83例缩窄性心包炎临床诊疗分析[J]. 中国循环杂志,2005,20(6):445-447.
[35].张丽华,林沁,郭立琳,等. 92例缩窄性心包炎误诊分析[J]. 中国循环杂志,2009,24(2):131-134.

相似文献/References:

[1]吴洋.左室心肌致密化不全的心脏磁共振诊断[J].心血管病学进展,2019,(5):673.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.004]
 WU Yang.Diagnosis of Left Ventricular Non-compaction Cardiomyopathy With Cardiac Magnetic Resonance Imaging[J].Advances in Cardiovascular Diseases,2019,(7):673.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.004]
[2]崔小豪 杨志明.和肽素在急性心肌梗死中的研究进展[J].心血管病学进展,2019,(5):726.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.016]
 CUI Xiaohao,YANG Zhiming.Copeptin in Acute Myocardial Infarction[J].Advances in Cardiovascular Diseases,2019,(7):726.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.016]
[3]张艺文 汪汉 秦莉 杨晓倩 童兰 蔡琳.狼疮患者冠心病的诊断、风险评估和治疗[J].心血管病学进展,2020,(5):513.[doi:10.16806/j.cnki.issn.1004-3934.2020.05.017]
 ZHANG Yiwen,WANG Han,QIN Li,et al.Diagnosis, Risk Evaluation and Therapy of Coronary Heart Disease in Lupus Patients[J].Advances in Cardiovascular Diseases,2020,(7):513.[doi:10.16806/j.cnki.issn.1004-3934.2020.05.017]
[4]刘晓霞 吴宝全.外周血miR-26a-5p水平变化与高血压性左心室肥厚的关系分析[J].心血管病学进展,2020,(5):556.[doi:10.16806/j.cnki.issn.1004-3934.2020.05.027]
 LIU Xiaoxia,WU Baoquan.Relationship Between Changes of Peripheral Blood miR-26a-5p Levels and Hypertensive Left Ventricular Hypertrophy[J].Advances in Cardiovascular Diseases,2020,(7):556.[doi:10.16806/j.cnki.issn.1004-3934.2020.05.027]
[5]袁佳栎 王群山.人工智能在心律失常诊断中的前景与挑战[J].心血管病学进展,2020,(10):999.[doi:10.16806/j.cnki.issn.1004-3934.2020.10.001]
 YUAN JialiWANG Qunshan.Prospects and Challenges of Arrhythmia Diagnosis by Artificial Intelligence[J].Advances in Cardiovascular Diseases,2020,(7):999.[doi:10.16806/j.cnki.issn.1004-3934.2020.10.001]
[6]栾梦迪,吴立荣.院内发生的心肌梗死研究现况[J].心血管病学进展,2020,(10):1061.[doi:10.16806/j.cnki.issn.1004-3934.2020.10.015]
 LUAN Mengdi,WU Lirong.Research Status of AMI occurring in Hospitalized Patients[J].Advances in Cardiovascular Diseases,2020,(7):1061.[doi:10.16806/j.cnki.issn.1004-3934.2020.10.015]
[7]王前程 刘伟涛 周忠江.提高对甲状腺素转运蛋白淀粉样变性心肌病诊治的认识[J].心血管病学进展,2021,(3):228.[doi:10.16806/j.cnki.issn.1004-3934.2021.03.009]
 WANG Qiancheng,LIU Weitao,ZHOU Zhongjiang.To Improve the Recognition of Diagnosis and Treatment of Transthyretin Amyloid Cardiomyopathy[J].Advances in Cardiovascular Diseases,2021,(7):228.[doi:10.16806/j.cnki.issn.1004-3934.2021.03.009]
[8]韩雅洁 范小倩 巩彩霞 赵子龙 乔成栋.致心律失常性左室心肌病的研究进展[J].心血管病学进展,2021,(4):342.[doi:10.16806/j.cnki.issn.1004-3934.2021.04.013]
 HAN Yajie,FAN Xiaoqian,GONG Caixia,et al.Arrhythmogenic Left Ventricular Cardiomyopathy[J].Advances in Cardiovascular Diseases,2021,(7):342.[doi:10.16806/j.cnki.issn.1004-3934.2021.04.013]
[9]余幸娟 王琦光.胎儿先天性心血管病诊疗现状与前景[J].心血管病学进展,2021,(6):547.[doi:10.16806/j.cnki.issn.1004-3934.2021.06.017]
 YU XingjuanWANG Qiguang.Current Situation and Prospect of Diagnosis and Treatment of Fetal Congenital Heart Disease[J].Advances in Cardiovascular Diseases,2021,(7):547.[doi:10.16806/j.cnki.issn.1004-3934.2021.06.017]
[10]张文倩 周玲梅 王超杰 张智伟.室间隔缺损合并主动脉瓣脱垂的诊断与治疗[J].心血管病学进展,2021,(8):673.[doi:10.16806/j.cnki.issn.1004-3934.2021.08.001]
 ZHANG WenqianZHOU LingmeiWANG ChaojieZHANG Zhiwei.Diagnosis and Treatment of Ventricular Septal Defect with Aortic Valve Prolapse[J].Advances in Cardiovascular Diseases,2021,(7):673.[doi:10.16806/j.cnki.issn.1004-3934.2021.08.001]

更新日期/Last Update: 2024-08-09