Tuberculous pericarditis MRI: Difference between revisions

Jump to navigation Jump to search
m (Robot: Automated text replacement (-\<youtube v=(.+)\/\> +{{#ev:youtube|\1}}))
No edit summary
 
(8 intermediate revisions by 4 users not shown)
Line 1: Line 1:
__NOTOC__
{{Tuberculous pericarditis}}
{{Tuberculous pericarditis}}
{{Pericarditis}}
 
{{CMG}}; '''Associate Editor-In-Chief:''' [[Varun Kumar]], M.B.B.S.; [[Lakshmi Gopalakrishnan]], M.B.B.S.
{{CMG}}; '''Associate Editor-In-Chief:''' {{Fs}}, [[Varun Kumar]], M.B.B.S.; [[Lakshmi Gopalakrishnan]], M.B.B.S.
 
==Overview==
[[MRI]] may be helpful in the [[diagnosis]] of tuberculous pericarditis. Findings on [[MRI]] suggestive of tuberculous pericarditis include [[pericardial effusion]], [[pericardial]] thickening, [[Mediastinum|mediastinal]] and [[tracheobronchial]] [[lymphadenopathy]] (with hilar sparing), and bowing of the [[interventricular septum]] toward the left ventricle during diastole.


==MRI==
==MRI==
Patients with tuberculosis pericarditis often go on to develop [[constrictive pericarditis]]. Below is a video demonstrating the [[cardiac MRI]] findings of constrictive pericarditis where, in mid-diastole, the thickened pericardium begins to restrict right ventricular filling, causing a rapid increase in ventricular pressure. Early changes of septal flattening and bowing of the interventricular septum toward the left ventricle (normally concave in shape toward the left ventricle during diastolic filling) are seen. This pressure change results in diastolic septal dysfunction, the septal bounce described in echocardiography.
[[MRI]] may be helpful in the [[diagnosis]] of tuberculous pericarditis. Findings on [[MRI]] suggestive of tuberculous pericarditis include:<ref>{{cite book | last = Pohost | first = Gerald | title = Principles and practice of cardiovascular imaging | publisher = Little, Brown | location = Boston | year = 1991 | isbn = 978-0316712477 }}</ref><ref name="pmid15138314">{{cite journal |vauthors=Cherian G |title=Diagnosis of tuberculous aetiology in pericardial effusions |journal=Postgrad Med J |volume=80 |issue=943 |pages=262–6 |date=May 2004 |pmid=15138314 |pmc=1742992 |doi=10.1136/pgmj.2003.013664 |url=}}</ref>
{{#ev:youtube|5srXVJdWIAM}}
 
* Pericardial effusion
* Pericardial thickening
* Mediastinal and tracheobronchial lymphadenopathy (with hilar sparing)
* Bowing of the interventricular septum toward the left ventricle during diastole
 
<br />{{#ev:youtube|5srXVJdWIAM}} https://www.youtube.com/watch?v=5srXVJdWIAM


==References==
==References==
Line 14: Line 24:
[[Category:Inflammations]]
[[Category:Inflammations]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Infectious disease]]
[[Category: Up-To-Date]]
[[Category Up-To-Date Cardiology]]


[[Category:Tuberculosis]]
[[Category:Disease]]
[[Category:Needs overview]]
{{WH}}
{{WH}}
{{WS}}
{{WS}}

Latest revision as of 16:13, 19 December 2019

Tuberculous pericarditis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Tuberculous pericarditis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Tuberculous pericarditis MRI On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Tuberculous pericarditis MRI

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Tuberculous pericarditis MRI

CDC on Tuberculous pericarditis MRI

Tuberculous pericarditis MRI in the news

Blogs on Tuberculous pericarditis MRI

Directions to Hospitals Treating Psoriasis

Risk calculators and risk factors for Tuberculous pericarditis MRI

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Fahimeh Shojaei, M.D., Varun Kumar, M.B.B.S.; Lakshmi Gopalakrishnan, M.B.B.S.

Overview

MRI may be helpful in the diagnosis of tuberculous pericarditis. Findings on MRI suggestive of tuberculous pericarditis include pericardial effusion, pericardial thickening, mediastinal and tracheobronchial lymphadenopathy (with hilar sparing), and bowing of the interventricular septum toward the left ventricle during diastole.

MRI

MRI may be helpful in the diagnosis of tuberculous pericarditis. Findings on MRI suggestive of tuberculous pericarditis include:[1][2]

  • Pericardial effusion
  • Pericardial thickening
  • Mediastinal and tracheobronchial lymphadenopathy (with hilar sparing)
  • Bowing of the interventricular septum toward the left ventricle during diastole


{{#ev:youtube|5srXVJdWIAM}} https://www.youtube.com/watch?v=5srXVJdWIAM

References

  1. Pohost, Gerald (1991). Principles and practice of cardiovascular imaging. Boston: Little, Brown. ISBN 978-0316712477.
  2. Cherian G (May 2004). "Diagnosis of tuberculous aetiology in pericardial effusions". Postgrad Med J. 80 (943): 262–6. doi:10.1136/pgmj.2003.013664. PMC 1742992. PMID 15138314.

Template:WH Template:WS