[Potential of Magnetic Resonance Imaging in Diagnostics of Transient Constrictive Pericarditis].

IF 0.5 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Kardiologiya Pub Date : 2025-01-31 DOI:10.18087/cardio.2025.1.n2736

K M Beseliia, Z M Magomedova, F Kh Eldzharkieva, M S Dolgaya, D Yu Shchekochikhin, E S Pershina, A A Bogdanova, A N Volovchenko, D A Andreev

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Abstract

The article addresses the diagnostic criteria based on magnetic resonance imaging (MRI) in transient constrictive pericarditis (TCP), a rare form of constrictive pericarditis characterized by temporary signs of constriction. Constrictive pericarditis evident as myocardial thickening and fibrosis results in impaired diastolic filling and can manifest itself with symptoms similar to those of other pathologies, such as restrictive cardiomyopathy. The article presents two clinical cases of TCP, where the role of MRI in the diagnosis and monitoring of patients is highlighted. For diagnostics, echocardiography and MRI were used along with laboratory tests, including the tests for inflammation markers and troponin. MRI allows not only to visualize changes in the pericardial structure but also to monitor changes in the condition, which is important for choosing the treatment tactics. In both cases, symptoms were successfully resolved, and the patients' condition was normalized with drug therapy. The results highlight the importance of early diagnosis and proper management tactics to prevent irreversible changes in the pericardium and heart failure.

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[磁共振成像在一过性缩窄性心包炎诊断中的潜力]。

本文讨论了基于核磁共振成像（MRI）的诊断标准在一过性缩窄性心包炎（TCP），一种罕见形式的缩窄性心包炎的特点是暂时的收缩迹象。缩窄性心包炎表现为心肌增厚和纤维化，导致舒张充盈受损，其症状与其他疾病（如限制性心肌病）相似。本文介绍了两例TCP的临床病例，其中MRI在诊断和监测患者中的作用是突出的。在诊断方面，超声心动图和核磁共振成像与实验室测试一起使用，包括炎症标志物和肌钙蛋白测试。MRI不仅可以可视化心包结构的变化，还可以监测病情的变化，这对选择治疗策略很重要。在这两个病例中，症状都得到了成功的解决，并且患者的病情通过药物治疗得到了正常化。结果强调早期诊断和适当的治疗策略对于防止心包不可逆改变和心力衰竭的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Kardiologiya 医学-心血管系统

CiteScore

1.70

自引率

20.00%

发文量

审稿时长

3-8 weeks

期刊介绍： “Kardiologiya” (Cardiology) is a monthly scientific, peer-reviewed journal committed to both basic cardiovascular medicine and practical aspects of cardiology. As the leader in its field, “Kardiologiya” provides original coverage of recent progress in cardiovascular medicine. We publish state-of-the-art articles integrating clinical and research activities in the fields of basic cardiovascular science and clinical cardiology, with a focus on emerging issues in cardiovascular disease. Our target audience spans a diversity of health care professionals and medical researchers working in cardiovascular medicine and related fields. The principal language of the Journal is Russian, an additional language – English (title, authors’ information, abstract, keywords). “Kardiologiya” is a peer-reviewed scientific journal. All articles are reviewed by scientists, who gained high international prestige in cardiovascular science and clinical cardiology. The Journal is currently cited and indexed in major Abstracting & Indexing databases: Web of Science, Medline and Scopus. The Journal''s primary objectives Contribute to raising the professional level of medical researchers, physicians and academic teachers. Present the results of current research and clinical observations, explore the effectiveness of drug and non-drug treatments of heart disease, inform about new diagnostic techniques; discuss current trends and new advancements in clinical cardiology, contribute to continuing medical education, inform readers about results of Russian and international scientific forums; Further improve the general quality of reviewing and editing of manuscripts submitted for publication; Provide the widest possible dissemination of the published articles, among the global scientific community; Extend distribution and indexing of scientific publications in major Abstracting & Indexing databases.