Methodist DeBakey cardiovascular journal最新文献_第2页

Malignant Pericardial Effusion: Heart-Breaking Tumors. 恶性心包积液：令人心碎的肿瘤。

Methodist DeBakey cardiovascular journal Pub Date : 2026-03-10 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1761

Mohammed A R Chamsi-Pasha

引用次数: 0

Role of Cardiac MRI and CT in Pericarditis and Pericardial Constriction. 心脏MRI和CT在心包炎和心包收缩中的作用。

Methodist DeBakey cardiovascular journal Pub Date : 2026-03-10 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1779

Kazim Baser, Nisha Ali, Yeva Fakikh, Sadeer Al-Kindi, Mouaz Al-Mallah, Dipan Shah, Maan Malahfji

引用次数: 0

Envisioning the Heart. 设想心脏。

Methodist DeBakey cardiovascular journal Pub Date : 2026-03-10 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1758

Philip Alexander, Muhammad Umair

{"title":"Envisioning the Heart.","authors":"Philip Alexander, Muhammad Umair","doi":"10.14797/mdcvj.1758","DOIUrl":"10.14797/mdcvj.1758","url":null,"abstract":"Philip Alexander, MD, is a native Texan, retired physician, and accomplished musician and artist. After 41 years as an internal medicine physician, Dr. Phil retired from his practice in College Station in 2016. A lifelong musician and former music professor, he often performs as an oboe soloist for the Brazos Valley Symphony Orchestra. He began exploring visual art in 1980, evolving from pencil sketches-including an official White House portrait of President Ronald Reagan-to the computer-generated drawings featured in this journal. His images, which first appeared in this journal in the spring of 2012, are his own original creations. This issue of the Journal also includes an artistic submission by Muhammad Umair, MD, assistant professor of radiology at the New York Presbyterian Hospital-Columbia University, whose work focuses on cardiovascular imaging (MRI and CT). He adds that he \"sometimes indulges in abstract paintings, inspired by his work in cardiac and vascular imaging.\" If you would like to see your art published in the Methodist DeBakey Cardiovascular Journal, submit your creation online at journal.houstonmethodist.org as a \"Humanities\" entry.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"22 2","pages":"121-123"},"PeriodicalIF":0.0,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12985801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147463982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Constrictive Pericarditis and Effusive Constrictive Pericarditis: Is There a Role for Medical Therapy? 缩窄性心包炎和渗出性心包炎：药物治疗是否有作用？

Methodist DeBakey cardiovascular journal Pub Date : 2026-03-10 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1788

Lamis El Harake, Mohamed Al-Kazaz, Paul C Cremer

{"title":"Constrictive Pericarditis and Effusive Constrictive Pericarditis: Is There a Role for Medical Therapy?","authors":"Lamis El Harake, Mohamed Al-Kazaz, Paul C Cremer","doi":"10.14797/mdcvj.1788","DOIUrl":"10.14797/mdcvj.1788","url":null,"abstract":"Constrictive pericarditis (CP) represents a spectrum of pericardial diseases characterized by impaired ventricular filling due to a noncompliant pericardium. Within this continuum, effusive constrictive pericarditis (ECP) and transient constrictive pericarditis are characterized by active inflammation. ECP combines pericardial effusion and constrictive physiology, whereas transient constrictive pericarditis is characterized by resolution, often after anti-inflammatory therapy. These conditions often result from idiopathic, post-surgical, autoimmune, or tuberculous causes and may progress from acute inflammation to chronic fibrosis and calcification, termed chronic constrictive pericarditis. Multimodality imaging, including echocardiography, cardiac magnetic resonance imaging, and cardiac computed tomography, plays a key role in establishing the diagnosis, assessing inflammation, and guiding treatment. In patients with active pericardial inflammation, increasing evidence and practice supports the early and combined initiation of anti-inflammatory therapy including nonsteroidal agents, colchicine, corticosteroids, and interleukin-1 inhibitors to reverse constrictive pathophysiology.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"22 2","pages":"85-96"},"PeriodicalIF":0.0,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12985894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147463986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relapsing Pericarditis: Prediction of Relapses, Risk Scores, and Role of Exercise Restriction. 复发性心包炎：复发预测、风险评分和运动限制的作用。

Methodist DeBakey cardiovascular journal Pub Date : 2026-03-10 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1777

Joseph El Roumi, Jibran Ikram, Tom Kai Ming Wang

{"title":"Relapsing Pericarditis: Prediction of Relapses, Risk Scores, and Role of Exercise Restriction.","authors":"Joseph El Roumi, Jibran Ikram, Tom Kai Ming Wang","doi":"10.14797/mdcvj.1777","DOIUrl":"10.14797/mdcvj.1777","url":null,"abstract":"Relapsing pericarditis (RP) is a chronic inflammatory disorder characterized by two or more episodes of acute pericarditis flares after a minimum of a 4-week symptom-free period. Recurrent pericarditis develops in approximately 15% to 30% of patients following an initial episode of acute pericarditis, and nearly half of these individuals experience subsequent recurrences. Although the course is heterogeneous, RP has substantial morbidity and impaired quality of life implications and is associated with pericardial complications, including cardiac tamponade and constrictive pericarditis. This review summarizes current knowledge about clinical perspectives, predictors, and risk stratification tools for relapses in RP and critically appraises the evolving role of exercise restriction as part of RP management. Many adverse prognosticators for RP in clinical, laboratory, multimodality cardiac imaging, and treatment factors have been identified from clinical trials, observational studies, and experiences of managing RP patients. Several risk scores have been recently developed to assist in risk stratification and treatment guidance for RP patients, such as the Athens, Torino, INFLA, and Klein scores. There is also growing evidence for exercise restriction strategies with a focus on practical individualized strategies in the multimodal treatment of RP that have been included in recent pericarditis guidance documents. Multicenter external validation and randomized trials remain necessary to assess the roles and performance of risk scores and exercise restriction in treating RP to improve their clinical outcomes.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"22 2","pages":"14-26"},"PeriodicalIF":0.0,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12985884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147463933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of Multimodal Cardiac Imaging in Pericardial Effusions and Tamponade. 多模态心脏成像在心包积液和心包填塞中的作用。

Methodist DeBakey cardiovascular journal Pub Date : 2026-03-10 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1784

Rohan A Gajjar, Tahir S Kafil, Sushil Allen Luis

{"title":"Role of Multimodal Cardiac Imaging in Pericardial Effusions and Tamponade.","authors":"Rohan A Gajjar, Tahir S Kafil, Sushil Allen Luis","doi":"10.14797/mdcvj.1784","DOIUrl":"10.14797/mdcvj.1784","url":null,"abstract":"Pericardial effusion represents a common clinical entity encountered across diverse medical settings, with presentations ranging from incidental findings to life-threatening cardiac tamponade. The accurate diagnosis and management of pericardial effusion and its hemodynamically significant sequelae demand a comprehensive multimodality imaging approach. Echocardiography remains the cornerstone of initial evaluation, providing real-time assessment of effusion size, hemodynamic impact, and guidance for therapeutic interventions. This review synthesizes contemporary evidence from major cardiology societies to present a structured approach to the diagnosis and management of pericardial effusion and tamponade. We emphasize the pivotal role of echocardiography while integrating complementary modalities, including cardiac computed tomography and cardiac magnetic resonance imaging. Key echocardiographic findings, Doppler parameters, and imaging-guided therapeutic strategies are discussed in detail, with attention to emerging techniques and evidence-based algorithms. Understanding the multimodality imaging approach is essential for optimizing patient outcomes in this potentially life-threatening condition.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"22 2","pages":"60-73"},"PeriodicalIF":0.0,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12985857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147463917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Otherwise: A Discussion of Jane Kenyon and Her Place in the Medical Humanities. 否则：简·凯尼恩及其在医学人文学科中的地位的讨论。

Methodist DeBakey cardiovascular journal Pub Date : 2026-03-10 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1717

Justin C Cordova, James B Young

引用次数: 0

Perioperative and Surgical Management of Constrictive Pericarditis. 缩窄性心包炎的围手术期及外科治疗。

Methodist DeBakey cardiovascular journal Pub Date : 2026-03-10 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1789

Lamis El Harake, Mohamed Al-Kazaz, Paul C Cremer, Douglas R Johnston

{"title":"Perioperative and Surgical Management of Constrictive Pericarditis.","authors":"Lamis El Harake, Mohamed Al-Kazaz, Paul C Cremer, Douglas R Johnston","doi":"10.14797/mdcvj.1789","DOIUrl":"10.14797/mdcvj.1789","url":null,"abstract":"Constrictive pericarditis represents a form of severe diastolic heart failure characterized by impaired diastolic filling due to a rigid, noncompliant pericardium. Surgical pericardiectomy is the definitive treatment for chronic or refractory subacute constrictive pericarditis; however, outcomes vary widely depending on disease etiology, chronicity, myocardial involvement, end-organ dysfunction, and surgical technique. This review summarizes contemporary best practices for the surgical management of constrictive pericarditis, with emphasis on patient selection, timing of intervention, operative approach, and perioperative considerations. Accurate differentiation between inflammatory, transient constrictive phenotypes and irreversible fibrotic disease is central to therapeutic decision-making. Etiology-based risk stratification, assessment of hepatic and renal dysfunction, and careful evaluation of myocardial involvement provide critical prognostic information. Multimodality imaging plays a central role in diagnosis, surgical planning, and identification of patients most likely to benefit from intervention. Radical pericardiectomy is associated with superior functional recovery compared with partial resection, whereas radiation-associated disease, mixed constrictive-restrictive physiology, and advanced end-organ dysfunction are consistently linked to worse outcomes. High-volume centers of excellence in pericardial disease are critical in optimizing results after radical pericardiectomy.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"22 2","pages":"97-109"},"PeriodicalIF":0.0,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12985804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147463997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hemodynamics of Pericardial Constriction: Role of Echocardiography and Cardiac Catheterization. 心包收缩的血流动力学：超声心动图和心导管插入术的作用。

Methodist DeBakey cardiovascular journal Pub Date : 2026-03-10 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1781

David M Harmon, Jae K Oh

引用次数: 0

Coronary Conundrum: Anomalous Pan-Coronary Origin from the Right Sinus with a "Type X" Dual LAD. 冠状动脉难题：异常泛冠状动脉起源于右窦与“X型”双重LAD。

Methodist DeBakey cardiovascular journal Pub Date : 2026-03-04 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1775

Abhinand J, Anil Kumar Choudhary, Neeraj Rao, Shrividya Rao, Devesh Kumar

引用次数: 0