Methodist DeBakey cardiovascular journal最新文献_第6页

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

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

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

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

Left Ventricular Pericardial Strangulation: A Diagnostic Challenge in Acute Coronary Syndrome. 左心室心包勒死：急性冠状动脉综合征的诊断挑战。

Methodist DeBakey cardiovascular journal Pub Date : 2026-02-17 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1743

Sergey Yakovlev, Anna Gvozdeva

引用次数: 0

Right Coronary Artery to Coronary Sinus Fistula with Giant Coronary Sinus Aneurysm. 右冠状动脉至冠状窦瘘伴巨大冠状窦动脉瘤。

Methodist DeBakey cardiovascular journal Pub Date : 2026-02-11 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1771

Damandeep Singh, Niraj Nirmal Pandey, Rakesh Yadav

引用次数: 0

Intramyocardial Lipoma of the Left Ventricle: A Diagnostic Conundrum Solved with Multimodality Imaging. 左心室心肌内脂肪瘤：多模态影像诊断难题。

Methodist DeBakey cardiovascular journal Pub Date : 2026-01-28 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1767

Arun Sharma, Mansi Verma, Shouvik Paul, Anuja Gadre, Manoj Kumar Rohit, Manphool Singhal

引用次数: 0

Absent Left Main Coronary Artery with Separate Origin of Left Anterior Descending Artery and Left Circumflex Artery from Left Coronary Sinus. 左冠状动脉主动脉缺失，左前降支和左旋支与左冠状动脉窦分离。

Methodist DeBakey cardiovascular journal Pub Date : 2026-01-19 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1738

Damandeep Singh, Niraj Nirmal Pandey, Neeraj Parakh

引用次数: 0