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Pericardium 

Pericardium
Chapter:
Pericardium
DOI:
10.1093/med/9780199568451.003.0008
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date: 29 January 2022

Pericardium 210

Chest X-ray 212

Echocardiography 214

Cardiac CT 216

Cardiac magnetic resonance 218

Coronary angiography 220

Nuclear cardiology 220

Acute pericarditis 222

Constrictive pericarditis 224

Pericardial effusion and tamponade 228

Pericardial tumours 234

Congenital pericardial disorders 236

Pericardiocentesis 240

Pericardiotomy 240

The pericardium stabilizes the heart within the thorax and maintains cardiac efficiency. Pericardial disease is associated with a large range of symptoms from mild discomfort to haemodynamic collapse. Pericardial disease often presents a diagnostic conundrum, and its diagnosis is a good example of multimodality cardiovascular imaging. Echocardiography provides acute assessment of the pericardium, in particular the amount and impact of pericardial fluid. Cardiac CT and MR provide detailed investigation of the pericardial tissue and a wider field of view to look for related disease....

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