Tricuspid regurgitation cardiac MRI
|
Tricuspid Regurgitation Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Tricuspid regurgitation cardiac MRI On the Web |
|
American Roentgen Ray Society Images of Tricuspid regurgitation cardiac MRI |
|
Risk calculators and risk factors for Tricuspid regurgitation cardiac MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]
Overview
Cardiac magnetic resonance imaging (CMR) may be beneficial when echocardiography findings are inconclusive, particularly before tricuspid valve surgery.[1]
Cardiac MRI
- Cardiac MRI is useful in evaluating the structure and function of the right atrium and right ventricle as well as the severity of the tricuspid regurgitation, especially when echocardiography is inconclusive.
- Findings on MRI suggestive of/diagnostic of tricuspid regurgitation include:[2][3]
- Cardiac magnetic resonance imaging (CMR) helps in giving the quantitative assessment of tricuspid regurgitant volume
- Cardiac magnetic resonance imaging (CMR) helps in estimation of regurgitant fraction
- Cardiac magnetic resonance imaging (CMR) helps in estimation of RV volumes and ejection fraction
- Cardiac magnetic resonance imaging (CMR) helps in evaluation of associated left ventricle and mitral disease
2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary[1]
| Class IIb |
| "1. CMR or real-time 3-dimensional echocardiography may be considered for assessment of RV systolic function and systolic and diastolic volumes in patients with severe TR (stages C and D) and suboptimal 2-dimensional echocardiograms. (Level of Evidence: C)" |
References
- ↑ 1.0 1.1 Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP, Guyton RA; et al. (2014). "2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines". Circulation. 129 (23): 2440–92. doi:10.1161/CIR.0000000000000029. PMID 24589852.
- ↑ Zoghbi, William A.; Adams, David; Bonow, Robert O.; Enriquez-Sarano, Maurice; Foster, Elyse; Grayburn, Paul A.; Hahn, Rebecca T.; Han, Yuchi; Hung, Judy; Lang, Roberto M.; Little, Stephen H.; Shah, Dipan J.; Shernan, Stanton; Thavendiranathan, Paaladinesh; Thomas, James D.; Weissman, Neil J. (2017). "Recommendations for Noninvasive Evaluation of Native Valvular Regurgitation". Journal of the American Society of Echocardiography. 30 (4): 303–371. doi:10.1016/j.echo.2017.01.007. ISSN 0894-7317.
- ↑ Driessen MMP, Schings MA, Sieswerda GT, Doevendans PA, Hulzebos EH, Post MC; et al. (2018). "Tricuspid flow and regurgitation in congenital heart disease and pulmonary hypertension: comparison of 4D flow cardiovascular magnetic resonance and echocardiography". J Cardiovasc Magn Reson. 20 (1): 5. doi:10.1186/s12968-017-0426-7. PMC 5767973. PMID 29332606.