Estudios de la imagen en cardiología

  1. Pueyo, P. Pastor
  2. Gómez, J.L. Zamorano
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2015

Título del ejemplar: Actualidad clínico-terapéutica (IV)

Serie: 11

Número: 92

Páginas: 5473-5487

Tipo: Artículo

DOI: 10.1016/J.MED.2015.12.001 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumen

Resumen La ecocardiografía representa la prueba de imagen cardiaca más extendida, debido a su rentabilidad diagnóstica, bajo precio y ausencia de radiación. Además, la tecnología tridimensional permite valorar la morfología y función de las diferentes estructuras cardiacas de una forma más comprensible y precisa, especialmente en la enfermedad valvular. La RM cardiaca constituye una prueba de enorme valor diagnóstico para el cálculo de volúmenes y función ventricular, el diagnóstico diferencial de diversas miocardiopatías y la valoración de masas intracardiacas. La TC cardiaca, aplicada especialmente al diagnóstico de enfermedad coronaria, está experimentando un auge exponencial, debido a su elevado valor pronóstico negativo para excluir enfermedad coronaria en pacientes con dolor torácico. El análisis de la perfusión miocárdica mediante SPECT se emplea para el diagnóstico, cuantificación y localización de isquemia y viabilidad del miocardio. Por último, las técnicas de fusión PET-TC han emergido recientemente en el diagnóstico de enfermedades como la endocarditis infecciosa y los tumores con afectación cardiaca. Echocardiography is the most extensively used cardiac imaging test, due to its diagnostic yield, low price and lack of radiation. The three-dimensional technology also enables the assessment of the morphology and function of the various cardiac structures in a more understandable and accurate manner, especially in valve disease. Cardiac magnetic resonance imaging has enormous diagnostic value for calculating ventricular volumes and function, determining the differential diagnosis of various cardiomyopathies and assessing intracardiac masses. Cardiac computed tomography, applied especially to the diagnosis of coronary artery disease, is undergoing an exponential growth in use, due to its high negative prognostic value for excluding coronary artery disease in patients with chest pain. The analysis of myocardial perfusion through single-photon emission computed tomography is employed for the diagnosis, quantification and localisation of ischaemia and myocardial viability. Lastly, positron emission tomography-computed tomography fusion techniques have recently emerged in the diagnosis of diseases such as infectious endocarditis and tumours with cardiac involvement.

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Información de financiación

1995 McGraw-Hill Madrid 3 American College of Cardiology Foundation Appropriate Use Criteria Task Force; American Society of Echocardiography; American Heart Association; American Society of Nuclear Cardiology; Heart Failure Society of America; Heart Rhythm Society; Society for Cardiovascular Angiography and Interventions; Society of Critical Care Medicine; Society of Cardiovascular Computed Tomography; Society for Cardiovascular Magnetic Resonance; American College of Chest Physicians, Douglas PS, Garcia MJ, Haines DE, Lai WW, Manning WJ, Patel AR, et al. ACCF/ASE/AHA/ASNC/HFSA/HRS/SCAI/SCCM/SCCT/SCMR 2011 Appropriate use criteria for echocardiography. A report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, American Society of Echocardiography, American Heart Association, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance American College of Chest Physicians. J Am Soc Echocardiogr. 2011;24(3):229–67. 4 N.B. Schiller P.M. Shah M. Crowford A. DeMaria R. Devereaux H. Fergenbaum

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Referencias bibliográficas

  • García Fernández MA, Zamorano JL. Procedimientos en eco-cardiografía. Madrid: MCGraw-Hill-Interamericana de España; 2004.
  • García Fernández MA. Principios y práctica del Doppler car-diaco. Madrid: McGraw-Hill; 1995.
  • American College of Cardiology Foundation Appropriate Use Criteria Task Force; American Society of Echocardiography; Ameri-can Heart Association; American Society of Nuclear Cardiology; Heart Failure Society of America; Heart Rhythm Society; Society for Cardiovascular Angiography and Interventions; Society of Criti-cal Care Medicine; Society of Cardiovascular Computed Tomogra-phy; Society for Cardiovascular Magnetic Resonance; American College of Chest Physicians, Douglas PS, Garcia MJ, Haines DE, Lai WW, Manning WJ, Patel AR, et al. 2011;24(3):229-67.
  • Schiller NB, Shah PM, Crowford M, DeMaria A, Devereaux R, Fergenbaum H, et al. Recommendations for quantification of the left ventricle by two dimensional echocardiography. J Am Soc Echo-cardiogr.1989;5:362.
  • García Fernández MA, Zamorano JL, García Robles JA. Manual de ecocardiografía. Madrid: Editorial Edimed; 2005.
  • Otto C. Textbook of clinical echocardiography. Philadelphia: Saunders-Elsevier; 2010.
  • Frazin L, Talano JV, Sephanides L, Loeb HS, Kopel L, Gunnar RM. Esophageal echocardiography. Circulation. 1976;54:102-8.
  • Enríquez-Sarano M, Freeman QK, Tibouilloy CM, Orszulak TA, Khandheria BK, Seward JB, et al. Functional anatomy of mitral re-gurgitation: Accuracy and outcome implications of transesophageal echocardiography. J Am Coll Cardiol. 1999;34:1129-36.
  • Seward JB, Khandheria BK, Edwards WD, Oh JK, Freeman WK, Tajik AJ. Biplanar transesophageal echocardiography: Anato-mic correlations, image orientation and clinical applications. Mayo Clin Proc. 1990;65:1193-213.
  • Shaphiro SM, Young E, De Guzman S, Ward J, Chiu CY, Ginzton LE, et al. Transesophageal echocardiography in diagnosis of infecti-ve endocarditis. Ches. 1994;105:377-82.
  • Marwick TH, Shaw L, Case C, Vasey C, Thomas JD. Clinical and economic impact of exercise electrocardiography and exercise echo-cardiography in clinical practice. Eur Heart J. 2003;24(12):1153-63.
  • Ross J Jr. Assesment of ischemic regional myocardial dysfunction and its reversibility. Circulation. 1986;64:1186-90.
  • Armstrong WF, O ́Donell J, Dillon JC, McHenry PL, Morris SN, Feigenbaum H. Complementary value of two dimensional exercise echocardiography to routine treadmill exercise testing. Ann Intern Med. 1986;105:829-35.
  • Hlatky MA, Pryor DB, Harrel FE Jr, Califf RM, Mark DB, Rosa-ti RA. Factors affecting sensitivity and specificity of exercise electro-cardiography. Multivariable analysis.. Am J Med. 1984;77:64.
  • Picano E. Stress echocardiography: a historical perspective. Am J Med. 2003;114(2):126-30.
  • Patel MR, Spertus JA, Brindis RG; ACCF proposed method for evaluating the appropriateness of cardiovascular imaging. J Am Coll Cardiol. 2005;46:1606-13.
  • Gibbons RJ, Abrams J, Chatterjee K; ACC/AHA 2002 guideli-ne update for the management of patients with chronic stable angi-na—summary article: a report of the American College of Cardiolo-gy/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients With Chronic Stable Angina). Circulation. 2003;107:149-58.
  • Hendel RC, Patel MR, KramerCM; ACCF/ACR/SCCT/SCMR/ASNC/NASCI 2006 Appropriateness criteria for cardiac computed tomography and cardiac magnetic resonance imaging. J Am Coll Cardiol. 2006;48:1475-97.
  • Pennell DJ, Sechtem UP, Higgins CB, Manning WJ, Pohost GM, Rademakers FE, et al; Society for Cardiovascular Magnetic Reso-nance; Working Group on Cardiovascular Magnetic Resonance of the European Society of Cardiology. Clinical indications for cardio-vascular magnetic resonance (CMR): Consensus Panel report. Eur Heart J. 2004;25(21):1940-65.
  • Manning WJ, Pennell DJ. Cardiovascular Magnetic Resonan-ce. 2nd ed. Philadelphia, Pa: Saunders; 2010.
  • Kim RJ, de Roos A, Fleck E, Higgins CB, Pohost GM, Prince M, et al, for the Society for Cardiovascular Magnetic Resonance (SCMR) Clinical Practice Committee. Guidelines for training in cardiovascular magnetic resonance (CMR). J Cardiovasc Magn Re-son. 2007;9:3-4.
  • Hendel RC, Patel MR, Kramer CM, Poon M, Hendel RC, Carr JC, et al, for the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group, American College of Radiology, Society of Cardio-vascular Computed Tomography, Society for Cardiovascular Mag-netic Resonance, American Society of Nuclear Cardiology, North American Society for Cardiac Imaging, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology. 2006;48:1475-97.
  • Hendel RC, Berman DS, Di Carli MF, Heidenreich PA, Hen-kin RE, Pellikka PA, et al. ACCF/ASNC/ACR/ AHA/ASE/SCCT/SCMR/SNM 2009 appropriate use criteria for cardiac radionuclide imaging: a report of the American College of Cardiology Founda-tion Appropriate Use Criteria Task Force, the American Society of Nuclear Cardiology, the American College of Radiology, the Ameri-can Heart Association, the American Society of Echocardiography, the Society of Cardiovascular Computed Tomography, the Society for Cardiovascular Magnetic Resonance, and the Society of Nuclear Medicine. J Am Coll Cardiol. 2009;53:2201-29.
  • Brindis RG, Douglas PS, Hendel RC; ACCF/ASNC appropria-teness criteria for single-photon emission computed tomography myocardial perfusion imaging (SPECT MPI): a report of the Ameri-can College of Cardiology Foundation Strategic Direction Commit-tee Appropriateness Criteria Working Group and the American So-ciety of Nuclear Cardiology. J Am Coll Cardiol. 2005;46:1587-605.
  • Ficaro E. Imaging guidelines for nuclear cardiology procedu-res. J Nucl Cardiol. 2006;13:888.
  • Mehta R, Agarwal S, Chandra S, Ward RP, Williams KA; Evalua-tion of the American College of Cardiology Foundation/American Society of Nuclear Cardiology Appropriateness Criteria for SPECT Myocardial Perfusion Imaging. J Nucl Cardiol. 2008;15:337-44.
Fuente de los datos: Dialnet