2016
DOI: 10.1111/eci.12711
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Prognostic implications of epicardial fat volume quantification in acute pericarditis

Abstract: We report for the first time a significant association of EFV with the clinical features and the outcome of patients with acute pericarditis. Measurement of EFV by CT may have important prognostic implications in these patients.

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Cited by 15 publications
(9 citation statements)
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“…CT is also a useful modality to determine candidacy and planning for pericardiectomy 19 20. Epicardial fat volume detected on CT scan is a prognostic marker as a protective of recurrences and better response to medical therapy in patients with pericarditis 31. Increased fluorodeoxyglucose uptake on positron emission tomography CT scan can diagnose pericarditis and responsiveness to steroids therapy 32 33.…”
Section: Modes Of Injury To the Pericardiummentioning
confidence: 99%
“…CT is also a useful modality to determine candidacy and planning for pericardiectomy 19 20. Epicardial fat volume detected on CT scan is a prognostic marker as a protective of recurrences and better response to medical therapy in patients with pericarditis 31. Increased fluorodeoxyglucose uptake on positron emission tomography CT scan can diagnose pericarditis and responsiveness to steroids therapy 32 33.…”
Section: Modes Of Injury To the Pericardiummentioning
confidence: 99%
“…Despite controversies between studies, factors associated with a high rate of recurrences include corticosteroids administration during the index attack, specific (secondary) aetiologies of AcP, inadequate treatment of the first episode (early drug discontinuation or dose tapering before CRP normalization), lower epicardial fat volume, evidence of ongoing pericardial inflammation with CMR and finally pericardial effusion. 4,6,8,16,[19][20][21][22][23][24][25][26][27] On the other hand, the most powerful factor associated with lower rate of recurrences is the use of colchicine which has been constantly shown to halve the rate of recurrences either after a first or subsequent episodes of pericarditis. 4,6 Additional factors reported to be associated with a lower rate of recurrences include myopericarditis and postcardiac injury syndrome.…”
Section: Discussionmentioning
confidence: 99%
“…According to the pertinent guideline treatment algorithm, first‐line treatment consisted of either ibuprofen or aspirin at the highest tolerable dosage (up to 2.4 g daily for ibuprofen and 3 g for aspirin) along with proton pump inhibitor for at least 7‐10 days 7 . Upon symptom remission and CRP normalization, dose tapering was accomplished as proposed 6 . Colchicine was given in all cases unless contraindicated at a dose of 0.5 mg twice daily for 3 months.…”
Section: Methodsmentioning
confidence: 99%
“…Most of acute pericarditis cases present with a benign and sometimes self‐limited clinical course 2‐4 . Nevertheless, problematic complications may appear early or late in the course of the disease such as recurrent pericarditis, cardiac tamponade and constrictive pericarditis 5,6 …”
Section: Introductionmentioning
confidence: 99%