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Table 6 Recommendations for CMR in pericardial diseases

From: Role of cardiovascular magnetic resonance in the guidelines of the European Society of Cardiology

Recommendation for diagnostic work-up of pericardial diseases Classa Levelb Page
 CT and/or CMR are second-level testing for diagnostic workup in pericarditis I C 38
Recommendations for the diagnosis and management of pericarditis associated with myocarditis Classa Levelb Page
 CMR is recommended for the confirmation of myocardial involvement I C 13
Recommendations for the diagnosis of pericardial effusion Classa Levelb Page
 CT or CMR should be considered in suspected cases of loculated pericardial effusion, pericardial thickening and masses, as well as associated chest abnormalities IIa C 14
Recommendations for the diagnosis of constrictive pericarditis Classa Levelb Page
 CT and/or CMR are indicated as second-level imaging techniques to assess calcifications (CT), pericardial thickness, degree and extension of pericardial involvement I C 17
Recommendations for therapy of constrictive pericarditis Classa Levelb Page
 Empiric anti-inflammatory therapy may be considered in cases with transient or new diagnosis of constriction with concomitant evidence of pericardial inflammation (i.e. CRP elevation or pericardial enhancement on CT/CMR) IIb C 19
  1. a Class of recommendation
  2. b Level of evidence