Table 6 Recommendations for CMR in pericardial diseases

Recommendation for diagnostic work-up of pericardial diseases

Class^a

Level^b

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

Class^a

Level^b

Page

 CMR is recommended for the confirmation of myocardial involvement

I

C

13

Recommendations for the diagnosis of pericardial effusion

Class^a

Level^b

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

Class^a

Level^b

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

Class^a

Level^b

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