Table 19 Recommendations for CMR in the guidelines for the diagnosis and management of pericardial diseases

Recommendations for the diagnosis and management of pericarditis associated with myocarditis

Cardiac magnetic resonance is recommended for the confirmation of myocardial involvement

I

C

Recommendations for the diagnosis of pericardial effusion

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

Recommendations for the diagnosis of constrictive pericarditis

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

Recommendations for therapy of constrictive pericarditis

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

Recommendations for the general diagnostic work-up of pericardial diseases

CT and/or CMR are recommended as second-level testing for diagnostic workup in pericarditis

I

C