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Imaging highlights from 2015 recommendations

Session 143

It is of major importance for EACVI as a scientific and educational association, to publish recommendations and expert consensus articles of very high quality.Some of the most important publications from 2015 were presented in this session. It was my pleasure to chair this session together with the EACVI President, Prof. Gilbert Habib from Marseilles. The quality of the speakers’ presentations was excellent, and we both recommend that you read the full text of the recently published guidelines and recommendations papers on our homepage:

The first speaker was Prof. Bernhard Cosyns from Brussels (BE). He presented the latest news from the ESC guidelines for pericardial diseases. Prof. Cosyns is also the first author of the 2015 EACVI position paper on multimodality imaging in pericardial diseases. His presentation concentrated on pericardiocentesis, pericarditis and constrictive cardiomyopathy. The ESC guidelines paper presented a new scoring system on when to perform pericardiocentesis in patients with pericardial fluid. The new scoring system will guide decision-making as to whether you should evacuate the pericardial fluid immediately or whether it can be performed later. The other part of the presentation focused how different imaging modalities can be used in pericardial diseases and in particular in patients with constrictive cardiomyopathy.

The next presenter was Prof Maurizio Galderisi from Naples (IT). He is the first author and chair of the EACVI expert consensus paper on multimodality imaging that was published in the European Heart Journal – Cardiovascular Imaging in January 2015. His talk demonstrated how we can differentiate between normal findings in highly trained athletes and different cardiac diseases, like dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy, hypertrophic cardiomyopathy and more. He stressed several practical cut-off values that will be very useful in daily clinical practice.

Prof Nuno Cardim from Lisbon (PT) addressed how to use the different cardiac imaging modalities in hypertrophic cardiomyopathy. Echocardiography is the first line imaging tool to be used, but he also encouraged a CMR study during the first diagnostic work-up of all patients with hypertrophic cardiomyopathy. CMR can potentially add valuable information about possible scarring, and can also reveal undisclosed left hypertrophy after an echocardiographic study. The expert consensus paper about hypertrophic cardiomyopathy was published in the European Heart Journal – Cardiovascular Imaging in January 2015, and Prof. Cardim was the first author.

One of the most important EACVI recommendation papers released in 2015 is the update paper on chamber quantification in echocardiography. This paper is a joint publication together with the American Society of Echocardiography. Prof. Roberto Lang from Chicago (US), is the lead author and presented the update during this session, explaining for the audience the most important changes from the original paper in 2005. The new recommendations present updated normal values for all four cardiac chambers, including 3-dimensional echocardiography and myocardial deformation. These new values are based on several huge databases of normal data, many from large European studies.

The content of this article reflects the personal opinion of the author/s and is not necessarily the official position of the European Society of Cardiology.