Abstract
Constrictive pericarditis is a potentially treatable cause of diastolic heart failure that arises because a diseased, inelastic pericardium restricts ventricular diastolic expansion. Affected patients present with heart failure with predominant right-sided symptoms and signs. The key to diagnosis is identification of the unique hemodynamic properties associated with constriction: dissociation of intrathoracic and intracardiac pressures and enhanced ventricular interaction. Comprehensive echocardiography with Doppler imaging is useful, but invasive hemodynamic assessment and cross-sectional imaging may be required for confirmation. Cardiac MRI provides an opportunity to evaluate for pericardial inflammation. Most cases of chronic constriction are progressive and life limiting, and require surgical pericardiectomy.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 539-549 |
| Number of pages | 11 |
| Journal | Cardiology Clinics |
| Volume | 35 |
| Issue number | 4 |
| DOIs | |
| State | Published - Nov 1 2017 |
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Keywords
- Cardiac MR
- Constrictive pericarditis
- Echocradiography
- Heart failure
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Constrictive Pericarditis. / Welch, Terrence D.; Oh, Jae Kuen.
In: Cardiology Clinics, Vol. 35, No. 4, 01.11.2017, p. 539-549.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Constrictive Pericarditis
AU - Welch, Terrence D.
AU - Oh, Jae Kuen
PY - 2017/11/1
Y1 - 2017/11/1
N2 - Constrictive pericarditis is a potentially treatable cause of diastolic heart failure that arises because a diseased, inelastic pericardium restricts ventricular diastolic expansion. Affected patients present with heart failure with predominant right-sided symptoms and signs. The key to diagnosis is identification of the unique hemodynamic properties associated with constriction: dissociation of intrathoracic and intracardiac pressures and enhanced ventricular interaction. Comprehensive echocardiography with Doppler imaging is useful, but invasive hemodynamic assessment and cross-sectional imaging may be required for confirmation. Cardiac MRI provides an opportunity to evaluate for pericardial inflammation. Most cases of chronic constriction are progressive and life limiting, and require surgical pericardiectomy.
AB - Constrictive pericarditis is a potentially treatable cause of diastolic heart failure that arises because a diseased, inelastic pericardium restricts ventricular diastolic expansion. Affected patients present with heart failure with predominant right-sided symptoms and signs. The key to diagnosis is identification of the unique hemodynamic properties associated with constriction: dissociation of intrathoracic and intracardiac pressures and enhanced ventricular interaction. Comprehensive echocardiography with Doppler imaging is useful, but invasive hemodynamic assessment and cross-sectional imaging may be required for confirmation. Cardiac MRI provides an opportunity to evaluate for pericardial inflammation. Most cases of chronic constriction are progressive and life limiting, and require surgical pericardiectomy.
KW - Cardiac MR
KW - Constrictive pericarditis
KW - Echocradiography
KW - Heart failure
UR - http://www.scopus.com/inward/record.url?scp=85032028732&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85032028732&partnerID=8YFLogxK
U2 - 10.1016/j.ccl.2017.07.007
DO - 10.1016/j.ccl.2017.07.007
M3 - Review article
VL - 35
SP - 539
EP - 549
JO - Cardiology Clinics
JF - Cardiology Clinics
SN - 0733-8651
IS - 4
ER -