Effusive-Constrictive Pericarditis: Doppler Findings

William R. Miranda, Darrell B. Newman, Jae K. Oh

Research output: Contribution to journalReview article

Abstract

Purpose of Review: To review the echo-Doppler findings in effusive-constrictive pericarditis (ECP). ECP corresponds to the coexistence of a hemodynamically significant pericardial effusion and markedly reduced compliance of the pericardium, manifested by constrictive physiology post-pericardiocentesis. Recent Findings: We summarize herein the recent observations regarding the prevalence of ECP based on echocardiography as well as the pre- and post-pericardiocentesis echo-Doppler features of ECP. ECP diagnosed by echocardiography was seen in approximately 15% of patients with ECP pre- and post-pericardiocentesis echo-Doppler findings sharing features with both cardiac tamponade and constrictive pericarditis. Summary: ECP post-pericardiocentesis is common but its natural history in the current era might be better than previously reported. Further studies and (particularly simultaneous echocardiography-cardiac catheterization) are still critically needed to better understand the underlying hemodynamics of ECP. Moreover, it remains to be determined whether pre- and post-pericardiocentesis echo-Doppler findings can be used to prognosticate or to guide therapy of those undergoing pericardiocentesis.

Original languageEnglish (US)
Article number144
JournalCurrent cardiology reports
Volume21
Issue number11
DOIs
StatePublished - Nov 1 2019

Keywords

  • Cardiac tamponade
  • Constrictive pericarditis
  • Doppler echocardiography
  • Effusive-constrictive pericarditis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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