Transient constrictive pericarditis

Diagnosis by two-dimensional Doppler echocardiography

Jae Kuen Oh, L. K. Hatle, S. L. Mulvagh, A. J. Tajik

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Patients with constrictive pericarditis usually require pericardiectomy to relieve their symptoms. In some patients, however, constrictive pericarditis may resolve spontaneously or with medical treatment. Four patients with transient constrictive pericarditis are described in this report. Although the cause of pericarditis differed, all patients had a small to large amount of pericardial effusion, followed by symptoms, signs, and Doppler features typical of constrictive pericarditis. Symptomatic improvement occurred after treatment with some combination of nonsteroidal anti-inflammatory agents, corticosteroids, and antibiotics. The resolution of the symptoms paralleled the normalization of characteristic respiratory changes in Doppler flow velocities. The condition of our patients most likely was related to a transient inflammation (or thickening) of the pericardium due to viral, bacterial, or immunologically mediated pericarditis. Resolution of the thickened pericardium was documented by magnetic resonance imaging in one patient. Awareness of the possible transient nature of constrictive pericarditis in a subgroup of patients with constriction has important clinical implications when pericardiectomy is considered. The resolution of constrictive pericarditis can be documented by serial Doppler echocardiographic examination.

Original languageEnglish (US)
Pages (from-to)1158-1164
Number of pages7
JournalMayo Clinic Proceedings
Volume68
Issue number12
StatePublished - 1993

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Constrictive Pericarditis
Doppler Echocardiography
Pericardiectomy
Pericarditis
Pericardium
Pericardial Effusion
Non-Steroidal Anti-Inflammatory Agents
Constriction
Signs and Symptoms
Adrenal Cortex Hormones
Magnetic Resonance Imaging
Anti-Bacterial Agents
Inflammation
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Transient constrictive pericarditis : Diagnosis by two-dimensional Doppler echocardiography. / Oh, Jae Kuen; Hatle, L. K.; Mulvagh, S. L.; Tajik, A. J.

In: Mayo Clinic Proceedings, Vol. 68, No. 12, 1993, p. 1158-1164.

Research output: Contribution to journalArticle

Oh, JK, Hatle, LK, Mulvagh, SL & Tajik, AJ 1993, 'Transient constrictive pericarditis: Diagnosis by two-dimensional Doppler echocardiography', Mayo Clinic Proceedings, vol. 68, no. 12, pp. 1158-1164.
Oh, Jae Kuen ; Hatle, L. K. ; Mulvagh, S. L. ; Tajik, A. J. / Transient constrictive pericarditis : Diagnosis by two-dimensional Doppler echocardiography. In: Mayo Clinic Proceedings. 1993 ; Vol. 68, No. 12. pp. 1158-1164.
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