Wednesday, March 19, 2014

Echocardiographic Diagnosis of Constrictive Pericarditis

BACKGROUND: Constrictive pericarditis is a potentially reversible cause of heart failure. The differential diagnosis includes restrictive myocardial disease and severe tricuspid regurgitation.

HYPOTHESIS: Echocardiography is helpful in the diagnosis of constrictive pericarditis

METHODS: Patients with surgically-confirmed constrictive pericarditis were compared to patients with restrictive myocardial disease or severe tricuspid regurgitation.

RESULTS: Three variables were independently associated with constrictive pericarditis: 1) ventricular septal shift, 2) medial mitral e' ; and 3) hepatic vein expiratory diastolic reversal ratio.

CONCLUSIONS: Echocardiography is helpful in the diagnosis of constrictive pericarditis.

Circ Cardiovasc Imaging. 2014 Mar 14
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