Differential diagnosis of restrictive cardiomyopathy and constrictive pericarditis

Ew, Hancock

doi:10.1136/heart.86.3.343

Cited by 124 publications

(4 citation statements)

References 19 publications

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“…Transthoracic echocardiography is the initial and sometimes the only affordable test for the diagnosis of this condition. As per Hancock, [17] septal bounce, ventricular septal shift with respiration, and biatrial enlargement are the three basic signs of TTE in constrictive pericarditis. In our case, the ejection fraction of 45% was detected on TTE.…”

Section: Discussionmentioning

confidence: 85%

Right ventricular pseudoaneurysm repair and fibrin pericardiectomy after a fall from height in a young male patient

Ada¹

2022

Cardiovasc Surg Int

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Right ventricular pseudoaneurysms are rare in the literature. Patients may have complaints such as shortness of breath, fatigue, and palpitations, as well as signs such as ventricular arrhythmias and hypotension. In addition to a good physical examination and anamnesis, transthoracic echocardiography, transesophageal echocardiography, computed tomography, computed tomography angiography, magnetic resonance imaging, magnetic resonance angiography, scintigraphy, and ventriculography can also be used for diagnosis. The certain treatment of right ventricular pseudoaneurysms is surgical aneurysmectomy and repair. Herein, we present the diagnosis and management of a 32-year-old male patient with a right ventricular pseudoaneurysm, which was diagnosed 20 years after a fall from height.

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Section: Discussionmentioning

confidence: 85%

Right ventricular pseudoaneurysm repair and fibrin pericardiectomy after a fall from height in a young male patient

Ada¹

2022

Cardiovasc Surg Int

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“…4 The patient in this case report had constrictive pericarditis, ie, pericardial inflammation and fibrosis extending to the atrial wall and causing IAB. 5 Additionally, the patient's advanced age may have contributed, given that IAB prevalence has been shown to increase substantially with age. 6 After 72 hours of observation, the patient was discharged.…”

Section: Discussionmentioning

confidence: 99%

Unusual Electrocardiogram Findings After Cardioversion

2023

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“…Finally, an essential clinical feature of CP is a pericardial knock, a high-pitched sound that occurs in early diastole and is best heard at the left sternal border and/or the cardiac apex [8].…”

Section: Clinical "Red Flags"mentioning

confidence: 99%

Constrictive Pericarditis

Lauri¹

2023

Pericarditis - Diagnosis and Management Challenges

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Constrictive pericarditis (CP) is a challenging clinical scenario in which the heart muscle is entrapped by thick, fibrous, and frequently calcified pericardial layers. Whereas infectious diseases (mostly bacterial) had been observed as the main etiology in the last decades, nowadays, post-surgical or radiotherapy iatrogenic inflammation is becoming highly prevalent with the exception of developing countries and patients with immunodeficiency in which tuberculosis is still frequently observed. Clinically, progressive dyspnea and peripheral edema are present and frequently considered of unknown origin because of the diagnostic challenge that CP poses. As a matter of fact, a specific knowledge of echocardiography and right heart catheterization is essential to recognize constriction features. Moreover, a valuable support is provided by dedicated imaging modalities (mostly magnetic resonance). Complete surgical removal of the pericardium (pericardiectomy), when feasible and performed early, is associated with excellent symptomatic improvement. Unfortunately, in specific scenarios (radiation therapy) or when surgery is performed after severe constriction development, surgical outcomes are poor, and CP assumes the profile of an end-stage disease. This reinforces the unmet need of early detection of CP and the development of novel therapeutic strategies.

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Differential diagnosis of restrictive cardiomyopathy and constrictive pericarditis

Cited by 124 publications

References 19 publications

Right ventricular pseudoaneurysm repair and fibrin pericardiectomy after a fall from height in a young male patient

Right ventricular pseudoaneurysm repair and fibrin pericardiectomy after a fall from height in a young male patient

Unusual Electrocardiogram Findings After Cardioversion

Constrictive Pericarditis

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