Hemodynamic rounds series II: Hemodynamics of constrictive physiology: Influence of respiratory dynamics on ventricular pressures

Higano, Stuart T.; Azrak, Elie; Tahirkheli, Naeem; Kern, Morton J.

doi:10.1002/(sici)1522-726x(199904)46:4<473::aid-ccd21>3.0.co;2-w

Cited by 14 publications

(4 citation statements)

References 33 publications

(43 reference statements)

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“…In patients with pericardial constriction, LV and RV filling is out of phase and underlies ventricular interdependence . To keep ventricles out of phase, it is essential to have the interventricular septum (IVS) intact.…”

Section: Discussionmentioning

confidence: 99%

Hemodynamics of large ventricular septal defect and coexisting chronic constrictive pericarditis masquerading as Eisenmenger's syndrome

Gupta

Ramakrishnan

Kothari

et al. 2013

Cathet Cardio Intervent

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The presence of right to left shunting due to elevated pulmonary vascular resistance (PVR) in a patient with large ventricular septal defect (VSD) is conventionally considered as Eisenmenger's syndrome. The recognition of reversible causes of elevated PVR is important. We report hemodynamics of a child in whom unusual coexistence of large VSD and chronic constrictive pericarditis (CCP) mimicked Eisenmeneger's syndrome. The strategy of stepwise hemodynamic evaluation led to good clinical outcome.

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Section: Discussionmentioning

confidence: 99%

Hemodynamics of large ventricular septal defect and coexisting chronic constrictive pericarditis masquerading as Eisenmenger's syndrome

Gupta

Ramakrishnan

Kothari

et al. 2013

Cathet Cardio Intervent

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“…Ventricular filling is accentuated during early diastole terminating at the end of rapid filling phase with ventricular pressure tracings revealing a characteristic diastole dip/ plateau pattern mimicking that of constrictive pericarditis [70]. RCM patients present with increased diastolic stiffness leading to reduced ventricular filling and reduced cardiac output.…”

Section: Pathophysiologymentioning

confidence: 99%

Restrictive cardiomyopathy: A review of literature on clinical status and meta-analysis of diagnosis and clinical management

Albakri¹

2018

Pediatr Dimensions

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Restrictive cardiomyopathy is a myocardial disorder characterized by restrictive ventricular filling. It represents one of the three phenotypes originally classified by the World Health Organization besides dilated and hypertrophic cardiomyopathies. Of the three, it is the least common phenotype but has an ominous prognosis with the highest recorded rates of sudden cardiac death. Clinical trials investigating RCM have had varied findings. This is attributable to the current classification systems of cardiomyopathy based on morphological and structural alterations rather than etiologic-based. The classification has created etiological heterogeneity requiring a combination of methods for a confirmatory diagnosis as well as complicating clinical management methods, which lacks standardized guidelines and largely relies on the standard heart failure therapy. Thus, the present review discussed current research evidence to produce a comprehensive understanding of the clinical status of RCM, including its diagnosis and clinical management.

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“…RCM is a disorder of the myocardium resulting from increased stiffness of the myocardium causing increased ventricular pressure with small increases in ventricular volume. Ventricular filling is accentuated during early diastole terminating at the end of rapid filling phase with ventricular pressure tracings revealing a characteristic diastole dip/ plateau pattern mimicking that of constrictive pericarditis [70]. RCM patients present with increased diastolic stiffness leading to reduced ventricular filling and reduced cardiac output.…”

Section: Pathophysiologymentioning

confidence: 99%

Restrictive cardiomyopathy: A review of literature on clinical status and meta-analysis of diagnosis and clinical management methods table of contents

Albakri¹

2018

Int Med Care

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Restrictive cardiomyopathy (RCM) is the least common phenotype of cardiomyopathies with controversy in its exact definition, epidemiology and diagnostic criteria. If left untreated, the disorder could ultimately lead to heart failure. This review article documents available research-based evidence to provide a comprehensive clinical understanding of RCM, its epidemiology, diagnosis and clinical management. The article is organized into ten main sections, namely description, classification, epidemiology, clinical manifestation, prognosis, causes of death, pathophysiology, etiology, differential diagnosis, and clinical management. The article concludes with a concise summary of the main points discussed.

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Hemodynamic rounds series II: Hemodynamics of constrictive physiology: Influence of respiratory dynamics on ventricular pressures

Cited by 14 publications

References 33 publications

Hemodynamics of large ventricular septal defect and coexisting chronic constrictive pericarditis masquerading as Eisenmenger's syndrome

Hemodynamics of large ventricular septal defect and coexisting chronic constrictive pericarditis masquerading as Eisenmenger's syndrome

Restrictive cardiomyopathy: A review of literature on clinical status and meta-analysis of diagnosis and clinical management

Restrictive cardiomyopathy: A review of literature on clinical status and meta-analysis of diagnosis and clinical management methods table of contents

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