Two‐dimensional speckle tracking cardiac mechanics and constrictive pericarditis: systematic review

Madeira, Marta; Teixeira, Rogério; Costa, Marco; Gonçalves, Lino; Klein, Allan L.

doi:10.1111/echo.13293

Cited by 21 publications

(9 citation statements)

References 45 publications

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“…Constrictive pericarditis (CP) is an inflammatory disease of the pericardial leaflets that results in pericardial thickening and fibrosis. These irreversible changes of the pericardium ultimately lead to impairment of right heart filling [1][2][3][4]. While, in Africa [5] and India [6], tuberculosis is the prevalent etiology, the underlying cause of CP is unknown in most patients in Europe [7][8][9][10][11][12], North America [13][14][15][16], China [17], and Japan [18], although many of these patients may have suffered from prior, unrecognized viral pericarditis.…”

Section: Introductionmentioning

confidence: 99%

Pericardiectomy for constrictive pericarditis: a risk factor analysis for early and late failure

et al. 2019

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Predictors of early and late failure of pericardiectomy for constrictive pericarditis (CP) have not been established. Early and late outcomes of a cumulative series of 81 (mean age 60 years; mean EuroSCORE II, 3.3%) consecutive patients from three European cardiac surgery centers were reviewed. Predictors of a combined endpoint comprising in-hospital death or major complications (including multiple transfusion) were identified with binary logistic regression. Non-parametric estimates of survival were obtained with the Kaplan-Meier method. Predictors of poor late outcomes were established using Cox proportional hazard regression. There were 4 (4.9%) in-hospital deaths. Preoperative central venous pressure > 15 mmHg (p = 0.005) and the use of cardiopulmonary bypass (p = 0.016) were independent predictors of complicated in-hospital course, which occurred in 29 (35.8%) patients. During follow-up (median, 5.4 years), preoperative renal impairment was a predictor of all-cause death (p = 0.0041), cardiac death (p = 0.0008), as well as hospital readmission due to congestive heart failure (p = 0.0037); while partial pericardiectomy predicted all-cause death (p = 0.028) and concomitant cardiac operation predicted cardiac death (p = 0.026), postoperative central venous pressure < 10 mmHg was associated with a low risk both of all-cause and cardiac death (p < 0.0001 for both). Ten-year adjusted survival free of all-cause death, cardiac death, and hospital readmission were 76.9%, 94.7%, and 90.6%, respectively. In high-risk patients with CP, performing pericardiectomy before severe constriction develops and avoiding cardiopulmonary bypass (when possible) could contribute to improving immediate outcomes post-surgery. Complete removal of cardiac constriction could enhance long-term outcomes.

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Section: Introductionmentioning

confidence: 99%

Pericardiectomy for constrictive pericarditis: a risk factor analysis for early and late failure

et al. 2019

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“…On the other hand, global longitudinal strain and longitudinal strain pattern have been extensively studied and are considered reproducible ( 1 , 3 ). Regional variation in longitudinal strain values have been previously described in patients with constrictive pericarditis, that is, reduction in the left ventricular free wall strain as opposed to septal strain ( 4 , 5 ). This reduction in the free wall strain appears to correlate with pericardial thickness, and it is likely explained by pericardial adhesions as well as involvement of adjacent myocardium ( 4 ).…”

Section: Discussionmentioning

confidence: 94%

“Hot Septum” Sign of Constrictive Pericarditis

Argulian

Halpern

2020

JACC: Case Reports

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“…(6)Two-dimensional speckle tracking echocardiography aiming at evaluating myocardial mechanics provide additional diagnostic and clinical information in the context of CP. The typical longitudinal deformation pattern of CP includes preserved septal and reduced longitudinal strain values in left ventricular free wall myocardial segments due to pericardial adhesions, which is different from restrictive cardiomyopathies-where longitudinal strain is usually uniformly reduced, and the values are much lower than CP [46,47] .…”

Section: Echocardiogrammentioning

confidence: 99%

Constrictive Pericarditis and Tuberculosis: Is It Worth More Attention？

Wang¹,

Sun²,

Zhang³

2020

Preprint

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Constrictive pericarditis (CP) characterized by the presence of a thick, fibrotic and/or calcified non-compliant pericardium limits diastolic filling and forces one side of the heart to fill at the expense of the other side. CP results in right heart failure and even reconstruction of the heart, especially for CP caused by tuberculosis (TB). As the leading cause of CP, TB is affecting the management of CP from many aspects, which contributes to high morbidity and mortality. The purpose of this manuscript is to: (1)Review the etiology, epidemiology, pathophysiology, diagnosis, treatment of tuberculosis constrictive pericarditis (TBCP); (2)Review animal models for CP or pericarditis through different methods; (3)Remind us that more research should be done for TBCP.

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Two‐dimensional speckle tracking cardiac mechanics and constrictive pericarditis: systematic review

Cited by 21 publications

References 45 publications

Pericardiectomy for constrictive pericarditis: a risk factor analysis for early and late failure

Pericardiectomy for constrictive pericarditis: a risk factor analysis for early and late failure

“Hot Septum” Sign of Constrictive Pericarditis

Constrictive Pericarditis and Tuberculosis: Is It Worth More Attention？

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