Pericardial Effusion and Compressive Disorders of the Heart: Influence of New Technology on Unraveling its

Ralph Shabetai1, Jae K Oh2

  • 1Department of Medicine, University of California, San Diego, La Jolla, CA 92093, USA.

Cardiology Clinics
|October 14, 2017
PubMed

Insights

Constrictive pericarditis and cardiac tamponade severely impair diastolic function but spare systolic function until the final stages. Advances in cardiovascular imaging improve the diagnosis and management of pericardial diseases.

Area of Science:

  • Cardiology
  • Cardiovascular Imaging
  • Pericardial Diseases

Background:

  • Constrictive pericarditis and cardiac tamponade are significant causes of diastolic dysfunction.
  • Systolic function is preserved until the terminal stages of these pericardial diseases.
  • Multimodality cardiovascular imaging has enhanced the understanding and clinical approach to pericardial diseases.

Purpose of the Study:

  • To provide an introduction to pericardial diseases, incorporating historical insights.
  • To highlight recent advances in the diagnosis and management of pericardial diseases.
  • To focus on clinically relevant aspects of pericardial diseases for practicing cardiologists.

Main Methods:

  • Review of existing literature and historical perspectives on pericardial diseases.
  • Discussion of multimodality cardiovascular imaging techniques.
  • Synthesis of current knowledge on diagnosis and management strategies.

Main Results:

  • Diastolic dysfunction is a primary consequence of constrictive pericarditis and cardiac tamponade.
  • Systolic function remains largely unaffected until critical illness.
  • Cardiovascular imaging plays a crucial role in elucidating the complexities of pericardial disease.

Conclusions:

  • Pericardial diseases significantly impact cardiac function, primarily diastolic function.
  • Modern imaging modalities are essential for accurate diagnosis and effective management.
  • Continued research and clinical focus are necessary for optimal patient outcomes in pericardial diseases.

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