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Effusive-Constrictive Pericarditis: Doppler Findings

William R Miranda1, Darrell B Newman2, Jae K Oh2

  • 1Department of Cardiovascular Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA. miranda.william@mayo.edu.

Current Cardiology Reports
|November 24, 2019
PubMed

Insights

Effusive-constrictive pericarditis (ECP) involves pericardial effusion and constrictive physiology. Echocardiography reveals ECP in 15% of cases, showing features of both tamponade and constriction.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Echocardiography

Background:

  • Effusive-constrictive pericarditis (ECP) is a complex condition.
  • It presents as a combination of hemodynamically significant pericardial effusion and constrictive pericarditis.
  • Understanding its echo-Doppler characteristics is crucial for diagnosis and management.

Purpose of the Study:

  • To review the diagnostic utility of echo-Doppler findings in effusive-constrictive pericarditis (ECP).
  • To summarize recent observations on ECP prevalence and echocardiographic features.
  • To discuss the implications of pre- and post-pericardiocentesis findings.

Main Methods:

  • Review of recent observations and echocardiographic studies on ECP.
  • Analysis of pre- and post-pericardiocentesis echo-Doppler features.
  • Synthesis of data on ECP prevalence and clinical presentation.

Main Results:

  • Echocardiography diagnosed ECP in approximately 15% of patients.
  • ECP exhibits echo-Doppler features overlapping with cardiac tamponade and constrictive pericarditis.
  • Post-pericardiocentesis ECP is common, with potentially better natural history than previously reported.

Conclusions:

  • ECP diagnosis relies on characteristic echo-Doppler findings.
  • Further research, including simultaneous echocardiography-cardiac catheterization, is needed to clarify hemodynamics.
  • The prognostic and therapeutic value of pre- and post-pericardiocentesis echo-Doppler findings requires further investigation.
Abstract

Keywords:
Cardiac tamponadeConstrictive pericarditisDoppler echocardiographyEffusive-constrictive pericarditis

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