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Published on: May 13, 2019
Hemodynamics of constrictive pericarditis and restrictive cardiomyopathy
James A Goldstein1, Morton J Kern2
1Department of Cardiovascular Medicine, William Beaumont Hospital, Royal Oak, Michigan.
Abstract:
Constrictive pericarditis (CP) and restrictive cardiomyopathy (RCM) are indolent disabling diseases of diastolic function. The two conditions share common pathophysiologic features, resulting in similar and overlapping clinical presentations, echocardiographic findings, and hemodynamic characteristics. However, their clinical course differs, as CP is surgically curable whereas RCM is a chronic condition managed medically. Separating these two entities is based on delineation of anatomic and physiologic derangements employing multimodality hemodynamic interrogation by advanced imaging techniques (Echo-Doppler, CT, and especially MRI) combined with sophisticated invasive hemodynamics.
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