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Constrictive pericarditis in the new millennium

C Barton Gillombardo1, Brian D Hoit2

  • 1Harrington Heart and Vascular Institute, University Hospital Cleveland Medical Center, Cleveland, OH, USA.

Journal of Cardiology
|September 15, 2023
PubMed

Insights

Constrictive pericarditis, a condition causing stiffening of the heart

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Constrictive pericarditis (CP) involves pericardial inflammation leading to fibrosis and reduced cardiac function.
  • Despite centuries of recognition, diagnosing CP remains clinically challenging.
  • Recent advancements offer improved diagnostic and therapeutic strategies.

Purpose of the Study:

  • To review historical and current understanding of constrictive pericarditis.
  • To discuss contemporary approaches to diagnosing and managing CP.
  • To highlight recent advances in cardiac imaging and treatment.

Main Methods:

  • Literature review of historical and contemporary research on constrictive pericarditis.
  • Analysis of current diagnostic modalities, including cardiac imaging.
  • Evaluation of evolving treatment options for CP.

Main Results:

  • Constrictive pericarditis significantly impairs cardiac pump performance due to pericardial stiffness.
  • Improved cardiac imaging techniques enhance diagnostic accuracy for CP.
  • A broader range of treatments is now available for CP patients.

Conclusions:

  • Constrictive pericarditis presents a persistent diagnostic challenge.
  • Advances in imaging and therapeutics are improving patient care for CP.
  • A comprehensive understanding of pathophysiology, diagnosis, and management is crucial.

Keywords:
Cardiac computed tomographyCardiac magnetic resonance imagingChronic constrictive pericarditisEchocardiographySubacute constrictive pericarditis

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