Noninvasive imaging techniques of constrictive pericarditis

Research output: Contribution to journalReview article

9 Scopus citations

Abstract

Constrictive pericarditis (CP) is the result of scarring and loss of elasticity of the pericardial sac, resulting in external impedance of cardiac filling. It can occur after virtually any pericardial disease process. Patients typically present with signs and symptoms of right heart failure and/or low cardiac output. An important pathophysiological hallmark of CP is exaggerated ventricular interdependence and impaired diastolic filling. Echocardiography is the initial imaging modality for diagnosis of CP. Unfortunately, no echocardiographic sign or combination of signs is pathognomonic for CP. CT scan and cardiac MRI are other imaging techniques that can provide incremental diagnostic information. CT scan can easily detect pericardial thickening and calcification, while cardiac MRI provides a comprehensive evaluation of the pericardium, myocardium and cardiac physiology. Occasionally, a multimodality approach needs to be considered for the conclusive diagnosis of CP.

Original languageEnglish (US)
Pages (from-to)1335-1347
Number of pages13
JournalExpert review of cardiovascular therapy
Volume8
Issue number9
DOIs
StatePublished - Sep 1 2010

Keywords

  • cardiac MRI
  • constrictive pericarditis
  • diagnosis
  • echocardiography
  • noninvasive imaging

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Internal Medicine

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