Reduced Right Ventricular Systolic Function in Constrictive Pericarditis Indicates Myocardial Involvement and Persistent Right Ventricular Dysfunction and Symptoms After Pericardiectomy

Results of pericardiectomy for constrictive pericarditis

“…In the same study, RVSF improved after pericardiectomy in 44 % of the patients at a mean time of 43 days after the operation. Similarly, a few case presentations have been reported to stress early right ventricular failure after pericardiectomy in the literature [35,36]. In our study, we did not find any difference in the TAPSE values between the preoperative and early postoperative period as reported in the literature.…”

Prevalence and Prognostic Value of Right Ventricular Systolic Dysfunction in Patients With Constrictive Pericarditis Who Underwent Pericardiectomy

“…26 We have previously observed in several patients with CP the association of reduced RVSF with epicardial involvement and more difficult removal of the pericardium. 12 Epicardial inflammation and subsequent fibrosis can directly impair myocardial contractility and lead to formation of adhesions between the myocardium and parietal pericardium. These adhesions may both reduce RV systolic performance preoperatively and result in additional myocardial damage during pericardiectomy.…”

“…We have previously reported in several patients with CP that reduced longitudinal right ventricular systolic function (RVSF) is associated with epicardial involvement, more difficult removal of the pericardium, and persistent RV dysfunction after pericardiectomy. 12 However, the clinical value of assessment of RVSF in patients with CP has not been established. In this retrospective study, we used Tricuspid Annular Plane Systolic Excursion (TAPSE) to determine the prevalence of reduced RVSF in patients with CP who underwent pericardiectomy, and we investigated the value of assessment of RVSF in predicting postoperative outcome.…”

Benefit of warm water immersion on biventricular function in patients with chronic heart failure

“…Systolic velocities, early diastolic velocities and atrial velocities were obtained [ 14 ]. Annular systolic motion was also measured by calculation of the integral (area) of the systolic velocity curves – tissue velocity time integral (TVTI) [ 15 , 16 ].…”