The role of echocardiography and computed tomography in the evaluation of constrictive pericarditis

Sutton, Frederick J.; Whitley, Nancy O.; Applefeld, Mark M.

doi:10.1016/0002-8703(85)90606-4

Cited by 47 publications

(17 citation statements)

References 14 publications

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“…Chest radiograph with lateral view can show the calcification as a mass or sheet over the right ventricle (8). CT and MRI scans can define the extent of calcification and determine the contents of the mass by comparing its morphology and density (6)(7)(8).…”

Section: Pericardial Calcification Is Thought To Results From An Inflamentioning

confidence: 99%

“…CT and MRI scans can define the extent of calcification and determine the contents of the mass by comparing its morphology and density (6)(7)(8).…”

Section: Pericardial Calcification Is Thought To Results From An Inflamentioning

confidence: 99%

“…Echocardiography can show pericardial thickening, echogenic shadowing from calcium, and enlargement of the right atrium and inferior vena cava (8 (6,7).…”

Section: Pericardial Calcification Is Thought To Results From An Inflamentioning

confidence: 99%

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Idiopathic Chronic Constrictive Pericarditis Secondary to Calcified Pericardial Haematoma

et al. 2007

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Section: Pericardial Calcification Is Thought To Results From An Inflamentioning

confidence: 99%

“…CT and MRI scans can define the extent of calcification and determine the contents of the mass by comparing its morphology and density (6)(7)(8).…”

Section: Pericardial Calcification Is Thought To Results From An Inflamentioning

confidence: 99%

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Idiopathic Chronic Constrictive Pericarditis Secondary to Calcified Pericardial Haematoma

et al. 2007

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“…The answer, in my personal experience, would be in the affirmative as a general rule. However, Sutton et al [18] claim that echocardiography frequently misses pericardial thickening; Pandian et al [19] found less than good correlation between echographic and anatomic measurements in pericardial thickening produced experimentally in dogs.…”

Section: Mode Echocardiographymentioning

confidence: 99%

“…The relative frequency of the various M-mode echographic signs of CP mentioned above has been compared in a multicentered series of 40 patients with proven CP by Engel et al [27] and in a smaller series by Sutton et al [18], The former authors concluded that 'no single fea ture of the M-mode echocardiogram could be considered diagnostic, although a pattern of normal left ventricular size and systolic function, mild left atrial dilatation, flat tened diastolic left ventricular posterior wall motion and abnormal septal motion was found in most patients'. These authors found that the normal LV size and normal LV internal dimension systolic shortening fraction was the rule in CP; on the other hand, left atrial (LA) dilata tion was noted in 75% of their patients.…”

Section: Mode Echocardiographymentioning

confidence: 99%

The Noninvasive Diagnosis of Constrictive Pericarditis

D’Cruz¹

1990

Am J Noninvas Cardiol

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Until the mid-20th century, the noninvasive diagnosis of constrictive pericarditis (CP) was based on a typical constellation of physical signs and detection of pericardial calcification on the chest X-ray. The introduction of phonocardiography, apexcardiography and jugular venous pulse tracings made it possible to record in graphic form certain important physical signs such as the pericardial ‘knock’ and prominent jugular venous Y descent. During the 1970s, the availability of M-mode echocardiograms recorded on strip charts was an important advance, because it permitted imaging of the presence and extent of pericardial thickening or calcification. It also enabled the cardiologist to visualize and time certain abnormalities of motion of the ventricular septum, ventricular wall or pulmonic valve, each of which was hailed, when first introduced, as a ‘new echo sign of CP’. However, most such signs are nonspecific, not consistently present, or subtle to perceive. On the two-dimensional echogram, typical appearances include normal to small ventricles within a rigid thick pericardial shell, with abrupt halting of ventricular expansion early in diastole, and biatrial dilatation. The Doppler pattern of transmitral flow shows diagnostic promise, in particular an abnormally short deceleration phase of rapid early left ventricular filling indicates ‘restrictive’ or ‘constrictive’ ventricular pathophysiology. Recent imaging techniques such as computed tomography and magnetic resonance imaging also have a diagnostic role in CP inasmuch as they may provide better visualization of the extent and degree of thickening of the whole pericardial perimeter than can be achieved by cardiac ultrasound. In conclusion, the diagnosis of CP depends on assessment of physical signs and noninvasive investigations taken together. CP may be suspected if several échocardiographie ‘signs’ are evident in the same patient, especially if pericardial thickening and normal left ventricle size, contraction and wall thickness are noted in a patient with frank apparent right-sided congestive failure but no significant valve disease.

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Congestive Heart Failure With Normal Left Ventricular Systolic Function

Vasan¹

1996

Arch Intern Med

103

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The syndrome of congestive heart failure with preserved left ventricular systolic function is common in clinical practice. The signs and symptoms of the disorder are similar to those of congestive heart failure with left ventricular systolic dysfunction, underscoring a need for routine evaluation of left and right ventricular systolic function in patients with congestive heart failure. The syndrome may be related to anatomic abnormalities that increase the resistance to ventricular filling, or to physiologic abnormalities of myocardial relaxation or compliance. Advancing age, often in association with hypertension, coronary artery disease, tachycardia, and atrial fibrillation, is commonly associated with the disorder. Randomized controlled clinical trials are needed to evaluate the efficacy of various therapeutic agents in reducing the risks associated with diastolic heart failure.

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The role of echocardiography and computed tomography in the evaluation of constrictive pericarditis

Cited by 47 publications

References 14 publications

Idiopathic Chronic Constrictive Pericarditis Secondary to Calcified Pericardial Haematoma

Idiopathic Chronic Constrictive Pericarditis Secondary to Calcified Pericardial Haematoma

The Noninvasive Diagnosis of Constrictive Pericarditis

Congestive Heart Failure With Normal Left Ventricular Systolic Function

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