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Current Cardiology Reports

, 21:144 | Cite as

Effusive-Constrictive Pericarditis: Doppler Findings

  • William R. MirandaEmail author
  • Darrell B. Newman
  • Jae K. Oh
Pericardial Disease (AL Klein and CL Jellis, Section Editors)
  • 43 Downloads
Part of the following topical collections:
  1. Topical Collection on Pericardial Disease

Abstract

Purpose of Review

To review the echo-Doppler findings in effusive-constrictive pericarditis (ECP). ECP corresponds to the coexistence of a hemodynamically significant pericardial effusion and markedly reduced compliance of the pericardium, manifested by constrictive physiology post-pericardiocentesis.

Recent Findings

We summarize herein the recent observations regarding the prevalence of ECP based on echocardiography as well as the pre- and post-pericardiocentesis echo-Doppler features of ECP. ECP diagnosed by echocardiography was seen in approximately 15% of patients with ECP pre- and post-pericardiocentesis echo-Doppler findings sharing features with both cardiac tamponade and constrictive pericarditis.

Summary

ECP post-pericardiocentesis is common but its natural history in the current era might be better than previously reported. Further studies and (particularly simultaneous echocardiography-cardiac catheterization) are still critically needed to better understand the underlying hemodynamics of ECP. Moreover, it remains to be determined whether pre- and post-pericardiocentesis echo-Doppler findings can be used to prognosticate or to guide therapy of those undergoing pericardiocentesis.

Keywords

Effusive-constrictive pericarditis Cardiac tamponade Constrictive pericarditis Doppler echocardiography 

Notes

Compliance with Ethical Standards

Conflict of Interest

William R. Miranda, Darrell B. Newman, and Jae K. Oh declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • William R. Miranda
    • 1
    Email author
  • Darrell B. Newman
    • 1
  • Jae K. Oh
    • 1
  1. 1.Department of Cardiovascular MedicineMayo ClinicRochesterUSA

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