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Echocardiography in pericardial diseases: new developments

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Abstract

Echocardiography is one of the most important clinical tools in the diagnosis and management of various pericardial diseases, including constrictive pericarditis, effusive constrictive pericarditis, pericardial effusion, tamponade, absence of the pericardium and cysts or tumors. During recent years, remarkable progress has been made in echocardiography: cardiac tissue Doppler analysis (TDI), strain and strain rate imaging by speckle tracking imaging (STE) and three-dimensional (3D) echocardiography. The assessment of early diastolic annulus velocity and annulus reversus by TDI improves the differentiation of constriction from restrictive myocardial disease, which can be further facilitated by STE as a complementary tool. 3D echocardiography may be useful for the more precise assessment of pericardial diseases, such as pericardial effusion or pericardial masses as it provides incremental value to 2D echocardiography by detecting anatomic structures with higher accuracy. Applications of these newer echocardiographic techniques in the assessment of pericardial diseases are discussed in this chapter.

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Conflict of interest

Drs. Veress, Feng, and Oh have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Mayo Clinic, Division of Cardiovascular Diseases, 200 First Street SW, Rochester, MN, 55905, USA

    Gabriella Veress, DaLi Feng & Jae K. Oh

  2. Heart Centre, Semmelweis University, Budapest, Hungary

    Gabriella Veress

  3. Metropolitan Heart and Vascular Institute, Minneapolis, MN, USA

    DaLi Feng

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  1. Gabriella Veress
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  2. DaLi Feng
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Correspondence to Jae K. Oh.

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Veress, G., Feng, D. & Oh, J.K. Echocardiography in pericardial diseases: new developments. Heart Fail Rev 18, 267–275 (2013). https://doi.org/10.1007/s10741-012-9325-z

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