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Constrictive Pericarditis and Restrictive Cardiomyopathy

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Book cover The ESC Textbook of Cardiovascular Imaging

Abstract

Constrictive pericarditis (CP) and restrictive cardiomyopathy (RCMP) have some similarities in presentation, but their pathophysiology, clinical features, and, more importantly, therapeutic approach are quite different.1 It is therefore imperative that the correct diagnosis be made before installing a therapy, which, if applied for the wrong diagnosis, could be deleterious to the patient.

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References

  1. Maisch B, Seferovic PM, Ristic AD, et al Guidelines on the diagnosis and management of pericardial diseases executive summary; The Task force on the diagnosis and management of pericardial diseases of the European society of cardiology. Eur Heart J. 2004;25:587

    Article  PubMed  Google Scholar 

  2. Hancock EW. Differential diagnosis of restrictive cardiomyopathy and constrictive pericarditis. Heart. 2001;86(suppl 3):343–349

    CAS  PubMed  Google Scholar 

  3. Goldstein JA. Cardiac tamponade, constrictive pericarditis, and restrictive cardiomyopathy. Curr Probl Cardiol. 2004;29(suppl 9):503–567

    Article  PubMed  Google Scholar 

  4. Shabetai R. The Pericardium. Norwell, MA: Kluwer; 2003:227

    Google Scholar 

  5. Lavine SJ. Genesis of the restrictive filling pattern: pericardial constraint or myocardial restraint. J Am Soc Echocardiogr. 2004;17(suppl 2):152–160

    PubMed  Google Scholar 

  6. Boonyaratavej S, Oh JK, Tajik AJ, et al Comparison of mitral inflow and superior vena cava Doppler velocities in chronic obstructive pulmonary disease and constrictive pericarditis. J Am Coll Cardiol. 1998;32:2043

    Google Scholar 

  7. Babuin L, Alegria JR, Oh JK, et al Brain natriuretic peptide levels in constrictive pericarditis and restrictive cardiomyopathy. J Am Coll Cardiol. 2006;47:1489

    Article  CAS  PubMed  Google Scholar 

  8. Ling LH, Oh JK, Tei C, et al Pericardial thickness measured with transesophageal echocardiography: feasibility and potential clinical usefulness. J Am Coll Cardiol. 1997;29:1317

    Article  CAS  PubMed  Google Scholar 

  9. Abdalla IA, Murray RD, Lee JC, White RD, Thomas JD, Klein AL. Does rapid volume loading during transesophageal echocardiography differentiate constrictive pericarditis from restrictive cardiomyopathy? Echocardiography. 2002;19(suppl 2):125–134

    Article  PubMed  Google Scholar 

  10. Talreja DR, Edwards WD, Danielson GK, et al Constrictive pericarditis in 26 patients with histologically normal pericardial thickness. Circulation. 2003;108:1852

    Article  PubMed  Google Scholar 

  11. Hatle LK, Appleton CP, Popp RL. Differentiation of constrictive pericarditis and restrictive cardiomyopathy by Doppler echocardiography. Circulation. 1989;79:357

    CAS  PubMed  Google Scholar 

  12. Hurrell DG, Nishimura RA, Higano ST, et al Value of dynamic respiratory changes in left and right ventricular pressures for the diagnosis of constrictive pericarditis. Circulation. 1996;93:2007

    Google Scholar 

  13. Oh JK, Hatle LK, Seward JB, et al Diagnostic role of Doppler echocardiography in constrictive pericarditis. J Am Coll Cardiol. 1994;23:154

    Article  CAS  PubMed  Google Scholar 

  14. Tabata T, Kabbani SS, Murray RD, et al Difference in the respiratory variation between pulmonary venous and mitral inflow Doppler velocities in patients with constrictive pericarditis with and without atrial fibrillation. J Am Coll Cardiol. 2001;37:1936

    Article  CAS  PubMed  Google Scholar 

  15. Klein AL, Cohen GI, Pietrolungo JF, et al Differentiation of constrictive pericarditis from restrictive cardiomyopathy by Doppler transesophageal echocardiographic measurements of respiratory variations in pulmonary venous flow. J Am Coll Cardiol. 1993;22(suppl 7):1935–1943

    Article  CAS  PubMed  Google Scholar 

  16. McCall R, Stoodley PW, Richards DA, Thomas L. Restrictive cardiomyopathy versus constrictive pericarditis: making the distinction using tissue Doppler imaging. Eur J Echocardiogr. 2008;9(suppl 4):591–594

    Article  PubMed  Google Scholar 

  17. Palka P, Lange A, Donnelly JE, Nihoyannopoulos P. Differentiation between restrictive cardiomyopathy and constrictive pericarditis by early diastolic doppler myocardial velocity gradient at the posterior wall. Circulation. 2000;102:655

    CAS  PubMed  Google Scholar 

  18. Ha JW, Oh JK, Ling LH, et al Annulus paradoxus: transmitral flow velocity to mitral annular velocity ratio is inversely proportional to pulmonary capillary wedge pressure in patients with constrictive pericarditis. Circulation. 2001;104:976

    Article  CAS  PubMed  Google Scholar 

  19. Ha JW, Ommen SR, Tajik AJ, et al Differentiation of constrictive pericarditis from restrictive cardiomyopathy using mitral annular velocity by tissue Doppler echocardiography. Am J Cardiol. 2004; 94(suppl 3):316–319

    Article  PubMed  Google Scholar 

  20. Garcia MJ, Rodriguez L, Ares M, Griffin BP, Thomas JD, Klein AL. Differentiation of constrictive pericarditis from restrictive cardiomyopathy: assessment of left ventricular diastolic velocities in longitudinal axis by Doppler tissue imaging. J Am Coll Cardiol. 1996;27(suppl 1):108–114

    Article  CAS  PubMed  Google Scholar 

  21. Choi EY, Ha JW, Kim JM, et al Incremental value of combining systolic mitral annular velocity and time difference between mitral inflow and diastolic mitral annular velocity to early diastolic annular velocity for differentiating constrictive pericarditis from restrictive cardiomyopathy. J Am Soc Echocardiogr. 2007;20(suppl 6): 738–743

    PubMed  Google Scholar 

  22. Akasaka T, Yoshida K, Yamamuro A, et al Phasic coronary flow characteristics in patients with constrictive pericarditis: comparison with restrictive cardiomyopathy. Circulation. 1997;96:1874

    CAS  PubMed  Google Scholar 

  23. Isner JM, Carter BL, Bankoff MS, et al Differentiation of constrictive pericarditis from restrictive cardiomyopathy by computed tomographic imaging. Am Heart J. 1983;105(suppl 6):1019–1025

    Article  CAS  PubMed  Google Scholar 

  24. Sechtem U, Tscholakoff D, Higgins CB. MRI of the normal pericardium. AJR Am J Roentgenol. 1986;147:239

    CAS  PubMed  Google Scholar 

  25. Francone M, Dymarkowski S, Kalantzi M, et al Assessment of ventricular coupling with real-time cine MRI and its value to differentiate constrictive pericarditis from restrictive cardiomyopathy. Eur Radiol. 2006;16:944

    Article  PubMed  Google Scholar 

  26. Haley JH, Tajik AJ, Danielson GK, Schaff HV. Transient constrictive pericarditis: causes and natural history. J Am Coll Cardiol. 2004;43:271

    Article  PubMed  Google Scholar 

  27. Kojima S, Yamada N, Goto Y. Diagnosis of constrictive pericarditis by tagged cine magnetic resonance imaging. N Engl J Med. 1999;341:373

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium

    Prof. Dr. Frank Rademakers MD, PhD

Authors
  1. Prof. Dr. Frank Rademakers MD, PhD
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Correspondence to Frank Rademakers MD, PhD .

Editor information

Editors and Affiliations

  1. Hospital Clinico San Carlos, Instituto Cardiovascular, C/Professor Martin Lagos, s/n, 28040, Madrid, Spain

    José Luis Zamorano

  2. Medical Center Dept. Cardiology, Leiden University, Albinusdreef 2, 2333, Leiden, ZA, Netherlands

    Jeroen J. Bax

  3. Dept. Cardiology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium

    Frank E. Rademakers

  4. Turku PET Centre, Turku University Hospital, FI-20521, Turku, Finland

    Juhani Knuuti

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Rademakers, F. (2010). Constrictive Pericarditis and Restrictive Cardiomyopathy. In: Zamorano, J.L., Bax, J.J., Rademakers, F.E., Knuuti, J. (eds) The ESC Textbook of Cardiovascular Imaging. Springer, London. https://doi.org/10.1007/978-1-84882-421-8_27

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  • DOI: https://doi.org/10.1007/978-1-84882-421-8_27

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-420-1

  • Online ISBN: 978-1-84882-421-8

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