Constrictive pericarditis diagnostic study of choice: Difference between revisions
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* Clinical findings (symptoms and signs) of right heart failure, and diastolic filling impairment due to pericardial constriction | * Clinical findings (symptoms and signs) of right heart failure, and diastolic filling impairment due to pericardial constriction | ||
* The diagnostic imaging methods are: | ** The diagnostic imaging methods are: | ||
* Echocardiography | ** Echocardiography | ||
* CT | ** CT | ||
* CMR | ** CMR | ||
* Cardiac catheterization | ** Cardiac catheterization | ||
Revision as of 18:58, 17 December 2019
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Constrictive Pericarditis Microchapters |
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Differentiating Constrictive Pericarditis from other Diseases |
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Treatment |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Diagnostic Study of Choice
The diagnosis of constrictive pericarditis is based on the following:
- Clinical findings (symptoms and signs) of right heart failure, and diastolic filling impairment due to pericardial constriction
- The diagnostic imaging methods are:
- Echocardiography
- CT
- CMR
- Cardiac catheterization
Recommendations for the diagnosis of constrictive pericarditis
| Class I |
| "1. Transthoracic echocardiography is recommended in all patients with suspected constrictive pericarditis. (Level of Evidence: C)" |
| "2. Chest X-ray (frontal and lateral views) with adequate technical characteristics is recommended in all patients with suspected constrictive pericarditis. (Level of Evidence: C)"
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| "3. CT and/or CMR are indicated as second-level imaging techniques to assess calcifications (CT), pericardial thickness, degree and extension of pericardial involvement. (Level of Evidence: C)" |
| "4. Cardiac catheterization is indicated when non-invasive diagnostic methods do not provide a definite diagnosis of constriction. (Level of Evidence: C)" |
Sources
2015 ESC Guidelines for the diagnosis and management of pericardial diseases: The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC). Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS) [1][2][3][4]
References
- ↑ Welch TD, Ling LH, Espinosa RE, Anavekar NS, Wiste HJ, Lahr BD; et al. (2014). "Echocardiographic diagnosis of constrictive pericarditis: Mayo Clinic criteria". Circ Cardiovasc Imaging. 7 (3): 526–34. doi:10.1161/CIRCIMAGING.113.001613. PMID 24633783.
- ↑ Klein AL, Abbara S, Agler DA, Appleton CP, Asher CR, Hoit B; et al. (2013). "American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease: endorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography". J Am Soc Echocardiogr. 26 (9): 965–1012.e15. doi:10.1016/j.echo.2013.06.023. PMID 23998693.
- ↑ Cosyns B, Plein S, Nihoyanopoulos P, Smiseth O, Achenbach S, Andrade MJ; et al. (2015). "European Association of Cardiovascular Imaging (EACVI) position paper: Multimodality imaging in pericardial disease". Eur Heart J Cardiovasc Imaging. 16 (1): 12–31. doi:10.1093/ehjci/jeu128. PMID 25248336.
- ↑ Talreja DR, Nishimura RA, Oh JK, Holmes DR (2008). "Constrictive pericarditis in the modern era: novel criteria for diagnosis in the cardiac catheterization laboratory". J Am Coll Cardiol. 51 (3): 315–9. doi:10.1016/j.jacc.2007.09.039. PMID 18206742.