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Distinguishing Constrictive Pericarditis From Restrictive Cardiomyopathy—An Ongoing Diagnostic Challenge

Distinguishing Constrictive Pericarditis From Restrictive Cardiomyopathy—An Ongoing Diagnostic... Opinion EDITORIAL Distinguishing Constrictive Pericarditis From Restrictive Cardiomyopathy—An Ongoing Diagnostic Challenge John W. Hirshfeld Jr, MD; Hillary Johnston-Cox, MD, PhD Constrictive pericarditis (CP) and restrictive cardiomyo- sponding changes in RV and LV preload and, correspond- pathy (RCM) are serious disorders that share common patho- ingly, stroke volume. In CP, because of the total ventricular end diastolic volume constraint and elevated filling pressures, this physiologic elements including biventricular diastolic dys- function, elevated biatrial phenomenon is exaggerated. This was first reported by Hatle pressures, and reduced rest- et al. They combined observations from echocardiogram/ Related article page 100 ing cardiac output. Yet, while Doppler transvalvular flow velocity measurements and ven- these 2 disorders have simi- tricular pressure recordings to demonstrate greater respira- lar clinical presentations, they are caused by very different tory phasic changes in diastolic inflow and ventricular systolic pathologic processes, which have distinct implications for treat- pressure in patients with CP compared with patients with RCM. ment. CP is potentially curable by surgical pericardiectomy, Subsequently, Talreja et al reported a refinement of the he- whereas therapeutic options for RCM are limited. A mistak- modynamic observations by Hatle et al, showing enhanced enly undertaken surgical pericardiectomy in a patient with http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Cardiology American Medical Association

Distinguishing Constrictive Pericarditis From Restrictive Cardiomyopathy—An Ongoing Diagnostic Challenge

JAMA Cardiology , Volume 7 (1) – Jan 22, 2022

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References (7)

Publisher
American Medical Association
Copyright
Copyright 2021 American Medical Association. All Rights Reserved.
ISSN
2380-6583
eISSN
2380-6591
DOI
10.1001/jamacardio.2021.3483
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL Distinguishing Constrictive Pericarditis From Restrictive Cardiomyopathy—An Ongoing Diagnostic Challenge John W. Hirshfeld Jr, MD; Hillary Johnston-Cox, MD, PhD Constrictive pericarditis (CP) and restrictive cardiomyo- sponding changes in RV and LV preload and, correspond- pathy (RCM) are serious disorders that share common patho- ingly, stroke volume. In CP, because of the total ventricular end diastolic volume constraint and elevated filling pressures, this physiologic elements including biventricular diastolic dys- function, elevated biatrial phenomenon is exaggerated. This was first reported by Hatle pressures, and reduced rest- et al. They combined observations from echocardiogram/ Related article page 100 ing cardiac output. Yet, while Doppler transvalvular flow velocity measurements and ven- these 2 disorders have simi- tricular pressure recordings to demonstrate greater respira- lar clinical presentations, they are caused by very different tory phasic changes in diastolic inflow and ventricular systolic pathologic processes, which have distinct implications for treat- pressure in patients with CP compared with patients with RCM. ment. CP is potentially curable by surgical pericardiectomy, Subsequently, Talreja et al reported a refinement of the he- whereas therapeutic options for RCM are limited. A mistak- modynamic observations by Hatle et al, showing enhanced enly undertaken surgical pericardiectomy in a patient with

Journal

JAMA CardiologyAmerican Medical Association

Published: Jan 22, 2022

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