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Results 88% (7 of 8) of confirmed constriction patients vs 5% (2 of 42) patients without constriction had marked septal flattening (p < 0.001). The accuracy, sensitivity and specificity were 83%,78% and 83% respectively, Figure 1. Compared to the average control population, the 2 nonconstriction patients with marked septal flattening were younger (38 vs 61, p < 0.001) and were both endurance athletes. 12% (5 of 42) of patients without constriction had subtle septal flattening (arbitrarily defined as an inspiratory septal deviation away from baseline of less than the thickness of the septum). The one constriction patient without marked septal flattening was complex with additional pathology (anomalous systemic and pulmonary venous drainage), raising doubts about the surgical gold-standard chosen.

305 Is real-time CMR really sensitive and specific for pericardial constriction?