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Hemodynamics of constrictive pericarditis and restrictive cardiomyopathy
Author(s) -
Goldstein James A.,
Kern Morton J.
Publication year - 2020
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.28692
Subject(s) - medicine , constrictive pericarditis , restrictive cardiomyopathy , hemodynamics , cardiology , cardiomyopathy , pericarditis , doppler echocardiography , diastole , diastolic function , radiology , heart failure , blood pressure
Constrictive pericarditis (CP) and restrictive cardiomyopathy (RCM) are indolent disabling diseases of diastolic function. The two conditions share common pathophysiologic features, resulting in similar and overlapping clinical presentations, echocardiographic findings, and hemodynamic characteristics. However, their clinical course differs, as CP is surgically curable whereas RCM is a chronic condition managed medically. Separating these two entities is based on delineation of anatomic and physiologic derangements employing multimodality hemodynamic interrogation by advanced imaging techniques (Echo–Doppler, CT, and especially MRI) combined with sophisticated invasive hemodynamics.