Open AccessImaging in constrictive pericarditis
Author(s) -
Priya Jagia,
KM Prasanna Kumar
Publication year - 2015
Publication title -
journal of the practice of cardiovascular sciences
Language(s) - English
Resource type - Journals
eISSN - 2454-2830
pISSN - 2395-5414
DOI - 10.4103/2395-5414.166339
Subject(s) - constrictive pericarditis , medicine , restrictive cardiomyopathy , pericardium , cardiology , contraindication , magnetic resonance imaging , diastole , constriction , radiology , cardiac magnetic resonance , cardiomyopathy , blood pressure , heart failure , pathology , alternative medicine
Raised right ventricular end-diastolic pressure and diastolic pressure equalization are accurate in only up to 85% causes in differentiating constrictive pericarditis from restrictive cardiomyopathy. Therefore imaging in the form of either computed tomography (CT) or magnetic resonance (MR) is important for clinching the diagnosis. In cases of diagnostic dilemma, cardiac MR (CMR) is the investigation of choice with its ability to show both morphological (increased pericardial thickness) and functional changes (constriction, septal bounce). CT for constrictive pericardium may be done if CMR is not available or when there is any contraindication to doing CMR