Abstract
Differentiation of constrictive pericarditis (CP) from restrictive cardiomyopathy (RCM) is a complex and often challenging process. Because CP is a potentially curable cause of heart failure and therapeutic options for RCM are limited, distinction of these 2 conditions is critical. Although different in regard to etiology, prognosis, and treatment, CP and RCM share a common clinical presentation of predominantly right-sided heart failure, in the absence of significant left ventricular systolic dysfunction or valve disease, due to impaired ventricular diastolic filling. Fundamental to the diagnosis of either condition is a clear understanding of the underlying hemodynamic principles and pathophysiology. We present a contemporary review of the pathophysiology, hemodynamics, diagnostic assessment, and therapeutic approach to patients presenting with CP and RCM.
Original language | English (US) |
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Pages (from-to) | 2329-2347 |
Number of pages | 19 |
Journal | Journal of the American College of Cardiology |
Volume | 68 |
Issue number | 21 |
DOIs | |
State | Published - Nov 29 2016 |
Keywords
- constrictive pericarditis
- heart failure
- hemodynamics
- restrictive cardiomyopathy
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine