Echocardiography has largely replaced hemodynamic catheterization as the definitive diagnostic investigation for constrictive pericarditis and has improved the rate of diagnosis significantly, with cases increasing from 10 to between 60 and 100 per year at Mayo Clinic.
Constrictive pericarditis is a condition of diastolic heart failure with unique hemodynamic manifestations. While potentially curable if treated appropriately, constrictive pericarditis remains a diagnostic challenge, particularly during early manifestation of disease when there are subtle clinical symptoms and when confounding comorbidities are present. In this focused review, we describe the characteristic and diagnostic hemodynamics of constrictive pericarditis as well as the utility of invasive (cardiac catheterization) and noninvasive (echocardiography) diagnostic testing for this complex disease.
Harmon et al. (Thu,) conducted a review in constrictive pericarditis. pericardiectomy or anti-inflammatory medication was evaluated on diagnostic hemodynamics of constrictive pericarditis. Echocardiography has largely replaced hemodynamic catheterization as the definitive diagnostic investigation for constrictive pericarditis and has improved the rate of diagnosis significantly, with cases increasing from 10 to between 60 and 100 per year at Mayo Clinic.