What does this research mean for the field?

Right ventricular endomyocardial biopsy effectively differentiates restrictive cardiomyopathy from constrictive pericarditis, identifying specific cardiomyopathies to prevent unnecessary thoracotomies and predicting pericardial constriction when biopsy findings are nonspecific. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

May 1, 1987Circulation

Restrictive cardiomyopathy versus constrictive pericarditis: role of endomyocardial biopsy in avoiding unnecessary thoracotomy.

View Full Paper

Ask AI

Bookmark

Why the study?

Does right ventricular endomyocardial biopsy improve the differentiation of restrictive cardiomyopathy from constrictive pericarditis in patients with constrictive/restrictive physiology?

Population

54 patients with evidence of constrictive/restrictive physiology, including 38 patients with profound…

Design

Cohort

Authors

MSMark H. SchoenfeldElectrophysiology ESE W SuppleMassachusetts General Hospital GDGW DecMassachusetts General Hospital

Discussion

Member takes

Implication

Supports biopsy consideration in severe restrictive physiology; leaves open impact on avoiding unnecessary thoracotomy.

Structured PICO

Does right ventricular endomyocardial biopsy improve the differentiation of restrictive cardiomyopathy from constrictive pericarditis in patients with constrictive/restrictive physiology?

Population

54 patients with evidence of constrictive/restrictive physiology, including 38 patients with profound symptoms of heart failure (NYHA class III or IV, depressed cardiac index, right atrial hypertension, normal LVEF) in whom diagnostic/therapeutic thoracotomy was contemplated, and 16 patients with milder symptoms.

Intervention

Right ventricular endomyocardial biopsy

Outcome

Identification of a specific source of restrictive cardiomyopathy

Right ventricular endomyocardial biopsy is a useful diagnostic tool in patients with severe constrictive/restrictive physiology to identify specific forms of restrictive cardiomyopathy and avoid unnecessary thoracotomy.

Cite This Study

Schoenfeld et al. (1987) studied this question.

synapsesocial.com/papers/6a120b19ea48cb855a341e18 https://doi.org/10.1161/01.cir.75.5.1012

Topics

Hypertrophic cardiomyopathy

View Full Paper

Ask AI

Bookmark

Restrictive cardiomyopathy versus constrictive pericarditis: role of endomyocardial biopsy in avoiding unnecessary thoracotomy.

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Restrictive cardiomyopathy versus constrictive pericarditis: role of endomyocardial biopsy in avoiding unnecessary thoracotomy.

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider