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January 1, 2016Journal of Cardiovascular UltrasoundOpen Access

Redefining Effusive-Constrictive Pericarditis with Echocardiography

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Why the study?

Does echocardiography improve diagnostic accuracy for effusive-constrictive pericarditis compared to traditional pressure-based measurements in patients with tuberculous pericardial effusions?

Population

32 patients with tuberculous pericardial disease (effusions)

Comparison

Echocardiography performed post-pericardiocentesis vs Traditional pressure-based diagnostic criteria

Design

Cross-sectional

Key result

Echocardiography showed higher sensitivity (81% vs 56%) and specificity (75% vs 56%) than invasive pressure-based measurements for diagnosing effusive-constrictive pericarditis.

Authors

PBPieter van der BijlPHPhilip HerbstADAnton Doubell

Discussion

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Overview

Echocardiography may improve ECP diagnosis over invasive pressures; challenges consensus but leaves open need for validation.

Study Design

Type

Cross-Sectional (n=32)

Structured PICO

Does echocardiography improve diagnostic accuracy for effusive-constrictive pericarditis compared to traditional pressure-based measurements in patients with tuberculous pericardial effusions?

P
Population
32 patients with tuberculous pericardial disease evaluated for effusive-constrictive pericarditis using echocardiography and invasive pressure measurements.
E
Exposure
Echocardiography performed post-pericardiocentesis
C
Comparator
Traditional pressure-based diagnostic criteria (intrapericardial and right atrial invasive pressure measurements)
O
Outcome
Diagnostic performance (sensitivity, specificity, positive predictive value, negative predictive value) for effusive-constrictive pericarditis compared with the gold standard of invasively measured systolic discordancesurrogate

Main Result

Absolute Event Rate: 81% vs 56%

Echocardiography demonstrates superior diagnostic performance compared to traditional invasive pressure measurements for identifying effusive-constrictive pericarditis in patients with tuberculous pericardial effusions.

Cite This Study

Bijl et al. (2016) conducted a cross-sectional in Tuberculous pericardial effusions (n=32). Echocardiography vs. Invasive pressure-based measurements was evaluated on Sensitivity for the diagnosis of ECP compared with invasively measured systolic discordance. Echocardiography showed higher sensitivity (81% vs 56%) and specificity (75% vs 56%) than invasive pressure-based measurements for diagnosing effusive-constrictive pericarditis.

synapsesocial.com/papers/6a50378e8f239ce945896ddchttps://doi.org/10.4250/jcu.2016.24.4.317
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effusive Constrictive Pericarditis: 2D, 3D Echocardiography and MRI Imaging2007 · 24 citations
  2. 2A cursed duet—a case of tuberculous effusive-constrictive pericarditis2025
  3. 3Prevalence, Hemodynamics, and Cytokine Profile of Effusive-Constrictive Pericarditis in Patients with Tuberculous Pericardial Effusion2013 · 39 citations
  4. 4A Comprehensive Review of Effusive-Constrictive Pericarditis, Diagnosis, and Management2025 · 1 citations
  5. 5Effusive–constrictive pericarditis in the spectrum of pericardial compressive syndromes2021 · 16 citations