Key result
Constrictive pericarditis is a form of heart failure requiring multimodality imaging for diagnosis and surgical pericardiectomy as the definitive and potentially curative treatment.
Constrictive pericarditis should be suspected in patients with right heart failure disproportionate to pulmonary or left-sided heart disease, and multimodality imaging is crucial for timely curative surgery.
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Alerts clinicians to disproportionate right heart failure; leaves open prospective validation of multimodality imaging for surgery timing.
Constrictive pericarditis (CP) is a form of heart failure related to constrictive physiology. Every patient presenting with right heart failure should be examined for CP using multimodality diagnostic tools. One of the most important diagnostic clues would be clinically suspected presence of CP in patients with signs and symptoms of right sided heart failure that are disproportionate to pulmonary or left sided heart disease. Hence, investigations have a crucial importance, because a surgical operation can be curative when an appropriate diagnosis is made without missing the right timing.
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Jan Muirhead (2018) conducted a review in Constrictive pericarditis. Constrictive pericarditis is a form of heart failure requiring multimodality imaging for diagnosis and surgical pericardiectomy as the definitive and potentially curative treatment.
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