Key result
A patient was diagnosed with constrictive pericarditis, a condition that can mimic ischemic heart disease on echocardiography, and was subsequently found to have concurrent ischemic heart disease.
Why the study?
Constrictive pericarditis findings can be mistaken for ischemic heart disease, and because it is potentially reversible and surgically curable, the diagnosis should not be missed.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
Highlights the importance of accurate echocardiographic diagnosis of constrictive pericarditis, a surgically curable condition, which can coexist with or be mistaken for ischemic heart disease.
Constrictive pericarditis (CP), a not so common condition, has symptoms and signs of heart failure and abnormal echocardiographic findings, such as jerky septal motion. These findings can be mistaken for ischemic heart disease (IHD) if the echocardiographer is inexperienced. Although the etiology of CP can be varied such as idiopathic, postviral, tuberculous, postsurgical, and radiation-induced the final common pathway is the development of fibrous thickening or calcification of the visceral pericardium resulting in pericardial noncompliance, and ultimately requiring surgical intervention. As CP is potentially reversible and surgically curable condition, with improvement in symptoms and quality of life, the diagnosis should not be missed. Here, we present a case in which the diagnosis of CP was made, and subsequently found to have IHD also.
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Rajesh Krishnachandra Shah (2019) conducted a case report in Constrictive pericarditis and ischemic heart disease (n=1). A patient was diagnosed with constrictive pericarditis, a condition that can mimic ischemic heart disease on echocardiography, and was subsequently found to have concurrent ischemic heart disease.
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