Key result
Diffuse myocardial fibrosis clinically resembles constrictive pericarditis so closely that differential diagnosis often requires thoracotomy and direct observation of the pericardium.
Population
Patients with diffuse myocardial fibrosis
Design
Review
Authors
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Requires caution to avoid misdiagnosis and unnecessary surgery; leaves open whether modern imaging can enable reliable noninvasive differentiation.
Highlights the clinical challenge of differentiating diffuse myocardial fibrosis from constrictive pericarditis, which historically required direct surgical observation.
Burwell et al. (1959) conducted a review in Diffuse myocardial fibrosis. Diffuse myocardial fibrosis clinically resembles constrictive pericarditis so closely that differential diagnosis often requires thoracotomy and direct observation of the pericardium.
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