Key result
2DSTE improves diagnostic differentiation of constrictive pericarditis from restrictive physiology.
Why the study?
Two-dimensional speckle tracking echocardiography (2DSTE) provides additional diagnostic and clinical information in constrictive pericarditis beyond classic echocardiographic methods, but a comprehensive summary of its role was needed.
Does two-dimensional speckle tracking echocardiography improve the diagnosis and assessment of constrictive pericarditis?
Systematic Review
Does two-dimensional speckle tracking echocardiography improve the diagnosis and assessment of constrictive pericarditis?
Two-dimensional speckle tracking echocardiography provides valuable additional diagnostic and clinical information in the evaluation and management of constrictive pericarditis.
Enhances noninvasive diagnosis and post-pericardiectomy assessment in constrictive pericarditis; extends conventional echocardiography with quantitative strain metrics.
Transthoracic echocardiography has a pivotal role in the diagnosis of constrictive pericarditis (CP). In addition to the classic M-mode, two-dimensional and Doppler indices, newer methodologies designed to evaluate myocardial mechanics, such as two-dimensional speckle tracking echocardiography (2DSTE), provide additional diagnostic and clinical information in the context of CP. Research has demonstrated that cardiac mechanics can improve echocardiographic diagnostic accuracy of CP and aid in differentiating between constrictive and restrictive ventricular physiology. 2DSTE can also be used to assess the success of pericardiectomy and its impact on atrial and ventricular mechanics. In the course of this review, we describe cardiac mechanics in patients with CP and summarize the influence of pericardiectomy on atrial and ventricular mechanics assessed using 2DSTE.
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Madeira et al. (2016) conducted a systematic review in Constrictive pericarditis. Two-dimensional speckle tracking echocardiography (2DSTE) was evaluated. Two-dimensional speckle tracking echocardiography improves the diagnostic accuracy of constrictive pericarditis and aids in differentiating it from restrictive ventricular physiology.
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