Korean Circulation Journal

  • 제42권3호
  • /
  • Pages.143-150
  • /
  • 2012
  • /
  • 1738-5520(pISSN)
  • /
  • 1738-5555(eISSN)
대한심장학회 (The Korean Society of Cardiology)
권호 표지
DOI QR코드

DOI QR Code

Constrictive Pericarditis as a Never Ending Story: What's New?

  • Sohn, Dae-Won (Cardiovascular Center, Seoul National University Hospital, Department of Internal Medicine, Seoul National University College of Medicine)
  • 발행 : 2012.03.31
⟨ 이전 논문 다음 논문 ⟩

초록

Nowadays, we have a better understanding of the natural history of constrictive pericarditis such as transient constriction. In addition, we have acquired the correct understanding of hemodynamic features that are unique to constrictive pericarditis. This understanding has allowed us to diagnose constrictive pericarditis reliably with Doppler echocardiography and differentiation between constrictive pericarditis and restrictive cardiomyopathy is no longer a clinical challenge. The advent of imaging modalities such as CT or MR is another advance in the diagnosis of constrictive pericarditis. We can accurately measure pericardial thickness and additional information such as the status of coronary artery and the presence of myocardial fibrosis can be obtained. We no longer perform cardiac catheterization for the diagnosis of constrictive pericarditis. However, these advances are useless unless we suspect and undergo work-up for constrictive pericarditis. In constrictive pericarditis, the most important diagnostic tool is clinical suspicion. In a patient with signs and symptoms of increased systemic venous pressure i.e. right sided heart failure, that are disproportionate to pulmonary or left sided heart disease, possibility of constrictive pericarditis should always be included in the differential diagnosis.

키워드

참고문헌

  1. Fowler NO. Constrictive pericarditis: its history and current status. Clin Cardiol 1995;18:341-50. https://doi.org/10.1002/clc.4960180610
  2. Imazio M, Brucato A, Maestroni S, et al. Risk of constrictive pericarditis after acute pericarditis. Circulation 2011;124:1270-5. https://doi.org/10.1161/CIRCULATIONAHA.111.018580
  3. Imazio M, Brucato A, Adler Y, et al. Prognosis of idiopathic recurrent pericarditis as determined from previously published reports. Am J Cardiol 2007;100:1026-8. https://doi.org/10.1016/j.amjcard.2007.04.047
  4. Robertson R, Arnold CR. Constrictive pericarditis with particular reference to etiology. Circulation 1962;26:525-9. https://doi.org/10.1161/01.CIR.26.4.525
  5. Bertog SC, Thambidorai SK, Parakh K, et al. Constrictive pericarditis: etiology and cause-specific survival after pericardiectomy. J Am Coll Cardiol 2004;43:1445-52. https://doi.org/10.1016/j.jacc.2003.11.048
  6. Ling LH, Oh JK, Schaff HV, et al. Constrictive pericarditis in the modern era: evolving clinical spectrum and impact on outcome after pericardiectomy. Circulation 1999;100:1380-6. https://doi.org/10.1161/01.CIR.100.13.1380
  7. Masui T, Finck S, Higgins CB. Constrictive pericarditis and restrictive cardiomyopathy: evaluation with MR imaging. Radiology 1992;182: 369-73. https://doi.org/10.1148/radiology.182.2.1732952
  8. Breen JF. Imaging of the pericardium. J Thorac Imaging 2001;16:47-54. https://doi.org/10.1097/00005382-200101000-00007
  9. Maisch B, Seferovic PM, Ristic AD, et al. Guidelines on the diagnosis and management of pericardial diseases executive summary; the Task Force on the diagnosis and management of pericardial diseases of the European society of cardiology. Eur Heart J 2004;25:587-610. https://doi.org/10.1016/j.ehj.2004.02.002
  10. Kojima S, Yamada N, Goto Y. Diagnosis of constrictive pericarditis by tagged cine magnetic resonance imaging. N Engl J Med 1999;341: 373-4. https://doi.org/10.1056/NEJM199907293410515
  11. Verhaert D, Gabriel RS, Johnston D, Lytle BW, Desai MY, Klein AL. The role of multimodality imaging in the management of pericardial disease. Circ Cardiovasc Imaging 2010;3:333-43. https://doi.org/10.1161/CIRCIMAGING.109.921791
  12. Connolly DC, Wood EH. Cardiac catheterization in heart failure and cardiac constriction. Trans Am Coll Cardiol 1957;7:191-201.
  13. Meaney E, Shabetai R, Bhargava V, et al. Cardiac amyloidosis, contrictive pericarditis and restrictive cardiomyopathy. Am J Cardiol 1976; 38:547-56. https://doi.org/10.1016/S0002-9149(76)80001-X
  14. Hatle LK, Appleton CP, Popp RL. Differentiation of constrictive pericarditis and restrictive cardiomyopathy by Doppler echocardiography. Circulation 1989;79:357-70. https://doi.org/10.1161/01.CIR.79.2.357
  15. Oh JK, Hatle LK, Seward JB, et al. Diagnostic role of Doppler echocardiography in constrictive pericarditis. J Am Coll Cardiol 1994;23:154-62. https://doi.org/10.1016/0735-1097(94)90514-2
  16. Sun JP, Abdalla IA, Yang XS, et al. Respiratory variation of mitral and pulmonary venous Doppler flow velocities in constrictive pericarditis before and after pericardiectomy. J Am Soc Echocardiogr 2001;14: 1119-26. https://doi.org/10.1067/mje.2001.115458
  17. Ha JW, Oh JK, Ommen SR, Ling LH, Tajik AJ. Diagnostic value of mitral annular velocity for constrictive pericarditis in the absence of respiratory variation in mitral inflow velocity. J Am Soc Echocardiogr 2002; 15:1468-71. https://doi.org/10.1067/mje.2002.127452
  18. Sohn DW, Kim YJ, Kim HS, Kim KB, Park YB, Choi YS. Unique features of early diastolic mitral annulus velocity in constrictive pericarditis. J Am Soc Echocardiogr 2004;17:222-6. https://doi.org/10.1016/j.echo.2003.11.015
  19. Oh JK, Tajik AJ, Appleton CP, Hatle LK, Nishimura RA, Seward JB. Preload reduction to unmask the characteristic Doppler features of constrictive pericarditis: a new observation. Circulation 1997;95:796-9. https://doi.org/10.1161/01.CIR.95.4.796
  20. Garcia MJ, Rodriguez L, Ares M, Griffin BP, Thomas JD, Klein AL. Differentiation of constrictive pericarditis from restrictive cardiomyopathy: assessment of left ventricular diastolic velocities in longitudinal axis by Doppler tissue imaging. J Am Coll Cardiol 1996;27:108-14.
  21. Reuss CS, Wilansky SM, Lester SJ, et al. Using mitral 'annulus reversus' to diagnose constrictive pericarditis. Eur J Echocardiogr 2009; 10:372-5. https://doi.org/10.1093/ejechocard/jen258
  22. Choi JH, Choi JO, Ryu DR, et al. Mitral and tricuspid annular velocities in constrictive pericarditis and restrictive cardiomyopathy: correlation with pericardial thickness on computed tomography. JACC Cardiovasc Imaging 2011;4:567-75. https://doi.org/10.1016/j.jcmg.2011.01.018
  23. Ha JW, Oh JK, Ling LH, Nishimura RA, Seward JB, Tajik AJ. Annulus paradoxus: transmitral flow velocity to mitral annular velocity ratio is inversely proportional to pulmonary capillary wedge pressure in patients with constrictive pericarditis. Circulation 2001;104:976-8. https://doi.org/10.1161/hc3401.095705
  24. Ling LH, Oh JK, Tei C, et al. Pericardial thickness measured with transesophageal echocardiography: feasibility and potential clinical usefulness. J Am Coll Cardiol 1997;29:1317-23. https://doi.org/10.1016/S0735-1097(97)82756-8
  25. Pandian NG, Skorton DJ, Kieso RA, Kerber RE. Diagnosis of constrictive pericarditis by two-dimensional echocardiography: studies in a new experimental model and in patients. J Am Coll Cardiol 1984;4: 1164-73. https://doi.org/10.1016/S0735-1097(84)80134-5
  26. Candell-Riera J, Garcia del Castillo H, Permanyer-Miralda G, Soler-Soler J. Echocardiographic features of the interventricular septum in chronic constrictive pericarditis. Circulation 1978;57:1154-8. https://doi.org/10.1161/01.CIR.57.6.1154
  27. Chowdhury UK, Subramaniam GK, Kumar AS, et al. Pericardiectomy for constrictive pericarditis: a clinical, echocardiographic, and hemodynamic evaluation of two surgical techniques. Ann Thorac Surg 2006;81:522-9. https://doi.org/10.1016/j.athoracsur.2005.08.009
  28. DeValeria PA, Baumgartner WA, Casale AS, et al. Current indications, risks, and outcome after pericardiectomy. Ann Thorac Surg 1991;52: 219-24. https://doi.org/10.1016/0003-4975(91)91339-W
  29. Haley JH, Tajik AJ, Danielson GK, Schaff HV, Mulvagh SL, Oh JK. Transient constrictive pericarditis: causes and natural history. J Am Coll Cardiol 2004;43:271-5. https://doi.org/10.1016/j.jacc.2003.08.032
  30. Feng D, Glockner J, Kim K, et al. Cardiac magnetic resonance imaging pericardial late gadolinium enhancement and elevated inflammatory markers can predict the reversibility of constrictive pericarditis after antiinflammatory medical therapy: a pilot study. Circulation 2011; 124:1830-7. https://doi.org/10.1161/CIRCULATIONAHA.111.026070
  31. Bush CA, Stang JM, Wooley CF, Kilman JW. Occult constrictive pericardial disease: diagnosis by rapid volume expansion and correction by pericardiectomy. Circulation 1977;56:924-30. https://doi.org/10.1161/01.CIR.56.6.924

피인용 문헌

  1. A stone miner with both silicosis and constrictive pericarditis: case report and review of the literature vol.13, pp.None, 2012, https://doi.org/10.1186/1471-2466-13-71
  2. Cough Syncope: Constrictive Pericarditis vol.52, pp.4, 2013, https://doi.org/10.2169/internalmedicine.52.8818
  3. Constrictive pericarditis following surgical repair of a peritoneopericardial diaphragmatic hernia in a cat vol.16, pp.8, 2014, https://doi.org/10.1177/1098612x13517113
  4. “End-Stage” Constrictive Pericarditis—A Case Report vol.6, pp.10, 2017, https://doi.org/10.4236/crcm.2017.610029
  5. Noninvasive Imaging of Pericardium vol.81, pp.2, 2020, https://doi.org/10.3348/jksr.2020.81.2.337