| Constrictive pericarditis versus restrictive cardiomyopathy: challenges in diagnosis and management. | |
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MedLine Citation:
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PMID: 15476569 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This is the case of a patient who presented with severe right-sided heart failure due to diastolic dysfunction that caused a dilemma of differential diagnosis between restrictive cardiomyopathy and constrictive pericarditis. Restrictive cardiomyopathy was diagnosed based on noninvasive and invasive hemodynamic testing. However, the patient did not respond to therapy and succumbed to worsening heart failure and multiple comorbidities. Clinical features of right heart failure with edema, ascites, jugular venous distention, and tender hepatomegaly are commonly seen in clinical practice. When systolic function is determined to be normal, diastolic causes of heart failure must be ruled out. These include myocardial disorders with a broad range of pathologies leading to restrictive physiology, of which amyloidosis is a prototype. Pericardial disorders leading to diastolic heart failure are usually in the form of constrictive physiology, when pericardial tamponade is ruled out. Differentiation between restrictive and constrictive pathologies is often difficult and requires careful attention to hemodynamic and Doppler echocardiographic features. We report a case of severe right heart failure illustrating some of the complexities in decision-making and the importance of meticulous hemodynamic and ancillary testing in the diagnosis and treatment of this often fatal condition. |
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Authors:
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Kavitha M Chinnaiyan; Carrie B Leff; Dominic L Marsalese |
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Publication Detail:
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Type: Case Reports; Comparative Study; Journal Article |
Journal Detail:
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Title: Cardiology in review Volume: 12 ISSN: 1061-5377 ISO Abbreviation: Cardiol Rev Publication Date: 2004 Nov-Dec |
Date Detail:
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Created Date: 2004-10-12 Completed Date: 2005-02-17 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9304686 Medline TA: Cardiol Rev Country: United States |
Other Details:
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Languages: eng Pagination: 314-20 Citation Subset: IM |
Affiliation:
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Department of Cardiology, William Beaumont Hospital, Royal Oak, MI 48073, USA. kchinnaiyan@beaumont.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Algorithms Cardiomyopathy, Restrictive / diagnosis, physiopathology, ultrasonography Diagnosis, Differential Fatal Outcome Heart Catheterization Hemodynamics Humans Magnetic Resonance Imaging Male Pericarditis, Constrictive / diagnosis*, physiopathology, therapy*, ultrasonography Ventricular Pressure |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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