ECHO 2013 / Constriction or Cardiomyopathy Paradoxical Diastolic Heart Failure
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Heart failure with ascites and leg edema
©2011 MFMER |
slide-21 ©2012 MFMER | 3225607-21
Heart failure, edema, and severe TR Annulus Reversus
Medial 12 cm/sec |
Lateral 9 cm/sec |
And Constriction
©2011 MFMER |
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Pericardiectomy |
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Mayo Clinic 1993-2011 |
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80 |
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(no.) |
60 |
N=932 |
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50 |
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Patient |
40 |
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30 |
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20 |
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10 |
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0 |
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1993 |
1998 |
2003 |
2008 |
©2012 MFMER | 3225607-23
Illustrative
Cases
©2012 MFMER | 3225607-24
The PW Doppler recording from hepatic vein was obtained from a 62 year old man with constriction. Which respiratory phase does the arrow indicate ?
Case #1
1= Inspiration 2= Expiration 3= Apnea
©2012 MFMER | 3225607-25
The PW Doppler recording from hepatic vein was obtained from a 62 year old man with constriction. Which respiratory phase does the arrow indicate ?
Case #1
1= Inspiration 2= Expiration 3= Apnea
©2012 MFMER | 3225607-26
Myth #1: Pulmonary hypertension is not
present in patients with constriction 62 year old man with PASP of 90 mmHg
©2012 MFMER | 3225607-27
62 year old man with pulmonary hypertension and HF
Mitral Inflow |
Hepatic Vein |
©2012 MFMER | 3225607-28
62 year old man with pulmonary hypertension and HF Constrictive Pericarditis
Medial e’ = 9 cm/sec |
Lateral e’ = 6 cm/sec |
©2012 MFMER | 3225607-29
Which of following HV Doppler indicates
Case #2
constriction?
1 |
2 |
3
©2012 MFMER | 3225607-30