ECHO 2013 / Constriction or Cardiomyopathy Paradoxical Diastolic Heart Failure
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Color M- mode of HV Doppler Constrictive Pericarditis
Expiration |
©2011 |
©2012 MFMER | 3225607MFME-31
Myth #2 : Equalization of diastolic pressure 71 year old man with and HF Referred for pericardiectomy
•Progressive dyspnea and edema
•JVP elevation and S3
•Echo : Normal EF and LVH
•CT : Calcified pericardium
©2012 MFMER | 3225607-32
A 71 year old man presents with progressively worsening of dyspnea. Physical examination demonstrated marked CT, and following patient’s
| 3225607-33
A 71 year old man presents with progressively worsening of dyspnea. Physical examination demonstrated marked CT, and following patient’s
| 3225607-34
71 year old man with calcified pericardium and hand numbness
MRI : Patchy myocardial delayed enhancement |
Echo : Amyloidosis |
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and increased wall thickness |
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©2012 MFMER | 3225607-35
Constrictive Pericarditis in the Modern Era
Novel Criteria for Diagnosis in the Cardiac Cath Laboratory (Talreja, Nishimura, Oh, Holmes. Jan. 2008 JACC)
Discordant change
Constriction
Restriction(RMC)
Concordant change
Case 4: A 26 year old woman with a previous pericardiectomy, presenting with edema
1= No cardiac 2= RCM 3= Recurrent CP 4= RV infarct
©2012 MFMER | 3225607-37
A young woman with a previous pericardiectomy, presenting with edema
1= No cardiac 2= RCM 3= Recurrent CP 4= RV infarct
©2012 MFMER | 3225607-38
Subcostal view and Hepatic Vein Doppler
1= No cardiac 2= RCM 3= Recurrent CP 4= RV infarct
©2012 MFMER | 3225607-39
Subcostal view and Hepatic Vein Doppler
1= No cardiac 2= RCM 3= Recurrent CP 4= RV infarct
©2012 MFMER | 3225607-40