Constrictive pericarditis diagnostic study of choice

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Huda A. Karman, M.D.

Overview

The diagnosis of constrictive pericarditis is based on the clinical findings (symptoms and signs) of right heart failure, and diastolic filling impairment due to pericardial constriction. The diagnostic imaging methods include echocardiography, CT, CMR, cardiac catheterization.

Diagnostic Study of Choice

The diagnosis of constrictive pericarditis is based on the following:

  • Clinical findings (symptoms and signs) of right heart failure, and diastolic filling impairment due to pericardial constriction
    • The diagnostic imaging methods are:
    • Echocardiography
    • CT
    • CMR
    • Cardiac catheterization

2015 ESC Guidelines for the Diagnosis of Patients With Constrictive Pericarditis (DO NOT EDIT) [1][2][3][4]

Recommendations for the diagnosis of constrictive pericarditis

Class I
"1. Transthoracic echocardiography is recommended in all patients with suspected constrictive pericarditis. (Level of Evidence: C)"
"2. Chest X-ray (frontal and lateral views) with adequate technical characteristics is recommended in all patients with suspected constrictive pericarditis. (Level of Evidence: C)"
"3. CT and/or CMR are indicated as second-level imaging techniques to assess calcifications (CT), pericardial thickness, degree and extension of pericardial involvement. (Level of Evidence: C)"
"4. Cardiac catheterization is indicated when non-invasive diagnostic methods do not provide a definite diagnosis of constriction. (Level of Evidence: C)"

Sources

2015 ESC Guidelines for the diagnosis and management of pericardial diseases: The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC). Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS) [1][2][3][4]


References

  1. 1.0 1.1 Welch TD, Ling LH, Espinosa RE, Anavekar NS, Wiste HJ, Lahr BD; et al. (2014). "Echocardiographic diagnosis of constrictive pericarditis: Mayo Clinic criteria". Circ Cardiovasc Imaging. 7 (3): 526–34. doi:10.1161/CIRCIMAGING.113.001613. PMID 24633783.
  2. 2.0 2.1 Klein AL, Abbara S, Agler DA, Appleton CP, Asher CR, Hoit B; et al. (2013). "American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease: endorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography". J Am Soc Echocardiogr. 26 (9): 965–1012.e15. doi:10.1016/j.echo.2013.06.023. PMID 23998693.
  3. 3.0 3.1 Cosyns B, Plein S, Nihoyanopoulos P, Smiseth O, Achenbach S, Andrade MJ; et al. (2015). "European Association of Cardiovascular Imaging (EACVI) position paper: Multimodality imaging in pericardial disease". Eur Heart J Cardiovasc Imaging. 16 (1): 12–31. doi:10.1093/ehjci/jeu128. PMID 25248336.
  4. 4.0 4.1 Talreja DR, Nishimura RA, Oh JK, Holmes DR (2008). "Constrictive pericarditis in the modern era: novel criteria for diagnosis in the cardiac catheterization laboratory". J Am Coll Cardiol. 51 (3): 315–9. doi:10.1016/j.jacc.2007.09.039. PMID 18206742.



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