医学
心包切除术
缩窄性心包炎
心内注射
心脏病学
心包
内科学
限制性心肌病
心力衰竭
心导管术
射血分数
心包炎
鉴别诊断
血流动力学
心脏成像
心肌病
放射科
病理
出处
期刊:Heart
[BMJ]
日期:2017-11-25
卷期号:104 (9): 725-731
被引量:83
标识
DOI:10.1136/heartjnl-2017-311683
摘要
Constrictive pericarditis (CP) is a form of diastolic heart failure that arises because an inelastic pericardium inhibits cardiac filling. This disorder must be considered in the differential diagnosis for unexplained heart failure, particularly when the left ventricular ejection fraction is preserved. Risk factors for the development of CP include prior cardiac surgery and radiation therapy, but most cases are still deemed to be idiopathic. Making the diagnosis may be challenging and requires meticulous echocardiographic assessment, often supplemented by cross-sectional cardiac imaging and haemodynamic catheterisation. The key pathophysiological concepts, which serve as the basis for many of the diagnostic criteria, remain: (1) dissociation of intrathoracic and intracardiac pressures and (2) enhanced ventricular interaction. Complete surgical pericardiectomy is the only effective treatment for chronic CP. A subset of patients with subacute inflammatory CP, often identified by cardiac MRI, may respond to anti-inflammatory treatments.
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