A simplified method for the diagnosis of constrictive pericarditis in the cardiac catheterization laboratory
JAMA Sep 28, 2021
Jain CC, Miranda WR, El Sabbagh A, et al. - A simple, feasible, and accurate parameter for the diagnosis of constrictive pericarditis (CP) is afforded by pulmonary artery (PA) and aorta (Ao) measurements of ejection times (ETs) throughout the respiratory cycle.
This study included 10 patients with surgically proven CP and 10 patients without CP (restrictive cardiomyopathy or severe tricuspid regurgitation).
Retrospective analysis of simultaneous left-side and right-side heart catheterizations was conducted.
A significantly greater reduction in PA ET and a nonsignificantly greater increase in Ao ET during expiration vs inspiration was seen in patients with CP than those without CP.
Hence, significantly greater difference in Ao ET minus the difference in PA ET during expiration vs inspiration was seen in patients with CP vs those without CP (mean [SD], 50.8 [22.5] milliseconds vs 5.4 [15.2] milliseconds).
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