Constrictive pericarditis: An unusual clinical entity suggested during dobutamine stress echocardiography
| Autor: | Beth Gulyasy, Raed Abdelhadi, Frederick W. Crock, Angel López-Candales, Vishal Gujral |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Constrictive pericarditis
medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment Ischemia Hemodynamics medicine.disease Inferior vena cava medicine.anatomical_structure medicine.vein Cardiac magnetic resonance imaging Internal medicine cardiovascular system medicine Cardiology Dobutamine cardiovascular diseases Radiology Interventricular septum Cardiology and Cardiovascular Medicine business Pericardiectomy medicine.drug |
| Zdroj: | International Journal of Cardiology. 113:E58-E61 |
| ISSN: | 0167-5273 |
| DOI: | 10.1016/j.ijcard.2006.04.022 |
| Popis: | A 44-year-old female presents with disabling dyspnea and is unable to perform a regular treadmill stress test; instead a dobutamine stress echocardiogram is performed and although negative for ischemia reveals a vigorous paradoxical motion of the interventricular septum with dilatation of the inferior vena cava without respiratory variation and an increased diastolic flow signal in the hepatic veins after expiration with the infusion of dobutamine. The diagnosis of constrictive physiology is confirmed with cardiac magnetic resonance imaging (MRI) and right heart hemodynamics and the patient underwent pericardiectomy without complications with resolution of symptoms. |
| Databáze: | OpenAIRE |
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