Echocardiography in Patients With Constrictive Pericarditis Before and After Pericardiectomy
| Autor: | Sevket Ugurlu, Ilhan Pasaoglu, Metin Demircin, Aysel Oram, Sirri Kes, Tokgözoğlu Sl |
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| Rok vydání: | 1995 |
| Předmět: |
Adult
Male Constrictive pericarditis Cardiac Catheterization medicine.medical_specialty medicine.medical_treatment Diastole Doppler echocardiography Predictive Value of Tests Internal medicine medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies Pericardiectomy Vein Ejection fraction medicine.diagnostic_test business.industry Pericarditis Constrictive medicine.disease Echocardiography Doppler Treatment Outcome medicine.anatomical_structure Echocardiography Predictive value of tests Heart catheterization cardiovascular system Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Echocardiography. 12:29-34 |
| ISSN: | 1540-8175 0742-2822 |
| Popis: | Fifteen patients with constrictive pericarditis were prospectively evaluated with echocardiography and Doppler recordings during respiratory monitoring. Eleven who agreed to surgery also underwent right heart catheterization and a repeat echocardiography with Doppler 10 days after pericardiectomy. Preoperatively, there was a significant inspiratory decrease in the mitral E wave (P < 0.05) and increase in the tricuspid E wave velocities (P < 0.05), which both normalized after pericardiectomy. The mitral deceleration times increased from 110 +/- 40 to 149 +/- 46 msec (P < 0.05) postoperatively. The preoperative hepatic vein velocities showed an accentuated systolic flow pattern. The systolic to diastolic ratio of the hepatic vein velocities was higher in patients who improved with surgery (1.42 +/- 0.31 vs 0.65 +/- 0.13) (P < 0.05). Postoperatively the diastolic flow became more pronounced. There was a 100% expiratory diastolic flow reversal in eight patients preoperatively, which normalized after pericardiectomy. Clinically these patients improved significantly postoperatively. Left atrial size, ejection fraction, and mitral and tricuspid filling velocities during respiratory monitoring could not predict surgical outcome. Pericardiectomy improved Doppler filling dynamics in all patients although this was not parallel to clinical improvement. |
| Databáze: | OpenAIRE |
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