Normalization of biventricular strain post steroid treatment of effusive constrictive pericarditis
| Autor: | Hussain Isma'eel, Samir Alam, Jason Leo Walsh, Nader Lamaa, Ahmad Didi |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Constrictive pericarditis
medicine.medical_specialty business.industry Corticosteroid treatment Speckle tracking echocardiography 030229 sport sciences 030204 cardiovascular system & hematology medicine.disease Article Both ventricles Contractility Effusive constrictive pericarditis 03 medical and health sciences 0302 clinical medicine Steroid therapy Internal medicine medicine Cardiology Cardiology and Cardiovascular Medicine Lateral wall business |
| Zdroj: | Journal of Cardiology Cases. 15:167-169 |
| ISSN: | 1878-5409 |
| DOI: | 10.1016/j.jccase.2017.01.004 |
| Popis: | Peak left ventricular strain measured by speckle tracking echocardiography has previously been shown to normalize following pericardectomy in constrictive pericarditis, as indicated by an increase of the strain ratio between the lateral wall and septum. Here we present a case of effusive constrictive pericarditis treated with corticosteroids. Pre-treatment we observed reduced contractility of the lateral walls of both ventricles as measured by peak strain, with sparing of overall septal function, but with hypercontractility of the basal septal segment. Septal and lateral wall function normalized with corticosteroid treatment. Our observations from this case prompts investigation into the value of lateral/septal wall strain ratios in both ventricles for quantitatively monitoring the response of constrictive pericarditis to medical therapy. . |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect