Clinical and echocardiographic features of constrictive pericarditis:analysis of 36 cases with literature review
- VernacularTitle:缩窄性心包炎的临床及超声心动图特征——附36例病例报告及文献复习
- Author:
Xinheng FENG
;
Zhaoping LI
;
Weihong LI
;
Baoxia CHEN
;
Wei GAO
- Publication Type:Journal Article
- Keywords:
Pericarditis, constrictive;
Echocardiograghy;
Diagnosis
- From:
Journal of Peking University(Health Sciences)
2003;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the clinical and echocardiographic features of constrictive pericarditis. Methods: Thirty-six patients diagnosed as having constrictive pericarditis from Oct. 1989 to Jun. 2007 were enrolled in this retrospective study. Clinical manifestations and echocardiographic features were analyzed. Results: The main clinical manifestations were fatigue, effort dyspnea(100%), and sign of pressure elevation of vena cava(97%). Echocardiographic features included thickening of pericardium(67%), abnormal motion of septal and posterior wall of left ventricle in diastole(83%,75% respectively), left and right atrial enlargement(92%,39% respectively), early filling changes of mitral flow with respiration(93%), inferior vena cava dilation and without respiration variation(100%), mitral annulus paradoxical enhanced motion in early diastole. Conclusion: Clinical manifestations of pressure elevation of vena cava were indicators for diagnosis of constrictive pericarditis. Echocardiography could be a valuable method for confirming the diagnosis.
