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Pericardial Diseases and Hemodynamics

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MGH Cardiology Board Review

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Abstract

Pericardial diseases and associated hemodynamic findings represent an important but difficult area in cardiovascular physiology and disease. In this chapter, we will discuss several different key aspects of pericardial physiology and pathology, including acute and chronic inflammatory states of the pericardium, cardiac tamponade, and chronic constrictive pericarditis. The outline of each section will include a discussion of the etiology of the specific pericardial pathology, a description of salient diagnostic features (by physical examination, echocardiography, hemodynamic measurements, and/or advanced imaging techniques, where applicable), and a discussion of management and follow-up.

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Abbreviations

ADA:

Adenosine deaminase

ANA:

Antinuclear antibody

CAD:

Coronary artery disease

COPD:

Chronic obstructive pulmonary disease

CRP:

C-reactive protein

CT:

Computed tomography

EBV:

Epstein-Barr virus

ECG:

Electrocardiogram

EP:

Electrophysiology

ESR:

Erythrocyte sedimentation rate

HBV:

Hepatitis B virus

HCV:

Hepatitis C virus

IPP:

Intra-pericardial pressure

IVC:

Inferior vena cava

LV:

Left ventricular

LVEDP:

Left ventricular end diastolic pressure

MRI:

Magnetic resonance imaging

NSVT:

Nonsustained ventricular tachycardia

PE:

Pulmonary embolism

PEEP:

Positive end expiratory pressure

RA:

Rheumatoid arthritis

RV:

Right ventricular

RVEDP:

Right ventricular end diastolic pressure

RVSP:

Right ventricular systolic pressure

SLE:

Systemic lupus erythematosus

TB:

Tuberculosis

TEE:

Transesophageal echocardiography

TMP-SMX:

Trimethoprim–sulfamethoxazole

References

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Author information

Authors and Affiliations

  1. Harvard Medical School Cardiology Division, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA

    Ravi V. Shah MD (Clinical and Research Fellow)

  2. Harvard Medical School Cardiovascular Medicine, Department of Medicine and Radiology, Brigham and Women’s Hospital, Boston, MA, USA

    Ron Blankstein MD (Assistant Professor of Medicine and Radiology)

  3. Harvard Medical School, Boston, USA

    Gregory D. Lewis MD (Assistant Professor of Medicine)

  4. Mass General Cardiopulmonary Exercise Laboratory, Cardiology Division, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA

    Gregory D. Lewis MD (Director)

Authors
  1. Ravi V. Shah MD
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  2. Ron Blankstein MD
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  3. Gregory D. Lewis MD
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  4. Gregory D. Lewis MD
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Editor information

Editors and Affiliations

  1. Cardiology Division Yawkey Building 5B, Room 5850, Massachusetts General Hospital, Boston, Massachusetts, USA

    Hanna K. Gaggin

  2. Cardiology Division Yawkey Building, Suite 5984, Massachusetts General Hospital, Boston, Massachusetts, USA

    James L. Januzzi, Jr.

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

306999_1_En_18_MOESM1_ESM.avi

2ch tags (AVI 7624 kb)

306999_1_En_18_MOESM2_ESM.avi

4ch tags (AVI 310 kb)

RV collapse by effusion on subcostal 4ch1 (AVI 14334 kb)

306999_1_En_18_MOESM4_ESM.avi

Subcostal effusion with dimension (AVI 1754 kb)

Septal bounce (AVI 1971 kb)

Video 18-1

2ch tags (AVI 7624 kb)

Video 18-2

4ch tags (AVI 310 kb)

Video 18-4

Subcostal effusion with dimension (AVI 1754 kb)

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© 2014 Springer-Verlag London

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Shah, R.V., Blankstein, R., Lewis, G.D., Lewis, G.D. (2014). Pericardial Diseases and Hemodynamics. In: Gaggin, H., Januzzi, Jr., J. (eds) MGH Cardiology Board Review. Springer, London. https://doi.org/10.1007/978-1-4471-4483-0_18

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  • DOI: https://doi.org/10.1007/978-1-4471-4483-0_18

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4482-3

  • Online ISBN: 978-1-4471-4483-0

  • eBook Packages: MedicineMedicine (R0)

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