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. 2021 Sep;4(3):10.15761/jccr.1000168.
doi: 10.15761/jccr.1000168. Epub 2021 May 17.

An Unusual Sticky Situation of New-Onset Right Sided Heart Failure

Demetrio Sharp Dimitri  1 , Priya V Parikh  1 , Sneha Sharma  1 , Sven Wang  2 , Ahmed Souka  3 , Mohamed Effat  3
Affiliations

An Unusual Sticky Situation of New-Onset Right Sided Heart Failure

Demetrio Sharp Dimitri et al. J Cardiol Case Reports. 2021 Sep.

Abstract

This case highlights the importance of having constrictive pericarditis (CP) as a differential diagnosis in unexplained sign and symptoms of right-sided heart failure. This case portrays challenges in diagnosing CP caused by certain rheumatologic diseases despite advances in diagnostic modalities, clinical suspicion remains the most important tool for this diagnosis.

Keywords: cardiac physiology; constrictive pericarditis; hemodynamics; imaging; pericardial effusion; pressure waves; pulmonary hypertension; right-sided catheterization autoimmune.

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Figures

Figure 1.
Figure 1.
Intracardiac Pressure Tracing of Constrictive Pericarditis. Ventricular Interdependence
Figure 2.
Figure 2.
Right ventricular and left ventricular pressure trace shows ventricular discordance. During inspiration peak systolic pressure in LV is reduced with corresponding increase in RV pressure they move in opposite direction. Exactly reverse happens during expiration
Figure 3.
Figure 3.
Simultaneously recording pressure of RV and LV to prove ventricular interdependence
See this image and copyright information in PMC

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