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European Journal of Echocardiography Advance Access originally published online on March 30, 2008
European Journal of Echocardiography 2008 9(4):591-594; doi:10.1093/ejechocard/jen112
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Restrictive cardiomyopathy versus constrictive pericarditis: making the distinction using tissue Doppler imaging

Rebecca McCall1,2, Paul W. Stoodley1,*, David A.B. Richards1,2,3,4 and Liza Thomas1,2,5,6

1 Westmead Private Cardiology, Suite 1, Corner Darcy and Mons Road, Westmead, NSW 2145, Australia
2 Westmead Private Hospital, Corner Darcy and Mons Road, Westmead, NSW 2145, Australia
3 Westmead Hospital, Hawkesbury Road, Westmead, NSW 2145, Australia
4 Department of Medicine, The University of Sydney, NSW 2006, Australia
5 Liverpool Hospital, Elizabeth Street, Liverpool, NSW 2170, Australia
6 Department of Medicine, The University of New South Wales, NSW, Australia

Received 9 January 2008; accepted after revision 9 February 2008; online publish-ahead-of-print 30 March 2008.

* Corresponding author. Tel: +61 02 9687 0866. E-mail address: stoodley{at}tpg.com.au


  Abstract

Although the primary cause of constrictive pericarditis is entirely different to that of restrictive cardiomyopathy, the two often present with very similar clinical findings. As such, making the distinction between the two is a diagnostic challenge. We report a case that highlights how tissue Doppler imaging may simplify the distinction between pericardial constriction and myocardial restriction.

Keywords: Restrictive cardiomyopathy; Constrictive pericarditis; Tissue Doppler imaging


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