Two‐dimensional speckle tracking cardiac mechanics and constrictive pericarditis: systematic review |
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| Authors: | Rogério Teixeira M.D. Marco Costa M.D. Lino Gonçalves M.D. Ph.D. Allan L. Klein M.D. |
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| Affiliation: | 1. Servi?o de Cardiologia, Centro Hospitalar e Universitário de Coimbra – Hospital Geral, Coimbra, Portugal;2. Faculty of Medicine, University of Coimbra, Coimbra, PortugalBoth authors contributed equally to the paper.;3. Faculty of Medicine, University of Coimbra, Coimbra, Portugal;4. Heart and Vascular Institute, Center for the Diagnosis and Treatment of Pericardial Diseases, Cleveland Clinic, Cleveland, OH, USA |
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| Abstract: | Transthoracic echocardiography has a pivotal role in the diagnosis of constrictive pericarditis (CP). In addition to the classic M‐mode, two‐dimensional and Doppler indices, newer methodologies designed to evaluate myocardial mechanics, such as two‐dimensional speckle tracking echocardiography (2DSTE), provide additional diagnostic and clinical information in the context of CP. Research has demonstrated that cardiac mechanics can improve echocardiographic diagnostic accuracy of CP and aid in differentiating between constrictive and restrictive ventricular physiology. 2DSTE can also be used to assess the success of pericardiectomy and its impact on atrial and ventricular mechanics. In the course of this review, we describe cardiac mechanics in patients with CP and summarize the influence of pericardiectomy on atrial and ventricular mechanics assessed using 2DSTE. |
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| Keywords: | cardiac mechanics constrictive pericarditis restrictive cardiomyopathy two‐dimensional speckle tracking echocardiography |
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