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Pericardial disease 

Pericardial disease
Chapter:
Pericardial disease
Author(s):

Bernard Paelinck

, Aleksandar Lazarević

, and Pedro Gutierrez Fajardo

DOI:
10.1093/med/9780198726012.003.0049
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date: 07 April 2020

Echocardiography is the cornerstone for the diagnosis of pericardial disease. It is a portable technique allowing morphological and functional multimodality (M-mode, two-dimensional, Doppler, and tissue Doppler) imaging of pericardial disease. In addition, echocardiography is essential for differential diagnosis (pericardial effusion vs pleural effusion, constrictive pericarditis vs restrictive cardiomyopathy) and allows bedside guiding of pericardiocentesis. This chapter describes normal pericardial anatomy and reviews echocardiographic features of different pericardial diseases and their pathophysiology, including pericarditis, pericardial effusion, constrictive pericarditis, pericardial cyst, and congenital absence of pericardium.

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