Pericaditis v/s Cardiomyopathy

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Pericaditis v/s Cardiomyopathy

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5 Posts

DrAlex_76
Forum Junior

Topics: 6
Posts: 49

10/16/07 - 09:27 AM

Please help me how to differentiate Restrictive Cardiomyopathy and Constrictive pericarditis ?

peraspera
Forum Elite
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Topics: 38
Posts: 233

10/16/07 - 10:09 AM

Restrictive cardiomyopathy:
Dilated cardiomyopathy that does not contract ( thickened MYOCARDIUM)-cardiomegaly due to thickening all cardiac structures due to infiltration of myocarduim with( amiloidosis, hemochromat.,scleroderma, sarcoid, carcinoid..).
Decreased ventricular compliance & Systolic ventricular dysfunction.

Constrictive pericarditis:
thickened and calcified PERICARDIUM-filling is decreased because pericardium not elastic-RIGIT, due to the reaction of the pericardium to previous inflamation. The heart is normal in size. Diastolic dysfunction.

DrAlex_76
Forum Junior

Topics: 6
Posts: 49

10/16/07 - 12:08 PM

Thanks a lot !
So the lab tests to distinguish RC from CP is ECHO or EF ?

peraspera
Forum Elite
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Topics: 38
Posts: 233

10/16/07 - 12:26 PM

Restr. card.-
#1 ECHO ( thickened myocardium)+ systolic dysfunction.
Endomyocardial biopsy may be diagnostic.

Constr. peric.-
CT scan or MRI diagnostic test( most accurate than ECHO)

But initial test for both is EKG

DrAlex_76
Forum Junior

Topics: 6
Posts: 49

10/16/07 - 01:08 PM

I got u ,thanx

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