Effusive-Constrictive Pericarditis: Doppler Findings

Curr Cardiol Rep. 2019 Nov 22;21(11):144. doi: 10.1007/s11886-019-1243-4.


Purpose of review: To review the echo-Doppler findings in effusive-constrictive pericarditis (ECP). ECP corresponds to the coexistence of a hemodynamically significant pericardial effusion and markedly reduced compliance of the pericardium, manifested by constrictive physiology post-pericardiocentesis.

Recent findings: We summarize herein the recent observations regarding the prevalence of ECP based on echocardiography as well as the pre- and post-pericardiocentesis echo-Doppler features of ECP. ECP diagnosed by echocardiography was seen in approximately 15% of patients with ECP pre- and post-pericardiocentesis echo-Doppler findings sharing features with both cardiac tamponade and constrictive pericarditis. ECP post-pericardiocentesis is common but its natural history in the current era might be better than previously reported. Further studies and (particularly simultaneous echocardiography-cardiac catheterization) are still critically needed to better understand the underlying hemodynamics of ECP. Moreover, it remains to be determined whether pre- and post-pericardiocentesis echo-Doppler findings can be used to prognosticate or to guide therapy of those undergoing pericardiocentesis.

Keywords: Cardiac tamponade; Constrictive pericarditis; Doppler echocardiography; Effusive-constrictive pericarditis.

Publication types

  • Review

MeSH terms

  • Cardiac Tamponade / diagnostic imaging*
  • Cardiac Tamponade / surgery
  • Humans
  • Pericardial Effusion / diagnostic imaging*
  • Pericardial Effusion / surgery
  • Pericardiectomy
  • Pericardiocentesis
  • Pericarditis, Constrictive / diagnostic imaging*
  • Pericarditis, Constrictive / surgery
  • Ultrasonography, Doppler, Duplex / methods*