Circulation, Vol 57, 1154-1158, Copyright © 1978 by American Heart Association
J Candell-Riera, H Garcia del Castillo, G Permanyer-Miralda and J Soler-Soler
Echocardiographic characteristics of the interventricular septum (IVS) have
been studied in eight patients with chronic constrictive pericarditis (CP).
Values of septal thickening (ST) were clearly below normal in all cases.
Interventricular septal systolic motion (IVSSM) was normal in four cases,
hypokinetic in three and paradoxical in one. In seven out of the eight
patients, an early interventricular septal diastolic motion (IVSDM)
consisting of a sudden anterior displacement followed by a brisk posterior
rebound was recorded. The beginning of this anomalous movement was
coincident with the pericardial knock in the phonocardiogram and its peak
was coincident with the simultaneously recorded deep "y" trough in the
jugular pulse tracing. The tendency toward normality of IVSDM observed
after pericardiectomy in six out of seven patients suggests that this
peculiar interventricular septal systolic motion may be a frequent and
probably specific echocardiographic finding in constrictive pericarditis.
ARTICLES
Echocardiographic features of the interventricular septum in chronic constrictive pericarditis
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