Mertens L L, Denef B, De Geest H
Department of Cardiology, UZ Gasthuisberg, Leuven, Belgium.
Echocardiography. 1993 Sep;10(5):497-508. doi: 10.1111/j.1540-8175.1993.tb00064.x.
The differentiation between constrictive pericarditis and restrictive cardiomyopathy remains a difficult problem for clinical cardiologists. Recent advances in imaging techniques and the understanding of diastolic function have created a new diagnostic approach to this problem. In this article we will summarize the recent advances in the understanding of the pathophysiology of both disorders and how this is reflected mainly in the use of flow imaging techniques, such as Doppler echocardiography and radionuclide angiography. Combined with the advances in the radiological imaging of the pericardium by means of computed tomography and magnetic resonance imaging, an integrated approach to the differential diagnostic problem is proposed and an algorithm for clinical use has been designed.
对于临床心脏病专家而言，缩窄性心包炎与限制型心肌病的鉴别诊断仍是一个难题。成像技术的最新进展以及对舒张功能的深入理解为这一问题带来了新的诊断方法。在本文中，我们将总结对这两种疾病病理生理学理解的最新进展，以及这如何主要体现在血流成像技术（如多普勒超声心动图和放射性核素血管造影）的应用中。结合计算机断层扫描和磁共振成像等心包放射学成像的进展，我们提出了一种针对鉴别诊断问题的综合方法，并设计了一种临床应用算法。
