Abstract
Effusive-constrictive pericarditis (ECP) is an increasingly recognized clinical syndrome. It has been best characterized in patients with tamponade who continue to have elevated intracardiac pressure after the removal of pericardial fluid. The disorder is due to pericardial inflammation causing constriction in conjunction with the presence of pericardial fluid under pressure. The etiology is diverse with similar causes to constrictive pericarditis and the condition is more prevalent with certain etiologies such as tuberculous pericarditis. The diagnosis is most accurately made using simultaneous intrapericardial and right atrial pressure measurements with pericardiocentesis, although non-invasive Doppler hemodynamic assessment can assess residual hemodynamic findings of constriction following pericardiocentesis. The clinical presentation has considerable overlap with other pericardial syndromes and as yet there are no biomarkers or non-invasive findings that can accurately predict the condition. Identifying patients with ECP therefore requires a certain index of clinical suspicion at the outset, and in practice, a proportion of patients may be identified once there is objective evidence for persistent atrial pressure elevation after pericardiocentesis. Although a significant number of patients will require pericardiectomy, a proportion of patients have a predominantly inflammatory and reversible pericardial reaction and may improve with the treatment of the underlying cause and the use of anti-inflammatory medications. Patients should therefore be observed for the improvement on these treatments for a period, whenever possible, before advocating pericardiectomy. Imaging modalities identifying ongoing pericardial inflammation such as contrast-enhanced magnetic resonance imaging or nuclear imaging may identify those subsets more likely to respond to medical therapies. Pericardiectomy, if necessary, requires removal of the visceral pericardium.
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References
Spodick DH (1997) The pericardium: a comprehensive textbook. Marcel Dekker, New York
Goldstein JA (2004) Cardiac tamponade, constrictive pericarditis, and restrictive cardiomyopathy. Curr Probl Cardiol 29(9):503–567. doi:10.1016/j.cpcardiol.2004.03.002
Khandaker MH, Espinosa RE, Nishimura RA, Sinak LJ, Hayes SN, Melduni RM, Oh JK (2010) Pericardial disease: diagnosis and management. Mayo Clin Proc 85(6):572–593. doi:10.4065/mcp.2010.0046
Burchell HB (1954) Problems in the recognition and treatment of pericarditis. J Lancet 74(12):465–470
Wood P (1961) Chronic constrictive pericarditis. Am J Cardiol 7:48–61
Spodick DH, Kumar S (1968) Subacute constrictive pericarditis with cardiac tamponade. Dis Chest 54(1):62–66
Steinberg I (1967) Effusive-constrictive radiation pericarditis. Two cases illustrating value of angiocardiography in diagnosis. Am J Cardiol 19(3):434–439
Hancock EW (1971) Subacute effusive-constrictive pericarditis. Circulation 43(2):183–192
Sagrista-Sauleda J, Angel J, Sanchez A, Permanyer-Miralda G, Soler–Soler J (2004) Effusive-constrictive pericarditis. N Engl J Med 350(5):469–475. doi:10.1056/NEJMoa035630
Ntsekhe M, Syed FS, Russell J, Usim P, Mayosi BM (2009) The prevalence of effusive constrictive pericarditis in patients with confirmed tuberculous pericarditis. J Am Coll Cardiol 53(10):A169
Nugue O, Millaire A, Porte H, de Groote P, Guimier P, Wurtz A, Ducloux G (1996) Pericardioscopy in the etiologic diagnosis of pericardial effusion in 141 consecutive patients. Circulation 94(7):1635–1641
Tsang TS, Barnes ME, Gersh BJ, Bailey KR, Seward JB (2003) Outcomes of clinically significant idiopathic pericardial effusion requiring intervention. Am J Cardiol 91(6):704–707
Cameron J, Oesterle SN, Baldwin JC, Hancock EW (1987) The etiologic spectrum of constrictive pericarditis. Am Heart J 113(2 Pt 1):354–360
Ntsekhe M, Wiysonge CS, Commerford PJ, Mayosi BM (2012) The prevalence and outcome of effusive constrictive pericarditis: a systematic review of the literature. Cardiovasc J Afr 22:1–5
Syed FF, Mayosi BM (2007) A modern approach to tuberculous pericarditis. Prog Cardiovasc Dis 50(3):218–236. doi:10.1016/j.pcad.2007.03.002
Ling LH, Oh JK, Schaff HV, Danielson GK, Mahoney DW, Seward JB, Tajik AJ (1999) Constrictive pericarditis in the modern era: evolving clinical spectrum and impact on outcome after pericardiectomy. Circulation 100(13):1380–1386
Imazio M, Brucato A, Maestroni S, Cumetti D, Belli R, Trinchero R, Adler Y (2011) Risk of constrictive pericarditis after acute pericarditis. Circulation 124(11):1270–1275. doi:10.1161/CIRCULATIONAHA.111.018580
Mayosi BM, Burgess LJ, Doubell AF (2005) Tuberculous pericarditis. Circulation 112(23):3608–3616. doi:10.1161/CIRCULATIONAHA.105.543066
Imazio M, Cecchi E, Demichelis B, Ierna S, Demarie D, Ghisio A, Pomari F, Coda L, Belli R, Trinchero R (2007) Indicators of poor prognosis of acute pericarditis. Circulation 115(21):2739–2744. doi:10.1161/CIRCULATIONAHA.106.662114
Reuter H, Burgess LJ, Doubell AF (2005) Epidemiology of pericardial effusions at a large academic hospital in South Africa. Epidemiol Infect 133(3):393–399
Commerford PJ, Strang JI (1991) Tuberculous pericarditis. In: Coovadia HM, Benatar SR (eds) A century of tuberculosis: South African perspectives. Oxford University Press, Cape Town, pp 123–136
Reuter H, Burgess LJ, Louw VJ, Doubell AF (2007) The management of tuberculous pericardial effusion: experience in 233 consecutive patients. Cardiovasc J S Afr 18(1):20–25
Sagrista-Sauleda J, Permanyer-Miralda G, Soler–Soler J (1988) Tuberculous pericarditis: ten year experience with a prospective protocol for diagnosis and treatment. J Am Coll Cardiol 11(4):724–728
George S, Salama AL, Uthaman B, Cherian G (2004) Echocardiography in differentiating tuberculous from chronic idiopathic pericardial effusion. Heart 90(11):1338–1339. doi:10.1136/hrt.2003.020081
Mayosi BM, Wiysonge CS, Ntsekhe M, Volmink JA, Gumedze F, Maartens G, Aje A, Thomas BM, Thomas KM, Awotedu AA, Thembela B, Mntla P, Maritz F, Blackett KN, Nkouonlack DC, Burch VC, Rebe K, Parish A, Sliwa K, Vezi BZ, Alam N, Brown BG, Gould T, Visser T, Shey MS, Magula NP, Commerford PJ (2006) Clinical characteristics and initial management of patients with tuberculous pericarditis in the HIV era: the investigation of the management of pericarditis in Africa (IMPI Africa) registry. BMC Infect Dis 6:2. doi:10.1186/1471-2334-6-2
Choi HO, Song JM, Shim TS, Kim SH, Jung IH, Kang DH, Song JK (2010) Prognostic value of initial echocardiographic features in patients with tuberculous pericarditis. Korean Circ J 40(8):377–386. doi:10.4070/kcj.2010.40.8.377
Strang JI, Kakaza HH, Gibson DG, Girling DJ, Nunn AJ, Fox W (1987) Controlled trial of prednisolone as adjuvant in treatment of tuberculous constrictive pericarditis in Transkei. Lancet 2(8573):1418–1422
Reddy PS, Curtiss EI, O’Toole JD, Shaver JA (1978) Cardiac tamponade: hemodynamic observations in man. Circulation 58(2):265–272
Ntsekhe M, Syed F, Russell J, Usim P, Mayosi BM (2009) The prevalence of effusive constrictive pericarditis in patients with confirmed tuberculous pericarditis. J Am Coll Cardiol 53(10):A169
Sagrista-Sauleda J, Angel J, Sambola A, Alguersuari J, Permanyer-Miralda G, Soler–Soler J (2006) Low-pressure cardiac tamponade: clinical and hemodynamic profile. Circulation 114(9):945–952. doi:10.1161/CIRCULATIONAHA.106.634584
Oh JK, Tajik AJ, Appleton CP, Hatle LK, Nishimura RA, Seward JB (1997) Preload reduction to unmask the characteristic Doppler features of constrictive pericarditis. A new observation. Circulation 95(4):796–799
Suita C, Shiraishi I, Tanaka T, Shuntoh K, Yamagishi M, Hamaoka K (2005) Severe heart failure due to subacute effusive-constrictive pericarditis in a child. Pediatr Cardiol 26(1):101–103. doi:10.1007/s00246-003-0697-7
Talreja DR, Edwards WD, Danielson GK, Schaff HV, Tajik AJ, Tazelaar HD, Breen JF, Oh JK (2003) Constrictive pericarditis in 26 patients with histologically normal pericardial thickness. Circulation 108(15):1852–1857. doi:10.1161/01.CIR.0000087606.18453.FD
Sagrista-Sauleda J, Permanyer-Miralda G, Candell-Riera J, Angel J, Soler–Soler J (1987) Transient cardiac constriction: an unrecognized pattern of evolution in effusive acute idiopathic pericarditis. Am J Cardiol 59(9):961–966
Haley JH, Tajik AJ, Danielson GK, Schaff HV, Mulvagh SL, Oh JK (2004) Transient constrictive pericarditis: causes and natural history. J Am Coll Cardiol 43(2):271–275
Tom CW, Oh JK (2005) Images in cardiovascular medicine. A case of transient constrictive pericarditis. Circulation 111(21):e364. doi:10.1161/CIRCULATIONAHA.104.477190
Nakao K, Noguchi T, Kim J, Fukushima K, Kiso K, Ohara T, Kanzaki H, Hashimura K, Yamada N, Ishida Y, Kitakaze M (2009) Transient constrictive pericarditis diagnosed by cardiac magnetic resonance, 67 Ga scintigraphy, and positron emission tomography. Int J Cardiol 137(3):e70–e72. doi:10.1016/j.ijcard.2009.04.046
Feng D, Glockner J, Kim K, Martinez M, Syed IS, Araoz P, Breen J, Espinosa RE, Sundt T, Schaff HV, Oh JK (2011) Cardiac magnetic resonance imaging pericardial late gadolinium enhancement and elevated inflammatory markers can predict the reversibility of constrictive pericarditis after antiinflammatory medical therapy: a pilot study. Circulation 124(17):1830–1837. doi:10.1161/CIRCULATIONAHA.111.026070
Woods T, Vidarsson B, Mosher D, Stein JH (1999) Transient effusive-constrictive pericarditis due to chemotherapy. Clin Cardiol 22(4):316–318
Park GM, Lee JY, Kim YG, Boo SJ, Song JM, Kang DH, Song JK (2009) Recurrent postoperative effusive-constrictive pericarditis associated with steroid discontinuation. J Cardiovasc Ultrasound 17(3):102–105. doi:10.4250/jcu.2009.17.3.102
Russell JB, Syed FF, Ntsekhe M, Mayosi BM, Moosa S, Tshifularo M, Smedema JP (2008) Tuberculous effusive-constrictive pericarditis. Cardiovasc J Afr 19(4):200–201
Martin RP, Bowden R, Filly K, Popp RL (1980) Intrapericardial abnormalities in patients with pericardial effusion. Findings by two-dimensional echocardiography. Circulation 61(3):568–572
Chen KY, Liaw YS, Kao HL, Yang PC, Luh KT (1999) Constrictive pericarditis in patients with tuberculous pericarditis. J Formos Med Assoc 98(9):599–605
Baker CM, Orsinelli DA (2004) Subacute effusive-constrictive pericarditis: diagnosis by serial echocardiography. J Am Soc Echocardiogr 17(11):1204–1206. doi:10.1016/j.echo.2004.06.013
Anderson CA, Rodriguez E, Shammas RL, Kypson AP (2009) Early constrictive epicarditis after coronary artery bypass surgery. Ann Thorac Surg 87(2):642–643. doi:10.1016/j.athoracsur.2008.07.028
Cooper DK, Sturridge MF (1976) Constrictive epicarditis following Coxsackie virus infection. Thorax 31(4):472–474
Dahiya A, Lytle BW, Klein AL (2011) Constrictive epicarditis. J Am Coll Cardiol 58(6):e11. doi:10.1016/j.jacc.2010.12.049
Dalvi BV, Bisne VV, Khandeparkar JM (1990) Localized epicarditis mimicking cardiac tumor. Chest 98(3):758–759
Faggian G, Mazzucco A, Tursi V, Bortolotti U, Gallucci V (1990) Constrictive epicarditis after open heart surgery: the turtle cage operation. J Card Surg 5(4):318–320
Ha JW, Chang BC, Choi BW, Chung N, Shim WH, Cho SY, Kim SS, Kim SS (2005) Images in cardiovascular medicine. Constrictive epicarditis as an unusual cause of constrictive physiology: typical presentation with unusual pathology. Circulation 111(21):e365–e366. doi:10.1161/circulationaha.104.472209
Horigome H, Tsuchida M, Umesato Y, Hirano T, Ohtani S, Yamashita M (1989) A case of effusive-constrictive epicarditis found by electrocardiogram at a school health examination. Respir Circular 37(12):1347–1351
Lindblom D, Nyman J, Vedin J (2009) Constrictive pericarditis with constrictive epicarditis. Asian Cardiovasc Thorac Ann 17(1):102–104. doi:10.1177/0218492309102332
Mazouz S, Gamerman J, Hillion ML, Gillot JP, Nallet O, Richemond J, Sergent J (1996) Pure epicarditis after surgical repair of atrial septal defect: a rare form of constrictive pericarditis. Apropos of a case. Arch Mal Coeur Vaiss 89(7):913–916
Suma V, Makaryus AN, Rascon M, Doddamani S, Fan D, Boxt LM (2009) Isolated subacute effusive and nonconstrictive epicarditis masquerading as a right atrial mass. Echocardiography 26(6):732–735. doi:10.1111/j.1540-8175.2008.00846.x
Walsh TJ, Baughman KL, Gardner TJ, Bulkley BH (1982) Constrictive epicarditis as a cause of delayed or absent response to pericardiectomy: a clinicopathological study. J Thorac Cardiovasc Surg 83(1):126–132
Mayosi BM, van Veen K, Syed F, Russell J, Tibazarwa K, Usim O, Ntsekhe M, Wilkinson RJ, Wilkinson KA (2009) Immunological correlates of tuberculous effusive constrictive pericarditis. J Am Coll Cardiol 53(10):A172
Ntsekhe M, Wiysonge CS, Gumedze F, Maartens G, Commerford PJ, Volmink JA, Mayosi BM (2008) HIV infection is associated with a lower incidence of constriction in presumed tuberculous pericarditis: a prospective observational study. PLoS One 3(6):e2253. doi:10.1371/journal.pone.0002253
Akhtar N, Khalid A, Ahmed W, Rasheed K (2010) Rapidly progressive effusive constrictive pericarditis caused by methicillin sensitive Staphylococcus aureus (MSSA). J Coll Physicians Surg Pak 20(4):271–273
Okamoto N, Shiraishi H, Konishi H, Momoi MY (2005) Effusive–constrictive epicarditis that developed more than 5 years after ventricular septal defect closure: two cases relieved by epicardiectomy. Pediatr Cardiol 26(6):872–876. doi:10.1007/s00246-005-0990-8
Watanabe A, Hara Y, Hamada M, Kodama K, Shigematsu Y, Sakuragi S, Kawachi K, Hiwada K (1998) A case of effusive-constructive pericarditis: an efficacy of GD-DTPA enhanced magnetic resonance imaging to detect a pericardial thickening. Magn Reson Imaging 16(3):347–350
Ha JW, Ko YG, Choi BW (2006) Images in cardiology. Delayed hyperenhancement of the pericardium by magnetic resonance imaging as a marker of pericardial inflammation in a patient with tuberculous effusive constrictive pericarditis. Heart 92(4):494. doi:10.1136/hrt.2005.072348
Ha JW, Lee JD, Ko YG, Yun M, Rim SJ, Chung N, Cho SH (2006) Images in cardiovascular medicine. Assessment of pericardial inflammation in a patient with tuberculous effusive constrictive pericarditis with 18F-2-deoxyglucose positron emission tomography. Circulation 113(1):e4–e5. doi:10.1161/CIRCULATIONAHA.105.554139
Hancock EW (2004) A clearer view of effusive-constrictive pericarditis. N Engl J Med 350(5):435–437. doi:10.1056/NEJMp038199
Sehgal E, Sherman W, Isom OW, Meller J, Horowitz SF (1987) Left ventricular pseudoaneurysm causing superior vena caval obstruction and effusive-constrictive pericarditis. J Nucl Med 28(5):918–921
Mohan JC, Nath LR (2007) Longitudinal mitral annular early diastolic velocities in differentiating effusive constrictive pericarditis from restrictive cardiomyopathy: a case with extreme and straddling variations in regional velocities. Indian Heart J 59(2):191–194
Oh JK, Tajik AJ, Seward JB (2006) The echo manual, 3rd edn. Lippincott Williams & Wilkins, Philadelphia
Reuss CS, Wilansky SM, Lester SJ, Lusk JL, Grill DE, Oh JK, Tajik AJ (2009) Using mitral ‘annulus reversus’ to diagnose constrictive pericarditis. Eur J Echocardiogr 10(3):372–375. doi:10.1093/ejechocard/jen258
Talreja DR, Nishimura RA, Oh JK, Holmes DR (2008) Constrictive pericarditis in the modern era: novel criteria for diagnosis in the cardiac catheterization laboratory. J Am Coll Cardiol 51(3):315–319. doi:10.1016/j.jacc.2007.09.039
Yamamoto N, Ohara K, Nie M, Torii S, Inoue N, Miyaji K (2011) For what type of constrictive pericarditis is the waffle procedure effective? Asian Cardiovasc Thorac Ann 19(2):115–118. doi:10.1177/0218492311399496
Kao CL, Chang JP (2001) Modified method for epicardial constriction: the electric-Waffle procedure. J Cardiovasc Surg (Torino) 42(5):643–646
Heimbecker RO, Smith D, Shimizu S, Kestle J (1983) Surgical technique for the management of constrictive epicarditis complicating constrictive pericarditis (the waffle procedure). Ann Thorac Surg 36(5):605–606
Heyse A, Van Durme F, Goethals M (2010) A rapid evolution from effusive-constrictive to constrictive pericarditis. Acta Cardiol 65(3):351–352
Mayosi BM, Wiysonge CS, Ntsekhe M, Gumedze F, Volmink JA, Maartens G, Aje A, Thomas BM, Thomas KM, Awotedu AA, Thembela B, Mntla P, Maritz F, Blackett KN, Nkouonlack DC, Burch VC, Rebe K, Parrish A, Sliwa K, Vezi BZ, Alam N, Brown BG, Gould T, Visser T, Magula NP, Commerford PJ (2008) Mortality in patients treated for tuberculous pericarditis in sub-Saharan Africa. S Afr Med J 98(1):36–40
Khera G, Chowdhury V, Singh S, Dixit R (2005) Magnetic resonance imaging of effusive constrictive pericarditis. Indian Heart J 57(6):780–782
Zagol B, Minderman D, Munir A, D’Cruz I (2007) Effusive constrictive pericarditis: 2D, 3D echocardiography and MRI imaging. Echocardiography 24(10):1110–1114. doi:10.1111/j.1540-8175.2007.00505.x
Harada T, Aoyagi T, Endo Y, Uno K, Takenaka K, Nakamura F, Sonoda M, Takahashi T, Yamazaki T, Hiroi Y, Ohno M, Hirata Y, Nagai R (2002) Effusive constrictive pericarditis due to rheumatoid arthritis revealed by pericardiocentesis with simultaneous pressure recording–a case report. Angiology 53(1):105–108
Marcu CB, Caracciolo E, Donohue T (2005) Rapid progression of pericardial calcification in a patient with end-stage renal disease. Catheter Cardiovasc Interv 65(1):43–46. doi:10.1002/ccd.20361
Nakayama Y, Ohtani Y, Kobayakawa N, Kobayashi J, Kaneko Y, Aoyagi T (2009) A case of early phase dialysis associated effusive constrictive pericarditis with distinct surgical findings. Int Heart J 50(5):685–691
Garg R, Singh A, Chockalingam A (2009) Effusive constrictive pericarditis. Congestive Heart Fail 15(4):199–201. doi:10.1111/j.1751-7133.2008.00032.x
Weir NA, Gerstenhaber B (2001) A case of pleural mesothelioma with effusive-constrictive pericarditis. Yale J Biol Med 74(3):159–163
Plana JC, Iskander SS, Ostrowski ML, Howell JF, Kurrelmeyer K, Raizner AE, Zoghbi WA (2003) Cardiac angiosarcoma: an unusual presentation simulating mitral stenosis and constrictive-effusive pericarditis. J Am Soc Echocardiogr 16(12):1331–1333. doi:10.1067/j.echo.2003.07.002
Calvert PA, Bell AD, Lynch M (2006) Effusive constrictive pericarditis secondary to undifferentiated pericardial sarcoma. Heart 92(8):1034. doi:10.1136/hrt.2005.077966
Sharma PS, Katechis D (2011) Primary malignant pericardial mesothelioma presenting as effusive-constrictive pericarditis. J Invasive Cardiol 23(8):E197–E199
Ito M, Tanabe Y, Suzuki K, Kumakura M, Nakayama K, Kanazawa H, Yamazaki Y, Aizawa Y (2001) A case of effusive-constrictive pericarditis after cardiac surgery. Mayo Clin Proc Mayo Clin 76(5):555–558
Tanaka K, Kawauchi M, Murota Y, Takamoto I, Ikenouchi H, Hada Y, Furuse A (2002) Reversible subacute effusive-constrictive pericarditis after correction of double-chambered right ventricle: a case report. J Cardiol 39(5):267–270
Rafailidis PI, Prapas SN, Kasiakou SK, Costeas XF, Falagas ME (2005) Effusive-constrictive calcific pericarditis associated with Streptococcus salivarius. Case report and review of the literature. Cardiol Rev 13(3):113–117. doi:10.1097/01.crd.0000148843.65684.8f
Kolek M (2011) Effusive-constrictive pericarditis post surgical revision for iatrogenic hemopericardium. Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia 155(1):71–74
Feng YH, Chou MT, Hsu JJ, Chuang SS (2002) Ascites and leg edema as the first manifestations of tuberculous effusive constrictive pericarditis. Int J Cardiol 82(1):55–57
Yildiz M, Erdogan O, Aktoz M, Gul C, Ozbay G (2003) Management of a patient with active rheumatoid arthritis and suspected tuberculosis causing effusive-constrictive pericarditis. Int J Cardiol 89(1):115–118
Kunz JS, King J, Miller J (2005) Images in cardiovascular medicine. A case of effusive constrictive pericarditis. Circulation 112(10):e133–e134
Richards M, Johns J (2005) Effusive-constrictive pericarditis associated with human parvovirus B19 infection. Scand J Infect Dis 37(8):609–611
Morales-Martinez de Tejada A, Nogales-Asensio JM, Martinez L, Merchan A (2006) A case of idiopathic effusive-constrictive pericarditis. Rev Esp Cardiol 59(10):1080–1082
Gahide G, Granier M, Frapier JM (2009) Effusive constrictive pericarditis: functional and anatomical magnetic resonance findings. Eur Heart J 30(11):1371. doi:10.1093/eurheartj/ehp021
Sparano DM, Kohli P, Gulati M (2010) A 63-year-old woman with a pericardial effusion, bilateral pleural effusions, and ascites: is the whole greater than the sum of its parts? Echocardiography 27(4):454–459. doi:10.1111/j.1540-8175.2009.01110.x
Zurick AO 3rd, Klein AL (2010) Effusive-constrictive pericarditis. J Am Coll Cardiol 56(1):86. doi:10.1016/j.jacc.2009.10.088
Almeida AR, Lopes LR, Cotrim C, Miranda R, Stuart B, Vinhas H, Carrageta M, Pereira H (2011) Effusive-constrictive pericarditis: the role of noninvasive imaging. Portuguese J Cardiol 30(4):433–443
Chen MY, Chen YS, Chen SJ, Lu CW (2011) A girl with right heart failure related to effusive-constrictive pericarditis. Pediatr Cardiol 32(5):681–684. doi:10.1007/s00246-011-9927-6
Okayama S, Soeda T, Seno A, Watanabe M, Nakajima T, Uemura S, Saito Y (2011) Rare concurrence of apical hypertrophic cardiomyopathy and effusive constrictive pericarditis. Open Cardiovasc Med J 5:99–102. doi:10.2174/1874192401105010099
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Drs Syed, Ntsekhe, Mayosi and Oh have no conflicts of interest or financial ties to disclose.
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Syed, F.F., Ntsekhe, M., Mayosi, B.M. et al. Effusive-constrictive pericarditis. Heart Fail Rev 18, 277–287 (2013). https://doi.org/10.1007/s10741-012-9308-0
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DOI: https://doi.org/10.1007/s10741-012-9308-0