47  Constrictive Pericarditis

47.1 Echo Findings

47.1.1 Septal Bounce

1⃣ SEPTAL BOUNCE
Paradoxical bouncing motion of IVS in early diastole, at the beginning directed towards LV and then away from LV ➡️ Sign of increased ventricular interdipendence pic.twitter.com/mWx2jwfLWl

— Corrado Fiore MD, FEACVI ((fiore_corrado?)) July 25, 2022

47.1.2 E/A variation at level of MV inflow

2⃣ E/A variation at the level of MV inflow.
Respiratory variation of peak E wave velocity should be at least >15%.
Inspiratory decrease and expiratory increase of E wave vel. (not so prominent here) pic.twitter.com/LcNfgzG0oN

— Corrado Fiore MD, FEACVI ((fiore_corrado?)) July 25, 2022

47.1.3 Annulus Reversus

3⃣ ANNULUS REVERSUS
Increased early relaxation velocity (e'), with medial velocity greater than lateral pic.twitter.com/oBVi99bl3V

— Corrado Fiore MD, FEACVI ((fiore_corrado?)) July 25, 2022

47.1.4 Diastolic Flow Reveral in Expiration

4⃣ DIASTOLIC FLOW REVERSAL IN EXPIRATION
Always look for this sign with PW whitin hepatic vein.

PS (i apologize for EKG and respirometric traces, but i don 't why in my original clips i can see them and here not) pic.twitter.com/BnPXbV1f3x

— Corrado Fiore MD, FEACVI ((fiore_corrado?)) July 25, 2022