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Explain the diagnosis of pericardial constriction with echocardiography.

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Final answer:

An echocardiogram helps in diagnosing pericardial constriction by showing signs like abnormal septal bounce, respiratory variations, and tubular heart shape. It's essential for assessing ventricular ejection and guiding treatment.

Step-by-step explanation:

An echocardiogram (ECHO) is a critical diagnostic tool used to assess the structure and function of the heart, including the evaluation of disorders like pericardial constriction. Pericardial constriction is a condition where the pericardium, the fibrous sac surrounding the heart, becomes thickened and rigid, leading to compromised cardiac filling and function. During an echocardiography procedure, doctors look for specific signs of constriction such as abnormal septal bounce, respiratory variations in transvalvular flow velocities, and dilated inferior vena cava without respiratory collapse. Other features may include a thickened pericardium and tubular deformation of the cardiac chambers.

The procedure is important to identify constrictive processes that can affect the ventricular ejection phase, which is the second phase of ventricular systole during which blood is pumped from the ventricle. An echocardiogram showcases all four chambers of the heart for a comprehensive evaluation, critical for establishing a definitive diagnosis and guiding appropriate treatment.

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