Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View Young Lupus patient admitted to hospital new onset HFpEF. What do you see on this SC image that could pinpoint the cause? New onset HFpEF case. Answer: patient has constrictive pericarditis. Note the septal bounce (vent. interdependence). Also has pericardial effusion/pericardial thickening. Lupus pericarditis in past. BP high-no evidence of RA/RV collapse. Agree septal bounce not specific finding and can be seen in tamponade. Had echo done one month ago with similar peri effusion. Had diagnostic tap-fever next day. Apical 3 post drainage. Septal bounce, etc still present. Dx-constrictive p. Dr. Robert Jones @RJonesSonoEM #Constrictive #Pericarditis #CP #POCUS #Echocardiogram #clinical #cardiology #A3C #SeptalBounce
