eMedicine Specialties > Emergency Medicine > Cardiovascular

Cardiomyopathy, Restrictive: Follow-up

Author: Paul J Kaloudis, MD, Clinical Assistant Professor, Department of Emergency Medicine, Stony Brook School of Medicine; Physician Lead, Department of Information Technology, Stony Brook University Hospital
Coauthor(s): Asa William (Peter) Viccellio, MD, Professor, Vice-Chair, Department of Emergency Medicine, State University of New York at Stony Brook; Robert Fan, MD, Attending Staff, Department of Emergency Medicine, Kaiser Permanente Medical Center at Hayward
Contributor Information and Disclosures

Updated: Jul 3, 2008

Follow-up

Complications

  • Thromboembolism
  • Dysrhythmias
  • Cardiac cirrhosis
  • Progressive deterioration of cardiac function

Prognosis

  • Prognosis generally is poor in the adult population, with progressive deterioration.
  • The outlook is especially bad in children with heart failure.
  • Surgical treatment (cardiac transplantation) is potentially helpful. It is contraindicated in amyloidosis.

Miscellaneous

Medicolegal Pitfalls

  • Differentiation from constrictive pericarditis is difficult but important. While restrictive cardiomyopathy has no specific therapy, constrictive pericarditis is potentially curable with surgery.
 
Acknowledgments

The authors and editors of eMedicine gratefully acknowledge the contributions of previous author, Andrew Wackett, MD, to the development and writing of this article.



More on Cardiomyopathy, Restrictive

Overview: Cardiomyopathy, Restrictive
Differential Diagnoses & Workup: Cardiomyopathy, Restrictive
Treatment & Medication: Cardiomyopathy, Restrictive
Follow-up: Cardiomyopathy, Restrictive
References
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References

  1. Braunwald E, Abelmann WH. Atlas of Heart Diseases. Vol 2. 1994:53-61.

  2. Davies MJ, Mann JM. Systemic pathology. In: The Cardiovascular System. Vol 10. 1995:1409-16.

  3. Goldstein JA. Differentiation of constrictive pericarditis and restrictive cardiomyopathy. ACC Ed Highlights. 1998;Fall:14-22.

  4. Higano ST, Azrak E, Tahirkheli NK, Kern MJ. Hemodynamic rounds series II: hemodynamics of constrictive physiology: influence of respiratory dynamics on ventricular pressures. Catheter Cardiovasc Interv. Apr 1999;46(4):473-86. [Medline].

  5. Kasper DL, Braunwald E, Fauci AS, eds. Harrison's Principles of Internal Medicine. McGraw-Hill; 2005:chap 221.

  6. Kushwaha SS, Fallon JT, Fuster V. Restrictive cardiomyopathy. N Engl J Med. Jan 23 1997;336(4):267-76. [Medline].

  7. Schlant RC, Alexander RW, eds. The Heart. McGraw-Hill; 1994:1637-45.

  8. Tintinalli JE, Kelen GD, Stapczynski JS, eds. Emergency Medicine: A Comprehensive Study Guide. McGraw-Hill;2004:381.

  9. Wald DS, Gray HH. Restrictive cardiomyopathy in systemic amyloidosis. QJM. May 2003;96(5):380-2. [Medline].

  10. Willerson JT, Cohn JN, ed. Cardiovascular Medicine. Churchill Livingstone; 1995:871-86.

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Further Reading

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Keywords

diastolic dysfunction, restrictive cardiomyopathy, endomyocardial fibrosis, EMF, dip and plateau configuration, dip and plateau pattern, square root pattern, square root configuration, heart failure, cardiac cirrhosis, thromboembolism, low-output cardiac failure

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Contributor Information and Disclosures

Author

Paul J Kaloudis, MD, Clinical Assistant Professor, Department of Emergency Medicine, Stony Brook School of Medicine; Physician Lead, Department of Information Technology, Stony Brook University Hospital
Disclosure: Nothing to disclose.

Coauthor(s)

Asa William (Peter) Viccellio, MD, Professor, Vice-Chair, Department of Emergency Medicine, State University of New York at Stony Brook
Asa William (Peter) Viccellio, MD is a member of the following medical societies: American Association for the Advancement of Science, American College of Emergency Physicians, American Medical Association, Medical Society of the State of New York, National Association of EMS Physicians, New York Academy of Medicine, New York Academy of Sciences, and New York County Medical Society
Disclosure: Nothing to disclose.

Robert Fan, MD, Attending Staff, Department of Emergency Medicine, Kaiser Permanente Medical Center at Hayward
Disclosure: Nothing to disclose.

Medical Editor

David FM Brown, MD, Assistant Professor, Department of Medicine, Division of Emergency Medicine, Harvard Medical School; Associate-Chief, Attending Physician, Department of Emergency Medicine, Massachusetts General Hospital
David FM Brown, MD is a member of the following medical societies: American College of Emergency Physicians and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

A Antoine Kazzi, MD, Chair and Medical Director, Department of Emergency Medicine, American University of Beirut, Lebanon
A Antoine Kazzi, MD is a member of the following medical societies: American Academy of Emergency Medicine
Disclosure: Nothing to disclose.

CME Editor

John D Halamka, MD, MS, Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center
John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Chief Editor

Jonathan Adler, MD, Attending Physician, Department of Emergency Medicine, Massachusetts General Hospital; Division of Emergency Medicine, Harvard Medical School
Jonathan Adler, MD is a member of the following medical societies: American Academy of Emergency Medicine and Society for Academic Emergency Medicine
Disclosure: eMedicine.com, Inc. Consulting fee Consulting

 
 
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