Constrictive pericarditis

Especially lateral reduction of the regional strain in constriction ➜ "strain reversus" (medial>lateral) or "hot septum"

Reduced image quality (no measurement anterolateral, reduction of strain inferolateral)

Contrictive pericardiits, infero & anterolateral reduction, "hot septum" especially inferoseptal

Reduced image quality (no measurement anterolateral, reduction of strain inferolateral)

Contrictive pericardiits, infero & anterolateral reduction, "hot septum" especially inferoseptal

Septal shift & bounce in strain imaging (focus IVS RV strain) ➜ hot septum (high normal to hyperdynamic septal contraction)

Severely reduced FWS & reduced GS

Septal shift & bounce in strain imaging (focus IVS RV strain) ➜ hot septum (high normal to hyperdynamic septal contraction)

Severely reduced FWS & reduced GS

Septal shift & bounce in strain imaging (focus antero- & inferoseptal)

Septal shift & bounce in strain imaging (focus antero- & inferoseptal)

Constrictive pericarditis vs Pericarditis

Septal shift & bounce, reduced RV-strain in recurrent pericarditis, thickening of the pericardium subcostally (IVC dilated)

Septal shift & bounce, reduced RV-strain in recurrent pericarditis, thickening of the pericardium subcostally (IVC dilated)

Follow-up with anti-inflammatory therapy with ibuprofen & colchicine, persistent septal bounce & reduced FWS (apical reduction with pericardial thickening) & discrete anterolateral LV-strain reduction

Follow-up with anti-inflammatory therapy with ibuprofen & colchicine, persistent septal bounce & reduced FWS (apical reduction with pericardial thickening) & discrete anterolateral LV-strain reduction

Follow-up with Anakinra in combination with anti-inflammatory therapy without pericardial wall thickening
& normal FWS (1 & 3 months of therapy)

Follow-up with Anakinra in combination with anti-inflammatory therapy without pericardial wall thickening
& normal FWS (1 & 3 months of therapy)

The contents of the website, including the videos, were created without influence from third parties.

The contents of the website, including the videos, were created without influence from third parties.

The Strain Book

Represented by Dr. Martin Altersberger

Contact: heart.lungs.ultrasound@gmail.com

The Strain Book

Represented by Dr. Martin Altersberger

Contact: heart.lungs.ultrasound@gmail.com

© 2026 The Strain Book by Dr. Martin Altersberger. All rights reserved.

© 2026 The Strain Book by Dr. Martin Altersberger. All rights reserved.

© 2026 The Strain Book by Dr. Martin Altersberger. All rights reserved.