TY - CHAP M1 - Book, Section TI - Chapter 24. Restrictive Cardiomyopathy A1 - Goldstein, James A. A2 - Crawford, Michael H. PY - 2014 T2 - CURRENT Diagnosis & Treatment Cardiology, 4e AB - Predominant biventricular diastolic dysfunction with lesser impairment of systolic performance.Symptomatic presentation: Chronic biventricular “backward failure” manifest as dyspnea and peripheral edema (often hepatomegaly and ascites).Reduced preload limits cardiac output (fatigue).Echocardiography: small stiff ventricles, preserved systolic function (until late stages), dilated atria and diastolic dysfunction by Doppler.Many disorders manifest restrictive “physiology” and must be excluded (eg, hypertrophic cardiomyopathy and constrictive pericarditis).Cardiac magnetic resonance imaging powerful: delineates myocardial infiltration, inflammation, and fibrosis and assesses pericardium, thereby helping establish underlying disorder.Tissue biopsy may be necessary for definitive diagnosis in some disorders (eg, amyloidosis). SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2023/03/25 UR - accesscardiology.mhmedical.com/content.aspx?aid=57955293 ER -