Constrictive pericarditis
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Constrictive pericarditis | |
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Synonyms | N/A |
Pronounce | N/A |
Specialty | N/A |
Symptoms | Fatigue, swelling of the abdomen or legs, shortness of breath |
Complications | Heart failure, arrhythmia |
Onset | Gradual |
Duration | Long term |
Types | N/A |
Causes | Tuberculosis, viral infection, radiation therapy, heart surgery |
Risks | Tuberculosis, chronic kidney disease, autoimmune disorders |
Diagnosis | Echocardiogram, CT scan, MRI, cardiac catheterization |
Differential diagnosis | Restrictive cardiomyopathy, pericardial effusion |
Prevention | N/A |
Treatment | Diuretics, pericardiectomy |
Medication | N/A |
Prognosis | Variable, depending on cause and treatment |
Frequency | Rare |
Deaths | N/A |
Constrictive Pericarditis is a medical condition characterized by a thickened, fibrotic pericardium, limiting the heart's ability to function normally. It is a long-term, or chronic, form of Pericarditis.
Causes
Constrictive Pericarditis is usually the result of a process that leads to inflammation of the Pericardium, the thin sac-like membrane surrounding the heart. This can be caused by:
- Heart surgery
- Radiation therapy to the chest
- Tuberculosis and other infections
- Inflammatory disorders such as Rheumatoid arthritis or Lupus
- Cancer that has spread to the pericardium
Symptoms
Symptoms of Constrictive Pericarditis can mimic those of other conditions, such as liver disease or heart failure. They may include:
- Fatigue
- Shortness of breath
- Swelling in the abdomen or legs
- Chest pain
- Cough
Diagnosis
Diagnosis of Constrictive Pericarditis may involve a variety of tests, including:
Treatment
Treatment for Constrictive Pericarditis typically involves managing the symptoms and, in some cases, surgery to remove the pericardium (Pericardiectomy).
Prognosis
The prognosis for Constrictive Pericarditis varies depending on the cause and the individual's overall health. With treatment, many people can lead a normal life.
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References
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Contributors: Prab R. Tumpati, MD