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Doctor insights on: Constrictive Pericarditis

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Dr. Steven Sahn
46 doctors shared insights

Constrictive Pericarditis (Overview)

Constrictive pericarditis is a condition where there is inflammation of the pericardium, the fibrous sheath (outer covering) around the heart. This inflammation makes the pericardium more stiff and constricts the movement of the heart.


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What sort of disease is constrictive pericarditis?

What sort of disease is constrictive pericarditis?

Scar formation: Scar formation in the sac enclosing the heart leads to constriction of the heart and interfere with the pumping function. It causes back-up of blood in the liver and may present as heart failure. It may result from healed infections, e.g., tuberculosis or late effect of radiation to the chest. ...Read more

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Dr. Steven Sahn
46 doctors shared insights

Constrictive Pericarditis (Overview)

Constrictive pericarditis is a condition where there is inflammation of the pericardium, the fibrous sheath (outer covering) around the heart. This inflammation makes the pericardium more stiff and constricts the movement of the heart.


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Is ascites precox an exclusive symptom of constrictive pericarditis ?

Is ascites precox an exclusive symptom of constrictive pericarditis ?

Yes: The term ascites praecox does refer specifically to ascites (fluid in abdominal cavity) secondary to constrictive pericaritis. It may occur prior to the development of leg edema. ...Read more

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What are the symptoms of constrictive pericarditis?

What are the symptoms of constrictive pericarditis?

Varies: Can range from mild shortness of breathe with exertion to flash pulmonay edema and florid heart failure. ...Read more

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I work really hard to stay in shape and eat right. Now I have a diagnosis of constrictive pericarditis. What else can I do so that it doesn't affect my overall health?

I work really hard to stay in shape and eat right. Now I have a diagnosis of constrictive pericarditis. What else can I do so that it doesn't affect my overall health?

See a cardiologist: In constrictive pericarditis the fibrous sack that envelops your heart has lost its ability to stretch for some reason and this impacts the ability of your heart to fill and function properly. In some cases removing this fibrous sack may improve the patient's condition. Ask your cardiologist if you are a candidate for this. ...Read more

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How do you diagnose constrictive pericarditis?

How do you diagnose constrictive pericarditis?

Echo or Cath: History, swelling and venous congestion of head, neck liver, etc. Study by echo may suggest cardiac cath and pressure measurements confirm. ...Read more

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What are the causes of causes constrictive pericarditis?

What are the causes of causes constrictive pericarditis?

Multiple: Pericardial inflammation can occur from renal failure, tb, malignancy, bacterial infection or most commonly, viral inflammation. Also rheumatoid disease and other autoimmune problems. After a heart attack, dressler's syndrome is inflammation of the pericardium and after heart surgery, blood or fluid can accumulate and cause inflammation. Radiation is also a source. All can lead to constrictive per. ...Read more

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What can help for the treatment of constrictive pericarditis?

Usually only surgery: Constrictive pericarditis is a condition where the pericardium, the thin layer of tissue enveloping the outside of the heart, becomes thick and inflexible, preventing the heart from expanding outward to fill with blood. Generally the only treatment is complete surgical resection of pericardium. Rarely, if early enough in the process, high dose anti-inflammatory meds can reverse the process. ...Read more

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Which treatment is given in the case of constrictive pericarditis?

Generally surgery: Once diagnosed and confirmed. Risks are assessed and surgery suggested. ...Read more

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What is constrictive pericarditis?

Pericarditis: Constrictive pericarditis involves stiffening/thickening/hardening of the pericardium or "heart sack". This can be caused by many disease processes. Constrictive pericarditis results in restricting the filling of the heart which in turn may cause shortness of breath, swelling etc.. ...Read more

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What leads to constrictive pericarditis?

What leads to constrictive pericarditis?

Infections and other: This is a stiffening of the normally pliable sac that holds the heart. Infections in the fluid around the heart, and scarring conditions that have no known cause can cause this sac to stiffen and this results in incomplete filling of the heart between beats. This lack of filling can lead to heart failure, as the heart is incapable of pumping blood as efficiently. It is a rare condition. ...Read more

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How do you diagnose constrictive pericarditis?

Echo or Cath: History, swelling and venous congestion of head, neck liver, etc. Study by echo may suggest cardiac cath and pressure measurements confirm. ...Read more

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What sort of disease is constrictive pericarditis?

Scar formation: Scar formation in the sac enclosing the heart leads to constriction of the heart and interfere with the pumping function. It causes back-up of blood in the liver and may present as heart failure. It may result from healed infections, e.g., tuberculosis or late effect of radiation to the chest. ...Read more

See 1 more doctor answer
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What are the symptoms of constrictive pericarditis?

Varies: Can range from mild shortness of breathe with exertion to flash pulmonay edema and florid heart failure. ...Read more

See 1 more doctor answer
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What are the causes of causes constrictive pericarditis?

Multiple: Pericardial inflammation can occur from renal failure, tb, malignancy, bacterial infection or most commonly, viral inflammation. Also rheumatoid disease and other autoimmune problems. After a heart attack, dressler's syndrome is inflammation of the pericardium and after heart surgery, blood or fluid can accumulate and cause inflammation. Radiation is also a source. All can lead to constrictive per. ...Read more

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What is constrictive pericarditis? Why is it such a big deal?

Limited treatment: Constrictive pericarditis describes a situation in which the sac around the heart has gotten very stiff - usually as a result of prior inflammation from either infection or maybe open heart surgery - and as a result does not allow the heart muscle to expand whenever it needs to in order to accept more blood returning from the body or the lung. Surgery is the only effective treatment once symptoms. ...Read more

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Can a low a/g ratio, 0.56, be due to constrictive pericarditis?

Can a low a/g ratio, 0.56, be due to constrictive pericarditis?

Not sure....: Constrictive pericarditis is caused by stiffening of the sca around the heart (pericardium). It manifests as shortness of breath, fatigue, and severe swelling. It is diagnosed by catheterization or echocardiography. I haven't idea what and a/g ratio is - it not a common diagnostic test. ...Read more

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What is the difference between restrictive and constrictive pericarditis?

Restricted vs constr: To oversimplify, one squeezes the heart from outside and the other restricts from stiffening within the heart wall. ...Read more

Dr. J. patrick Tokarz
203 doctors shared insights

Pericarditis (Definition)

A condition in which you experience an inflammation of the pericardium, two thin layers of a sac-like tissue that surrounds the heart, holds it in place ...Read more