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Doctor insights on: Constrictive Pericarditis Verses Restrictive Cardiomyopathy

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Dr. Steven Sahn
46 doctors shared insights

Constrictive Pericarditis (Definition)

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 ...Read more


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How do I diagnose the constrictive pericarditis verses restrictive cardiomyopathy?

How do I diagnose the constrictive pericarditis verses restrictive cardiomyopathy?

Several: 2 d echo with doppler , rt heart catheter , and cardiac MRI can all help determine constrictive vs restrictive . Ofcourse a good history and physical should always be part of the work up. ...Read more

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How do physicians diagnose the constrictive pericarditis verses restrictive cardiomyopathy?

How do physicians diagnose the constrictive pericarditis verses restrictive cardiomyopathy?

See Below: The best is either an echo doppler, MRI of the heart and pericardium or a right heart catheterization. And echo doppler can show that the e to a ratio is very high, indicative of restrictive physiology. Echo or an MRI can also show the pericardium is thick, consistent with constrictive pericarditis. The right heart cath would measure the pressure inside the heart. Presentation is similar. ...Read more

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What are the differences: constrictive pericarditis and restrictive cardiomyopathy?

What are the differences: constrictive pericarditis and restrictive cardiomyopathy?

Different cause : Symptoms may be similar but treatment is very different. The pericardium can be opened or removed to relieve constriction but restrictive cardiomyopathy does not lend itself to a quick surgical treatment.A number of medications may ameliorate the symptoms but it is important to identify and treat the cause. ...Read more

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What is the difference between constrictive pericarditis and restrictive cardiomyopathy?

Several: Constrictive pericarditis is a condition where the sac around the heart (the pericardium) becomes scarred and shrinks, which does not allow the heart to fill fully. Restrictive cardiomyopathy is a condition where the pericardium is normal, but the heart muscle itself is diseased in a way that does not allow the muscle to relax and the ventricle to fill. The treatment for each is different. ...Read more

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What is the? Difference between restrictive cardiomyopathy and constrictive pericarditis?

What is the? Difference between restrictive cardiomyopathy and constrictive pericarditis?

Intrinsic/extrinsic: Restrictive cardiomyopathy involves the heart itself becoming stiff and not filling properly which eventually can cause heart failure and need a transplant to treat. Constrictive pericarditis affects the sac around the heart entrapping the heart and causing similar symptoms but may be treated if needed by removing the sac from around the heart by surgery ...Read more

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What is the difference between restrictive cardiomyopathy and constrictive pericarditis?

Similar but differen: Constrictive pericarditis and restrictive cardiomyopathy both result in diastolic abnomlities of ventricular filling. CP can be thought of as a heart encased in a porcelain shell. In CP the ventricles fill up until the limits of the calcified pericardium (early filling) and then fill no more. In rc the heart is abnormal. Filling throughout diastole is slowed but possible. Doppler can help. ...Read more

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What is the difference between restrictive cardiomyopathy and constrictive pericarditis of the heart disease?

What is the difference between restrictive cardiomyopathy and constrictive pericarditis of the heart disease?

Anatomy: Restriction and constriction both involve limitation to adequate filling of the heart when the heart is relaxing. In restriction, limitation is in the muscle of the heart. In construction, the limitation is in the pericardial sac which surrounds the heart. ...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

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Is calcific constrictive pericarditis still with us?

Is calcific constrictive pericarditis still with us?

Yes: Well it is rare to start with, hard to diagnose, and probably less common these days since tb, a major cause, is less common. ...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 the best treatment for a mild case of constrictive pericarditis?

Depends: Constrictive pericarditis is a thickening of the pericardial lining of the heart. It can cause reduced filling of the heart and lead to heart failure in severe cases, along with decreased blood flow out of the heart to the rest of the body. In "mild" cases, cautious use of diuretics and medicines to lower the pressure inside the heart can successfully avoid heart failure. ...Read more

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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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Is constrictive pericarditis always visiible on a heart echo?

Is constrictive pericarditis always visiible on a heart echo?

Difficult diagnosis: First a few definitions because this field is fraught with poor nomenclature: acute pericarditis is most often not diagnosed by echocardiography. Chronic pericarditis which can lead to constriction (also called constrictive pericarditis) can often be suspected on echo (something called ventricular interdependence). Cardiac mri, cardiac ct and cardiac catheterization can help confirm the diagnosis. ...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 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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Dr. Barton Cook
420 doctors shared insights

Cardiomyopathy (Definition)

A disease that weakens and enlarges the muscle surrounding the heart. It is a condition that makes it harder for the heart to pump blood and deliver ...Read more


Dr. J. patrick Tokarz
207 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