Doctor insights on:
Is Ascites Precox An Exclusive Symptom Of Constrictive Pericarditis
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
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
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
Constrictive pericar: Causes a decrease of inflow of blood into the right atrium and right ventricle so blood backs up into the liver. ...Read more
Venous Pressure: There is increased venous pressure because the venous return is impaired. ...Read more
Not until very late: Normally the right sided diastolic pressure increases, and will equalize with the right atrial and pulmonary capillary wedge pressure. If the disease persists to the point where left ventricular failure occurs, then the right ventricular systolic will rise. This is very late in the disease and the patient is very sick at that time. Look for other causes of high rv pressure, ie valve, lung issues. ...Read more
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
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
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
Restricted vs constr: To oversimplify, one squeezes the heart from outside and the other restricts from stiffening within the heart wall. ...Read more
Pericardium: The pericardium has to be removed surgically. ...Read more
Salt: No real food restriction, but less salt may be helpful, it does not precipitate chf. ...Read more
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
Cath: A cath is the most accurate way to make diagnosis. ...Read more
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
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
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
Can cause dyspnea an: Get consultation from a cardiologist and a cardiothoracic surgeon. ...Read more
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 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
Echocardiography: May also require cardica catheterization.Get a more detailed answer ›
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
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
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
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
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
Is isordil (isosorbide dinitrate) for chest pressure contraindicated in patients with constrictive pericarditis?
Generally no: It is not considered to be contraindicated, neither is it considered a treatment. Why is it being considered? ...Read more
Pericarditis for 12years w/ pericardial effusions, but I have only had the classic symptom of pain when laying down once. That was w/ last flair. Why?
Effusion: Subacute or chronic effusions are often painless ...Read more
Is mild abdominal pain a normal symptom of colchicine? I'm taking 0.6 mg daily for pericarditis, but I just took half dose due to abdominal pain.
Dx with pericarditis x 6 mo. Have chronic nausea. I looked it up and it is a symptom of pericarditis, but why would a heart issue cause nausea?
It won't: However, nausea is a common side effect of any of the meds you are currently taking. ...Read more
Hi I had an episode of ovarian cyst rupture with hemorrahgic ascities on 10th oct 15 and now there no pain or any other symptom But the usg today shows minimal ascites and a cystic mass measuring 5.0✖️3.2✖️4.4 cm Can it rupture again?
Yes: See your gyne and ask about Lap oophorectomy ...Read more
Can my regular ob-gyn test my ascites for cancer cells in the office, or does it have to be done in a surgical type environment? It's a new symptom.
Disease Location: In constrictive pericarditis the pathology is located in the pericardium surrounding the heart. In restrictive heart disease, the pathology is located within the muscle the heart. The clinical presentation may be quite similar. ...Read more
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