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.See 1 more doctor answer
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.See 1 more doctor answer
Generally surgery: Once diagnosed and confirmed. Risks are assessed and surgery suggested.See 1 more doctor answer
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.
Constrictive pericar: Causes a decrease of inflow of blood into the right atrium and right ventricle so blood backs up into the liver.See 1 more doctor answer
Venous Pressure: There is increased venous pressure because the venous return is impaired.See 1 more doctor answer
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.See 1 more doctor answer
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.See 2 more doctor answers
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.
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.See 2 more doctor answers
Restricted vs constr: To oversimplify, one squeezes the heart from outside and the other restricts from stiffening within the heart wall.
Pericardium: The pericardium has to be removed surgically.
Salt: No real food restriction, but less salt may be helpful, it does not precipitate chf.
Surgery: You will need definite surgery.Get a more detailed answer ›
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.See 1 more doctor answer
Cath: A cath is the most accurate way to make diagnosis.
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