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Doctor insights on: Is Ascites Precox An Exclusive Symptom Of Constrictive Pericarditis

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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.

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Dr. Jay Yepuri
164 Doctors shared insights

Abnormal Fluid Buildup In Abdomen (Definition)

Abnormal fluid buildup in abdomen refers to Ascites, a medical condition in which a person has excess fluid in the abdomen (in the peritoneal space). Abdominal fluid buildup occurs in conditions such as liver failure, kidney ...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.

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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.

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What can help for the treatment of constrictive pericarditis?

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.

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Which treatment is given in the case of constrictive pericarditis?

Which treatment is given in the case of constrictive pericarditis?

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

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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.

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What causes a big liver in constrictive pericarditis?

Constrictive pericar: Causes a decrease of inflow of blood into the right atrium and right ventricle so blood backs up into the liver.

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What are the causes hepatomegaly in constrictive pericarditis?

Venous Pressure: There is increased venous pressure because the venous return is impaired.

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Does constrictive pericarditis cause elevated right ventricular systolic pressure?

Does constrictive pericarditis cause elevated right ventricular systolic pressure?

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.

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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.

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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.

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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.

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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.

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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.

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What surgery is done for? Constrictive pericarditis?

Pericardium: The pericardium has to be removed surgically.

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What foods should I stay away from with constrictive pericarditis?

What foods should I stay away from with constrictive pericarditis?

Salt: No real food restriction, but less salt may be helpful, it does not precipitate chf.

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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.

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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.

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


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