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Doctor insights on: What Are The Causes Of Causes Constrictive Pericarditis

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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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What are the causes hepatomegaly in constrictive pericarditis?

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

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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. ...Read more

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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. ...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?

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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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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