Flashcards in Constrictive Pericarditis Deck (10)
Name 3 infective causes of constrictive pericarditis
TB, pneumococci, staphylcocci, coxsackie B, adenovirus
Name 3 other possible causes
Radiation, post cardiac surgery, autoimmune (SLE, scleroderma, arthritis), uraemia (from long term dialysis) or drugs like hydralazine, idiopathic
What is the most common cause in the developed world?
What is the most common cause world wide?
Name the most common clinical feature
Name 3 other clinical features
Fatigue, orthopnoea, elevated JVP, kussmaul's sign (paradoxical rise in breathing rate), soft/ impalpable apex beat.
S3, hepatomegaly, ascites and peripheral oedema may also be present
CXR, CT/MRI, echocardiogram, cardiac catherization may be required to do a cardiac biopsy. Mantoux testing may be done to test for TB
Treatment of cause, diuretics, some require resection of the pericardium which is curative but has a high complication rate
What would you be looking for on a CXR?
Small heart, pericardial calcification, pleural effusion and dilated vena cava