constrictive pericarditis

Question 1

what is it?

Answer 1

when the heart is incased in a rigid pericardium

Question 2

what causes constrictive pericarditis?

Answer 2

• TB
• can be idiopathic
• can occur after any pericarditis

Question 3

Presentation of constrictive pericarditis?

Answer 3

• right heart failure
• soft apex beat
• quiet heart sounds
• S3
• diastolic pericardial knock
• ascites
• oedema
• splenomegaly

Question 4

what can be seen on CXR?

Answer 4

-small heart with pericardial calcification

Question 5

what is used to distinguiah between constricitve cardiomyopathy and constrictive pericarditis?

Answer 5

CT/MRI

Question 6

investigations for constrictive cardiomyopathy?

Answer 6

• CXR
• CT/MRI
• echo
• cardiac catheterisation

Question 7

treamtnet for constrictive pericardits?

Answer 7

• surgical inciscion

- medical treatment for cause and symptoms