Constrictive Pericarditis

Question 1

Define constrictive pericarditis.

Answer 1

This is an inflammation of the pericardium.

Question 2

Explain the aetiology/risk factors of constrictive pericarditis.

Answer 2

Acute pericarditis can be idiopathic or due to an underlying systemic condition (e.g. systemic lupus erythematosus).

Question 3

Summarise the epidemiology of constrictive pericarditis.

Answer 3

Acute pericarditis is more common in adults (typically between 20 to 50 years old) and in men. It is the most common disease of the pericardium encountered in clinical practice.

Question 4

Recognise the presenting symptoms of constrictive pericarditis.

Answer 4

Chest pain
Fever

Question 5

Recognise the signs of constrictive pericarditis on physical examination.

Answer 5

Pericardial rub
Ankle oedema
Ascites

Question 6

Identify appropriate investigations for constrictive pericarditis and interpret the results.

Answer 6

ECG
CXR
CRP
Serum troponin
Pericardial fluid/blood culture
ESR
Serum urea
FBC
Echocardiography