Constrictive Pericarditis

Question 1

Constrictive Pericarditis: Define:

Answer 1

Chronic Inflammation of Pericardium. Heart incased in Rigid Pericardium.

Question 2

Constrictive Pericarditis: Aetiology:

Answer 2

Mostly: Idiopathic
TB
Autoimmune
Renal Failure
Post Surgery

Question 3

Constrictive Pericarditis: Symptoms:

Answer 3

Breathlessness/Dyspnoea
Cough*
Fatigue

Question 4

Constrictive Pericarditis: Signs:

Answer 4

RHF Signs:
((Peripheral Oedema
Ascites 
Hepatomegaly 
Raised JVP on inspiration x & y descent))
Diffuse Apex Beat
Diastolic Pericardial Knock (Loud S3)
Quiet Heart Sounds

Question 5

Constrictive Pericarditis: Investigations:

Answer 5

ECHO
CXR - Pericardial calcification
CT
Cardiac Catheterisation

Question 6

Constrictive Pericarditis: Treatment:

Answer 6

Pericardectomy - surgical excision

Diuretics