constrictive pericarditis Flashcards
1
Q
definition of constrictive pericarditis
A
the heart is encased in a rigid pericardium
2
Q
aetiology of constrictive pericarditis
A
often unknown
secondary to acute pericarditis
3
Q
epidemiology of constrictive pericarditis
A
The true prevalence of CP unknown
in 0.2-0.4% of patients who have undergone cardiac surgery
in <1% after idiopathic pericarditis
4
Q
sx of constrictive pericarditis
A
mainly of RHF
fatigue
jugular vein distension
5
Q
signs of constrictive pericarditis
A
- raised JVP - prominent x and y descents
- Kussmaul’s sign - JVP raise paradoxically with inspiration
- soft, diffuse apex beat
- quiet heart sounds
- S3
- diastolic pericardial knock
- hepatosplenomegaly
- ascites
- oedema
6
Q
Ix for constrictive pericarditis
A
CXR - small heart +- pericardial calcification
CT/MRI - helps distinguish from restrictive cardiomyopathy
echo
cardio catheterisation
