constrictive pericarditis Flashcards
1
Q
what is it?
A
when the heart is incased in a rigid pericardium
2
Q
what causes constrictive pericarditis?
A
- TB
- can be idiopathic
- can occur after any pericarditis
3
Q
Presentation of constrictive pericarditis?
A
- right heart failure
- soft apex beat
- quiet heart sounds
- S3
- diastolic pericardial knock
- ascites
- oedema
- splenomegaly
4
Q
what can be seen on CXR?
A
-small heart with pericardial calcification
5
Q
what is used to distinguiah between constricitve cardiomyopathy and constrictive pericarditis?
A
CT/MRI
6
Q
investigations for constrictive cardiomyopathy?
A
- CXR
- CT/MRI
- echo
- cardiac catheterisation
7
Q
treamtnet for constrictive pericardits?
A
- surgical inciscion
- medical treatment for cause and symptoms
