Treat Effusive Constrictive Pericarditis

Question 1

Effusive constrictive pericarditis may occur when?

Answer 1

Following idiopathic or infectious pericarditis or radiation therapy.

Question 2

CT or cardiac magnetic resonance imaging may demonstrate?

Answer 2

Thickening of the pericardium, but calcification is usually absent

Question 3

Signs and symptoms of effusive constrictive pericarditis?

Answer 3

Fever, leukocytosis, elevated erythrocyte sedimentation rate, and a pericardial friction rub may be present but are not universally so.

Question 4

First line therapy for treatment of effusive constrictive pericarditis?

Answer 4

Similar to acute pericarditis, NSAIDs and colchicine are first-line therapy.

Question 5

Is close follow-up recommended?

Answer 5

Yes

Question 6

Pericardiectomy may be required in patients with?

Answer 6

Pericarditis that does not respond to medical therapy

Question 7

Initial therapy for tuberculous pericarditis?

Answer 7

Isoniazid, rifampin, pyrazinamide, and ethambutol

Question 8

An elevated concentration of ____ in the pericardial fluid is 100% sensitive for tuberculosis?

Answer 8

adenosine deaminase (>50 U/L)

Question 9

Does a negative result of adenosine deaminase rule out tuberculous involvement?

Answer 9

Yes

Question 10

A pericardial subxiphoid window is indicated for patients with?

Answer 10

recurrent hemodynamically significant pericardial effusion despite medical therapy, as may occur with malignant effusions

Question 11

Would a pericardial subxiphoid window provide adequate hemodynamic relief from constriction?

Answer 11

No

Question 12

Effusive constrictive pericarditis is characterized by

Answer 12

findings compatible with constrictive pericarditis and a concomitant effusion

Question 13

intrapericardial pressure is reduced to normal following drainage, whereas the intracardiac pressures remain elevated and equalized despite drainage. This is consistent with a diagnosis of?

Answer 13

effusive constrictive pericarditis