Constrictive Pericarditis: A Commonly Missed Cause of Treatable Diastolic Heart Failure

被引：11

作者：

Bhattad, Pradnya Brijmohan ^{[1
]}

Jain, Vinay ^{[2
]}

机构：

[1] East Tennessee State Univ, Internal Med, Johnson City, TN 37614 USA

[2] James H Quillen Vet Affairs Med Ctr, Radiol, Johnson City, TN USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2020年 / 12卷 / 05期

关键词：

constrictive pericarditis; diastolic heart failure; DIAGNOSIS; ETIOLOGY; MANAGEMENT; PATTERNS; DISEASES; OUTCOMES; COHORT;

D O I：

10.7759/cureus.8024

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Constrictive pericarditis arises as a result of the fibrous thickening of the pericardium due to chronic inflammatory changes from various injuries. Increased pulmonary and systemic venous pressures manifest clinical features of left and right heart failure. Idiopathic or post-viral pericarditis is the most common cause followed by postpericardiotomy, radiation-induced causes. Right-sided heart failure symptoms predominate over left-sided heart failure symptoms due to the equalization of pressures. No single diagnostic test can provide a definitive diagnosis or evidence of constrictive pericarditis. Medical management is difficult for constrictive pericarditis. The treatment of choice for constrictive pericarditis is pericardiectomy.

引用

页数：6

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