Constrictive Pericarditis

GABRIEL QUIROS 5-710-1633

ROBERTO RUSTY 3-738-325
 Constrictive pericarditis
is a clinical entity that manifests with signs and symptoms of diastolic heart failure, caused by an
abnormally thickened and stiff pericardium, or both

Causes of constrictive pericarditis include

inflammation due to infection (viral,

mycobacterial or fungal)

connective tissue diseases

or cardiac surgery
 Physical Examination
both in constrictive pericarditis and restrictive cardiomyopathy shows signs of
venous congestion

such as elevated jugular venous

Increases fluid between 2 layers
presses on the heart and restricts Clinical signs are
pulmonary cramp pumping action similar to right heart
failure and
ascites pulmonary venous
congestion.
peripheral edema or Kussmaul's

Restricts diastolic
filling of the
ventricles
 STUDIES
○ Echocardiography

○ Electrocardiograph

○ Chest x-ray

○ Lab tests (BNP)

Computed tomographyr
It is known that both CT and cardiac magnetic resonance
imaging (MRI) are more sensitive than TTE for detecting
increased pericardial thickness. In a case report of 143
patients with surgically confirmed constrictive pericarditis,
pericardial thickening was demonstrated in 86% of them by
CT.
Una imagen vale más que mil
palabras