Constrictive pericarditis natural history: Difference between revisions
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{{ | __NOTOC__ | ||
{{CMG}} | {{Constrictive pericarditis}} | ||
{{CMG}}, {{AE}} {{Hudakarman}} | |||
==Overview== | |||
Constrictive pericarditis is when there is [[scarring]] of the sac (the [[pericardium]]) around the [[heart]], which may require [[surgical]] [[stripping]] of the [[scar]]. Failure to [[diagnose]] or treat constrictive pericarditis could result with severe [[complications]] that include [[cardiac tamponade]], damage to the [[coronary arteries]], [[heart failure]], [[pulmonary edema]], [[scarring]] of the [[heart]] [[muscle]]. | |||
==Natural History== | ==Natural History== | ||
Constrictive pericarditis is when there is scarring of the sac (the pericardium) around the heart, which may require surgical stripping of the scar. | Constrictive pericarditis is when there is [[scarring]] of the sac (the [[pericardium]]) around the [[heart]], which may require [[surgical]] [[stripping]] of the [[scar]]. | ||
==Complications== | ==Complications== | ||
Failure to diagnose or treat constrictive pericarditis could result with severe complications. | Failure to [[diagnose]] or treat constrictive pericarditis could result with severe [[complications]] such as: <ref name="pmid30002587">{{cite journal| author=Albarrán AA, González JAB, García JMM| title="Malignant" Chronic Constrictive Pericarditis. | journal=Eurasian J Med | year= 2018 | volume= 50 | issue= 2 | pages= 140 | pmid=30002587 | doi=10.5152/eurasianjmed.2018.17358 | pmc=6039145 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30002587 }}</ref> | ||
:*[[Cardiac tamponade]] | :*[[Cardiac tamponade]] | ||
:*Damage to the coronary arteries | :*Damage to the [[coronary arteries]] | ||
:*[[Heart failure]] | :*[[Heart failure]] | ||
:*[[Pulmonary edema]] | :*[[Pulmonary edema]] | ||
:*Scarring of the heart muscle | :*[[Scarring]] of the [[heart muscle]] | ||
==Prognosis== | ==Prognosis== | ||
Constrictive pericarditis may be life threatening if left untreated. However, surgery to treat the condition is associated with a relatively high complication rate and is usually reserved for patients who have severe symptoms. | Constrictive pericarditis may be life threatening if left untreated. However, [[surgery]] to treat the condition is associated with a relatively high [[complication]] rate and is usually reserved for [[patients]] who have severe [[symptoms]]. | ||
The long-term outcome of patients who have undergone the surgery have been adverse due to these factors: | The long-term outcome of [[patients]] who have undergone the [[surgery]] have been adverse due to these factors:<ref name="pmid24750218">{{cite journal| author=Avgerinos D, Rabitnokov Y, Worku B, Neragi-Miandoab S, Girardi LN| title=Fifteen-year experience and outcomes of pericardiectomy for constrictive pericarditis. | journal=J Card Surg | year= 2014 | volume= 29 | issue= 4 | pages= 434-8 | pmid=24750218 | doi=10.1111/jocs.12344 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24750218 }}</ref> | ||
:*Advanced age | :*Advanced [[age]] | ||
:*Poor renal function | :*Poor [[renal function]] | ||
:*Abnormal left ventricular systolic function | :*Abnormal [[left ventricular]] [[systolic]] function | ||
:*High [[pulmonary artery]] systolic pressure | :*High [[pulmonary artery]] [[systolic]] [[pressure]] | ||
:*Lower serum sodium level | :*Lower serum [[sodium]] level | ||
:*Postradiation cause | :*[[Postradiation]] cause | ||
:*Worsening NYHA classification | :*Worsening [[NYHA classification]] | ||
== | ==References== | ||
{{Reflist|2}} | |||
{{Circulatory system pathology}} | {{Circulatory system pathology}} | ||
[[nl:Pericarditis constrictiva]] | [[nl:Pericarditis constrictiva]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Emergency medicine]] | |||
[[Category:Intensive care medicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Up-To-Date cardiology]] | |||
[[Category:Needs overview]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 18:22, 27 December 2019
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Constrictive Pericarditis Microchapters |
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Differentiating Constrictive Pericarditis from other Diseases |
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Treatment |
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Case Studies |
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Constrictive pericarditis natural history On the Web |
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American Roentgen Ray Society Images of Constrictive pericarditis natural history |
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Risk calculators and risk factors for Constrictive pericarditis natural history |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Huda A. Karman, M.D.
Overview
Constrictive pericarditis is when there is scarring of the sac (the pericardium) around the heart, which may require surgical stripping of the scar. Failure to diagnose or treat constrictive pericarditis could result with severe complications that include cardiac tamponade, damage to the coronary arteries, heart failure, pulmonary edema, scarring of the heart muscle.
Natural History
Constrictive pericarditis is when there is scarring of the sac (the pericardium) around the heart, which may require surgical stripping of the scar.
Complications
Failure to diagnose or treat constrictive pericarditis could result with severe complications such as: [1]
- Cardiac tamponade
- Damage to the coronary arteries
- Heart failure
- Pulmonary edema
- Scarring of the heart muscle
Prognosis
Constrictive pericarditis may be life threatening if left untreated. However, surgery to treat the condition is associated with a relatively high complication rate and is usually reserved for patients who have severe symptoms.
The long-term outcome of patients who have undergone the surgery have been adverse due to these factors:[2]
- Advanced age
- Poor renal function
- Abnormal left ventricular systolic function
- High pulmonary artery systolic pressure
- Lower serum sodium level
- Postradiation cause
- Worsening NYHA classification
References
- ↑ Albarrán AA, González JAB, García JMM (2018). ""Malignant" Chronic Constrictive Pericarditis". Eurasian J Med. 50 (2): 140. doi:10.5152/eurasianjmed.2018.17358. PMC 6039145. PMID 30002587.
- ↑ Avgerinos D, Rabitnokov Y, Worku B, Neragi-Miandoab S, Girardi LN (2014). "Fifteen-year experience and outcomes of pericardiectomy for constrictive pericarditis". J Card Surg. 29 (4): 434–8. doi:10.1111/jocs.12344. PMID 24750218.