Constrictive pericarditis laboratory findings
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Pericardial constriction has been associated with, protein losing enteropathy, nephrotic syndrome, and LFT abnormalities consistent with hepatic congestion and chylous ascites.
Laboratory findings
- Complete blood count (CBC)
- Dilutional anemia if congestive heart failure (CHF) is present
- Leukocytosis
- Infectious, bacteriologic, or rheumatologic etiology source or steroid therapy
- Leukopenia
- Malignancy and chemotherapeutic agents use
- Hyponatremia or pseudohyponatremia
- Contraction alkalosis (hypochloremia with hypercarbia)
- Elevation of blood urea nitrogen (BUN) levels f
- Serum creatinine levels are observed
- Arterial blood gas measurement,
- Metabolic acidosis (ie, low pH and low bicarbonate),
- Compensatory respiratory alkalosis (ie, decreased partial pressure of carbon dioxide
- Elevated transaminase levels
- Hypoalbuminemia ( a protein-losing enteropathy (PLE)
- Proteinuria (nephrotic range)
- Elevated sedimentation rate (ESR), C-reactive protein (CRP) level (postpericardiotomy syndrome)
- Normocytic normochromic anemia
- Brain natriuretic peptide (BNP), mildly increased (<150 ng/L).
- Antinuclear antibody (ANA) or rheumatoid factor (RF) (ssociated collagen vascular disorder)
- Purified protein derivative (PPD) skin test (TB)