Constrictive Pericarditis - Revision history

Rossdonaldson1: Redirected page to Constrictive pericarditis

2022-12-14T17:59:14Z

Redirected page to Constrictive pericarditis

← Older revision		Revision as of 17:59, 14 December 2022
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	#~~REDIREXCT~~[[Constrictive pericarditis]]		#REDIRECT[[Constrictive pericarditis]]

Rossdonaldson1: Replaced content with "#REDIREXCTConstrictive pericarditis"

2022-12-14T17:58:56Z

Replaced content with "#REDIREXCTConstrictive pericarditis"

← Older revision		Revision as of 17:58, 14 December 2022
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	~~==Background==~~		#REDIREXCT[[Constrictive pericarditis]]
	*Result of scarring and loss of elasticity of the pericardial sac
	*Typically chronic complication of [[~~pericarditis]]~~

	~~==Clinical Features==~~
	*Pleuritic chest pain
	*Dyspnea
	*Malaise
	*Characteristic symptoms of [[pericarditis]] less frequent in recurrent presentations

	~~==Differential Diagnosis==~~


	~~==Evaluation==~~
	~~===Workup===~~
	*Initial evaluation:
	**ECG: No pathognomonic findings, however may be associated with nonspecific ST and T wave changes, atrial fibrillation, and low voltage <ref> Talreja DR, Edwards WD, Danielson GK, Schaff HV, Tajik AJ, Tazelaar HD, Breen JF, Oh JK. Constrictive pericarditis ~~in 26 patients with histologically normal pericardial thickness. Circulation. 2003 Oct 14;108(15):1852-7. doi: 10.1161/01.CIR.0000087606.18453.FD. Epub 2003 Sep 29. PMID: 14517161.</ref>~~
	**CXR: Ring of calcification around the heart, however the majority of patients will not have this

	**TTE

	*Advanced evaluation:
	**Cardiac CT/MR
	**Invasive hemodynamic evaluation

	~~===Diagnosis===~~
	*No single diagnostic imaging/evaluation parameter
	*Must be differentiated from [[tamponade]] and disorders such as [[restrictive cardiomyopathy]] ~~as management is different for each of these pathologies~~

	~~==Management==~~
	*If no signs of chronic process: Medical management (Colchicine, NSAIDs for 2-3 months)
	**Chronic signs: Anasarca, cachexia, [[atrial fibrillation]~~], hepatic dysfunction, pericardial calcification~~
	*If chronic process: Pericardiectomy <ref> Welch TD. Constrictive pericarditis: diagnosis, management and clinical outcomes. Heart. 2018 May;104(9):725-731. doi: 10.1136/heartjnl-2017-311683. Epub 2017 Nov 25. PMID: 29175978.</ref>

	~~==Disposition==~~
	*Admit

	~~==See Also==~~


	~~==External Links==~~


	~~==References==~~
	~~<references/>~~

Kennybroccoli: Created page with "==Background== Result of scarring and loss of elasticity of the pericardial sac Typically chronic complication of pericarditis ==Clinical Features== Pleuritic chest pain Dyspnea Malaise Characteristic symptoms of pericarditis less frequent in recurrent presentations ==Differential Diagnosis== ==Evaluation== ===Workup=== *Initial evaluation: **ECG: No pathognomonic findings, however may be associated with nonspecific ST and T wave changes, atrial fibrill..."

2022-12-07T18:48:16Z

Created page with "==Background== *Result of scarring and loss of elasticity of the pericardial sac *Typically chronic complication of pericarditis ==Clinical Features== *Pleuritic chest pain *Dyspnea *Malaise *Characteristic symptoms of pericarditis less frequent in recurrent presentations ==Differential Diagnosis== ==Evaluation== ===Workup=== *Initial evaluation: **ECG: No pathognomonic findings, however may be associated with nonspecific ST and T wave changes, atrial fibrill..."

New page

==Background==
*Result of scarring and loss of elasticity of the pericardial sac
*Typically chronic complication of [[pericarditis]]

==Clinical Features==
*Pleuritic chest pain
*Dyspnea
*Malaise
*Characteristic symptoms of [[pericarditis]] less frequent in recurrent presentations

==Differential Diagnosis==

==Evaluation==
===Workup===
*Initial evaluation:
**ECG: No pathognomonic findings, however may be associated with nonspecific ST and T wave changes, atrial fibrillation, and low voltage <ref> Talreja DR, Edwards WD, Danielson GK, Schaff HV, Tajik AJ, Tazelaar HD, Breen JF, Oh JK. Constrictive pericarditis in 26 patients with histologically normal pericardial thickness. Circulation. 2003 Oct 14;108(15):1852-7. doi: 10.1161/01.CIR.0000087606.18453.FD. Epub 2003 Sep 29. PMID: 14517161.</ref>
**CXR: Ring of calcification around the heart, however the majority of patients will not have this

**TTE

*Advanced evaluation:
**Cardiac CT/MR
**Invasive hemodynamic evaluation

===Diagnosis===
*No single diagnostic imaging/evaluation parameter
*Must be differentiated from [[tamponade]] and disorders such as [[restrictive cardiomyopathy]] as management is different for each of these pathologies

==Management==
*If no signs of chronic process: Medical management (Colchicine, NSAIDs for 2-3 months)
**Chronic signs: Anasarca, cachexia, [[atrial fibrillation]], hepatic dysfunction, pericardial calcification
*If chronic process: Pericardiectomy <ref> Welch TD. Constrictive pericarditis: diagnosis, management and clinical outcomes. Heart. 2018 May;104(9):725-731. doi: 10.1136/heartjnl-2017-311683. Epub 2017 Nov 25. PMID: 29175978.</ref>

==Disposition==
*Admit

==See Also==

==External Links==

==References==
<references/>