Constrictive pericarditis medical therapy: Difference between revisions
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Pericardial constriction is a progressive disease without spontaneous reversal of the pericardial thickening. Some patients can be medically managed for several years. [[Edema]] can be controlled with [[diuretic]]s and slowing of the heart rate can maximize the diastolic filling time. | |||
Most patients develop significant debility from impaired [[cardiac output]] and elevated right and left sided filling pressures. Treatment is complete excision of the pericardium. This operation is associated with 12% mortality. | Most patients eventually develop significant debility from impaired [[cardiac output]] and elevated right and left sided filling pressures. Treatment is complete excision of the pericardium [[pericardiectomy]]. This operation is associated with a 12% mortality. | ||
==References== | ==References== | ||
Revision as of 21:17, 29 June 2011
Template:Pericardial constriction
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Pericardial constriction is a progressive disease without spontaneous reversal of the pericardial thickening. Some patients can be medically managed for several years. Edema can be controlled with diuretics and slowing of the heart rate can maximize the diastolic filling time.
Most patients eventually develop significant debility from impaired cardiac output and elevated right and left sided filling pressures. Treatment is complete excision of the pericardium pericardiectomy. This operation is associated with a 12% mortality.