Constrictive pericarditis medical therapy: Difference between revisions

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{{Pericardial constriction}}
{{Pericardial constriction}}


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{{CMG}}


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.
==Medical Therapy==
 
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 eventually develop significant debility from impaired [[cardiac output]] and elevated right and left sided filling pressures.  
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 13:03, 3 April 2013

Template:Pericardial constriction

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Medical Therapy

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.

References

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