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6 gru 2017 · Learn about the causes, diagnosis and management of constrictive pericarditis (CP), a chronic inflammatory process of the pericardium that affects cardiac function. Find out how to prevent CP in some cases and when to opt for pericardiectomy, the definitive surgical cure.
13 lut 2023 · Summarize the treatment options for constrictive pericarditis. Explain the importance of improving care coordination among interprofessional team members to improve outcomes for patients affected by constrictive pericarditis.
Learn about constrictive pericarditis, a condition where the pericardium, the membrane around your heart, becomes too stiff or thick. Find out the possible causes, symptoms, diagnosis and treatment options for this rare but treatable problem.
3 cze 2024 · MANAGEMENT OF CONSTRICTIVE PERICARDITIS. Treatment of early (subacute) disease - Approach to subacute disease - Efficacy of treatment of subacute disease; Treatment of late (chronic) disease - Medical therapy - Pericardiectomy. Indication; Patients unlikely to benefit from pericardiectomy; Procedure; Outcomes; MANAGEMENT OF EFFUSIVE ...
The key elements for diagnosing constrictive pericarditis in invasive hemodynamics are: 1) elevation and equalization of cardiac diastolic pressures in the 2 ventricles (<5 mm Hg difference); 2) prominent rapid diastolic filling waves on both ventricles (≥5 mm Hg, referred to as a square root sign); 3) reduced cardiac output; and 4) an ...
Complete surgical pericardiectomy is the only effective treatment for chronic CP. A subset of patients with subacute inflammatory CP, often identified by cardiac MRI, may respond to anti-inflammatory treatments.
In constrictive pericarditis the treatment is pericardectomy. The decortications should remove as much of the pericardium as possible with all constricting parietal and epicardial layers, 103–105 but taking care of perserving the phrenic nerves bilaterally. Only by using sternotomy can all the constricting pericardial layers be removed.
