Diferencia entre revisiones de «Constrictive pericarditis»
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Cardiomyopathy DDX}} | {{Cardiomyopathy DDX}} | ||
*Cardiovascular | |||
**[[ACS]] | |||
**[[Acute Valve Dysfunction]] | |||
**[[Aortic Dissection]] | |||
**[[Dysrhthymia]] | |||
**[[Endocarditis]] | |||
**[[Hypertensive Emergency]] | |||
**[[Pericardial Tamponade]] | |||
*Pulmonary | |||
**[[COPD]] | |||
**[[PE]] | |||
**[[Pneumonia]] | |||
**[[Pneumothorax]] | |||
*Other | |||
**Pure volume overload | |||
***[[Renal Failure]] | |||
***Post-[[Transfusion]] | |||
**[[Sepsis]] | |||
**[[Anaphylaxis]] | |||
==Evaluation== | ==Evaluation== | ||
Revisión del 02:23 5 feb 2021
Background[1]
- Occurs when normally elastic pericardium becomes thickened and fibrotic
- Can be infectious, post-cardiac surgery, inflammatory, idiopathic or related to radiation exposure
- Impairs diastolic filling of heart
- Must distinguish from restrictive cardiomyopathy
Clinical Features
- Symptoms similar to congestive heart failure, especially right sided
- Dyspnea
- Lower extremity edema
- Jugular venous distention
Differential Diagnosis
Cardiomyopathy
- Dilated cardiomyopathy
- Hypertrophic cardiomyopathy
- Restrictive cardiomyopathy
- Peripartum cardiomyopathy
- Takotsubo cardiomyopathy
- Arrhythmogenic right ventricular dysplasia
- Cardiovascular
- Pulmonary
- Other
- Pure volume overload
- Renal Failure
- Post-Transfusion
- Sepsis
- Anaphylaxis
- Pure volume overload
Evaluation
Workup
Diagnosis
Management
- Definitive treatment is surgical pericardiectomy
Disposition
See Also
External Links
References
- ↑ Singh M, Niemann JT. Cardiomyopathies and Pericardial Disease. In: Tintinalli JE, Ma OJ, Yealy DM, et al., eds. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. 9th ed. McGraw-Hill; 2020:(Ch) 55.