Contractive pericarditis

Contractive pericarditis's disease overview

Normal heart is surrounded by pericardium. The pericardium consists of two layers of leaves and organs, between two layers with few fluids to help the heart move easily. Heartitis is a pathological condition in which the pericardium loss of elasticity, scars, becomes a "hard shell" surrounding the heart chamber, leading to a decrease in a decrease The filling of ventricles, causing symptoms of right and left heart failure. This process usually takes a few months to a few years.

Causes of Contractive pericarditis's disease

Disease pericarditis may have many causes:

  • Due to viral or idiopathic, accounting for about 42-61%
  • after heart surgery
  • After irradiation

    • connective tissue disorders

  • After infection (tuberculosis or pus bacteria)

    • Causes of mixture (cancer, injury, drug, sarcoidosis)

    Symptoms of Contractive pericarditis's disease

    Symptoms of spasms include symptoms of right heart failure and left heart failure

  • edema depending on the level, can be slightly edema to the body
  • Big liver, floating veins
  • Difficulty breathing, especially shortness of exertion

    • People at risk for Contractive pericarditis's disease

  • Uncutable pericarditis
  • Systemic diseases
  • Heart trauma or surgery

    • Prevention of Contractive pericarditis's disease

  • Interventions and early treatment of pericardium and pericarditis
  • Conducting pericardial fluid, especially pericardium after surgery can reduce the possibility of spasms

    • Diagnostic measures for Contractive pericarditis's disease

  • Heart doppler ultrasound: is the first exploration to be used for diagnosis. On an echocardiography, it can be seen that the pericardium is thick, may have calcification or not, abnormally filled with ventricular, the diastolic
  • Heart magnetic resonance imaging: is a means of surveying very accurately the status of the heart, pericardial, scars, fiber tissue, lower veins, lower varicose veins, indirect signs of reducing the possibility of right ventricular fall
  • Computer -layer cutting: as well as magnetic resonance imaging (MRI), class cutting can identify pericardium, but better MRI in detecting calcification, However, MRI is better in distinguishing pericardial thickness with small amount of effusion.

    • Electrical electrocardiogram: usually there is no special sign, some cases can be seen with no specific transforms, low voltage signs or tachycardia

    chest X-ray: often not used to diagnose the disease, some cases can be seen in the heart

    Blood test: NT-Probnp is often used in diagnosis of heart failure or for patients with difficulty breathing suspected heart failure. However, it is less valuable in spasms and also not recommended to diagnose pericarditis.

  • Hemodynamic detection cardiac: By putting tools into the heart chamber and measuring pressure, can recognize pericarditis contracts through the "seal" sign or also Called the classic Plateau dip

    • Contractive pericarditis's disease treatments

    Treatment of spasmic pericarditis includes medical treatment or surgery. There is no specific treatment regimen treatment, the drugs are also limited depending on the stage and response of the patient. In the early stages, semi-acute spasms, colchicine or nonsteroidal painkillers (NSAID) for 2-3 months. If the condition does not improve, corticosteroid anti-inflammatory drugs may be considered for 2-3 months. If the condition still does not improve, the surgery is needed.

    For chronic pericarditis, surgery should be prescribed early for patients with many symptoms, persistent, symptoms of congestion (systemic edema, liver dysfunction, atrial fibrillation , shortness of breath, multi -membrane effusion ..). For patients who cannot have surgery, diuretics may be considered for indications.

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