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Tachycardia-Induced Cardiomyopathy As a Chronic Heart Failure Model in Swine
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[Long term evolution of chronic constrictive pericarditis. A study of 56 patients]

A Thia1, F Prunier, J B Subayi

  • 1Service de cardiologie, CHU, Angers.

Archives Des Maladies Du Coeur Et Des Vaisseaux
|October 28, 2006
PubMed

Insights

Chronic constrictive pericarditis remains a serious condition with unchanged annual frequency. Prognostic factors for mortality include radiotherapy history, age, and hyponatremia, even after pericardectomy.

Area of Science:

  • Cardiology
  • Thoracic Surgery

Context:

  • Chronic constrictive pericarditis (CCP) diagnosis and management over 23 years.
  • Analysis of 56 consecutive CCP patients.

Purpose:

  • To analyze the evolution of CCP frequency and etiology.
  • To identify prognostic factors for mortality in CCP patients.
  • To evaluate outcomes following pericardectomy.

Summary:

  • CCP annual frequency remains stable at 2.4 cases/year.
  • Tuberculous etiology decreased; cardiac surgery and radiotherapy complications increased.
  • Pericardectomy performed in 41 patients; 61.8% overall mortality.
  • Predictors of mortality: radiotherapy history, age, hyponatremia.
  • Predictors of cardiovascular mortality: first-degree atrio-ventricular block.

Impact:

  • CCP is a significant pathology with high mortality.
  • Pericardectomy improves function but has a >60% 10-year mortality rate.
  • Radiotherapy and hyponatremia are critical prognostic indicators post-pericardectomy.
Abstract

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