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Pericarditis III: Medical Management

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The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...

Pericarditis I: Introduction

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Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...

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Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...

Pericarditis II: Clinical Features and Diagnostic Tests

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Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...

Pericarditis IV: Nursing Management

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Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.

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Updated: Apr 5, 2026

An Immunological Model for Heterotopic Heart and Cardiac Muscle Cell Transplantation in Rats

An Immunological Model for Heterotopic Heart and Cardiac Muscle Cell Transplantation in Rats

Published on: May 8, 2020

Constrictive pericarditis complicating cardiac transplantation.

Affan Umer¹, Nauman Khalid², Lovely Chhabra²

¹Department of Surgery, Saint Francis Hospital and Medical Center, University of Connecticut Health Center, Hartford, CT, USA. affan.umer.83@gmail.com.

Journal of Cardiothoracic Surgery

|August 26, 2015

Summary

Constrictive pericarditis, a condition of pericardial fibrosis, can cause heart failure. Early pericardiectomy surgery is a promising treatment for chronic cases and rare instances after cardiac transplantation.

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Area of Science:

Cardiology
Cardiac Surgery

Background:

Constrictive pericarditis involves progressive pericardial fibrosis, potentially leading to severe heart failure if untreated.
While medical management with NSAIDs and colchicine is effective for acute phases, chronic cases require surgical intervention for hemodynamic recovery.

Discussion:

Constrictive pericarditis following cardiac transplantation is an uncommon but serious complication.
The abstract suggests that prompt pericardiectomy may be the optimal treatment strategy for this specific patient group.

Key Insights:

Pericardiectomy offers the best chance for hemodynamic recovery in chronic constrictive pericarditis.
Early pericardiectomy appears to be the most effective treatment for constrictive pericarditis post-cardiac transplantation.

Outlook:

Further research into the long-term outcomes of early pericardiectomy in post-transplant patients is warranted.
Investigating less invasive treatment options for acute constrictive pericarditis remains an area of interest.