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Constrictive Pericarditis: A Comprehensive Overview

Haitham Khraishah1, Audrey Kwun1, Joseph A Dearani2

  • 1Department of Medicine, Harrington Heart and Vascular Institute, University Hospitals, Case Western Reserve University, Cleveland, OH, USA.

Heart Views : the Official Journal of the Gulf Heart Association
|December 15, 2025
PubMed

Insights

Constrictive pericarditis (CP) causes stiffening of the heart

Area of Science:

  • Cardiology
  • Pathophysiology

Background:

  • Constrictive pericarditis (CP) results from pericardial scarring due to inflammation.
  • CP often presents insidiously with diastolic heart failure symptoms, delaying diagnosis.
  • Symptoms include ascites, hepatomegaly, pedal edema, and hepatic cirrhosis.

Purpose of the Study:

  • To review the clinical presentation of constrictive pericarditis.
  • To elucidate the pathophysiology of constrictive pericarditis.
  • To outline diagnostic workup and management strategies for CP.

Main Methods:

  • Literature review of constrictive pericarditis.
  • Synthesis of information on clinical presentation, pathophysiology, diagnosis, and management.

Main Results:

  • Delayed diagnosis is common due to non-specific symptoms.
  • Understanding pathophysiology aids in recognizing subtle clinical signs.
  • Comprehensive diagnostic workup is crucial for timely identification.

Conclusions:

  • This review addresses knowledge gaps in constrictive pericarditis.
  • Highlights include diagnostic challenges and management options.
  • Emphasizes the need for early recognition and appropriate treatment.

Keywords:
Constrictionimagingmultimodality

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