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Constrictive Pericarditis
- after Pericarditis pericardium may be
thickened, fibrous and calcified
- restricts filling of heart
History
- preceding episode of pericarditis
- fatigue
- excercise intolerance
Examination
- systemic venous congestion
- ascites
- dependant oedema
- hepatomegaly
- pulmonary venous distension
- little pulmonary congestion
- Atrial Fibrillation (30%)
- loud third heart sound
Investigations
- CXR
- relatively small heart
- obvious calcification on lateral film
- ECG
- low QRS voltages
- T wave inversion
- Echocardiogram
- thickened pericardium
- relative immobility
- small ventricluar cavities
- dilated atria
- CT scan
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