CONSTRICTIVE PERICARDITIS

This tends to be chronic and is often due to tuberculosis. The pericardium becomes thick and inelastic leading to poor filling of the heart.

Clinical Features

  • Cough and dyspnoea
  • Small volume pulse
  • Ascites
  • Hepatomegaly
  • Raised JVP.

Investigations

  • Chest x-ray – Heart size normal or small. There may be calcification in the
    pericardium.
  • Electrocardiogram
  • Echocardiogram

Management

  • Surgical removal of pericardium.
  • Treatment of TB if it is the cause.