Let’s go into a little bit further ideology of constrictive.
Importantly, frequently tested, constrictive pericard
prior irradiation to chest. And that’s important.
So if you’re patient and even to this stem with cancer,
in chemotherapy and such a radio therapy, excuse me.
Then you might introduce enough damage in
advertently, in which now you end up
developing constrictive pericarditis;
Hodgkin’s disease, breast cancer.
Now, if its tuberculosis, almost any disease
that causes acute pericarditis, stop there.
Acute pericarditis, what does that mean?
Rapid accumulation of fluid within the pericardial cavity
may result in pericarditis. Granted.
With that increased inflammatory, you have
now developed or introduced damaged
over a period of time. What made then happen?
Well, enough fibrosis in calcification, we have now
gone in to constrictive pericarditis.
So any, any cause of acute pericarditis for example,
let me give you another analogy.
Who is this patient?
Hey doc, I have pain.
In my stomach area.
Tell me about this pain.
Hmm, everyone’s is my feel like the pain is ah…
I feel it in the back is well.
What’s your number one differential? What
organism has been infecting? Pancreas?
Sure, epigastric pain radiating to the back.
And the alcohol, and you find that your lipase
is elevated. Less likely, acute pancreatitis.
But if you have recurrent, recurrent, recurrent,
recurrent acute pancreatitis, you call this,
is a diagnosis recurrence of your acute pancreatitis.
No, you would then call it chronic
pancreatitis. Same concept.
When you have acute pericarditis and you have
enough damage over and over and over and over again,
Doesn’t that lead into chronicity? Well you don’t
call this chronic type of pericarditis.
You would then call this constrictive. Because
of enough fibrotic and calcification taking place.
Other infections involve: radiation we just talk about,
breast cancer and Hodgkin’s or Huge neoplasia,
Rheumatoid arthritis and trauma.
So any, any cause resulting in an acute
pericarditis may result in constrictive.