Constrictive pericarditis causes: Difference between revisions

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{{Template:Pericardial constriction}}
__NOTOC__
{{CMG}}
{{Constrictive pericarditis}}
{{CMG}}; {{AE}} {{Hudakarman}}


==Overview==
Constrictive pericarditis is most commonly caused by conditions or events that cause [[inflammation]] to develop around the [[heart]], including [[idiopathic]], [[infectious]] ([[viral]], [[bacterial]], [[tuberculous]], [[fungal]], [[parasitic]] ) and [[purulent]] [[pericarditis]]. It can also occur post MI ([[Dressler syndrome]]), post surgical ([[CABG]]), post [[radiation]] therapy. Constrictive pericarditis can also be caused by or associated with [[connective tissue disease]], [[pulmonary]] [[asbestosis]], [[chronic renal failure]], [[neoplasm]] ([[mesothelioma]]). <br />
==Causes==
==Causes==
===Common Causes===
===Common Causes===
Constrictive pericarditis is most commonly caused by conditions or events that cause inflammation to develop around the heart, including:
Constrictive pericarditis is most commonly caused by conditions or events that cause [[inflammation]] to develop around the [[heart]], including:


*Coronary artery bypass graft surgery: In patients who have undergone [[coronary artery bypass surgery]] with pericardial sparing, there is danger of tearing a bypass graft while removing the pericardium. If any pericardium is not removed, it is possible for bands of pericardium to cause localized constriction which may cause symptoms and signs consistent with constriction.
*[[Coronary artery bypass graft surgery]]: In patients who have undergone [[coronary artery bypass surgery]] with [[pericardial]] sparing, there is danger of tearing a [[bypass]] [[graft]] while removing the [[pericardium]]. If any [[pericardium]] is not removed, it is possible for bands of [[pericardium]] to cause localized constriction which may cause symptoms and signs consistent with constriction.
*[[Radiation therapy]] to the chest
*[[Radiation therapy]] to the [[chest]] <ref name="pmid30006103">{{cite journal| author=Armanious MA, Mohammadi H, Khodor S, Oliver DE, Johnstone PA, Fradley MG| title=Cardiovascular effects of radiation therapy. | journal=Curr Probl Cancer | year= 2018 | volume= 42 | issue= 4 | pages= 433-442 | pmid=30006103 | doi=10.1016/j.currproblcancer.2018.05.008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30006103  }}</ref>
*[[Tuberculosis]].  This is the most frequent cause of constriction in Africa and Asia.
*[[Tuberculosis]].  This is the most frequent cause of constriction in Africa and Asia.
*Post Viral [[Pericarditis]]
*Post [[viral]] [[pericarditis]]
*Postsurgical
*Post-[[surgical]]
*Prior mediastinal [[radiation]] therapy
*Prior [[mediastinal]] [[radiation]] therapy
*Chronic [[Renal Failure]]
*[[Chronic]] [[renal failure]] ([[uremic pericarditis]])  <ref name="pmid28873222">{{cite journal| author=Rehman KA, Betancor J, Xu B, Kumar A, Rivas CG, Sato K et al.| title=Uremic pericarditis, pericardial effusion, and constrictive pericarditis in end-stage renal disease: Insights and pathophysiology. | journal=Clin Cardiol | year= 2017 | volume= 40 | issue= 10 | pages= 839-846 | pmid=28873222 | doi=10.1002/clc.22770 | pmc=6490618 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28873222  }}</ref>
*[[Connective Tissue Disorders]]
*[[Connective tissue disorders]]
*[[Neoplastic]] pericardial infiltration
*[[Neoplastic]] pericardial infiltration
*Incomplete drainage of purulent [[pericarditis]]
*Incomplete drainage of [[purulent]] [[pericarditis]]
*Fungal and [[Parasitic Infections]]
*[[Fungal]] and [[parasitic]] [[infections]]
*Following [[pericarditis]] associated with [[ST elevation myocardial infarction]] ([[Dressler's syndrome]])
*Following [[pericarditis]] associated with [[ST elevation myocardial infarction]] ([[Dressler's syndrome]])
*In Association with pulmonary [[asbestosis]]  
*In association with pulmonary [[asbestosis]]  
*[[Mesothelioma]]
*[[Mesothelioma]]
*Bacterial, viral, or surgical infections that cause abnormal buildup in the covering of the heart
*[[Bacterial]], [[viral]], or [[surgical]] [[infections]] that cause abnormal buildup in the covering of the [[heart]]


===Causes by Organ System===
===Causes by Organ System===
{|style="width:80%; height:100px" border="1"
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Chylopericardium]], [[Rheumatic pericarditis]], [[Coronary artery bypass graft surgery]], [[Post mediatinal surgery]], [[Post viral pericarditis]], [[Neoplastic pericardial infiltration]], [[Dressler's syndrome]]
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Chylopericardium]], Rheumatic pericarditis, [[Coronary artery bypass graft surgery]], Post mediastinal surgery, [[Post viral pericarditis]], [[Neoplastic pericardial infiltration]], [[Dressler's syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
| '''Drug Side Effect'''
|bgcolor="Beige"| [[Hydralazine]], [[Methysergide]], [[Procainamide]]
|bgcolor="Beige"| [[Bromocriptine]], [[Hydralazine]], [[Methysergide]], [[Procainamide]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Iatrogenic'''
| '''Iatrogenic'''
|bgcolor="Beige"| [[Coronary artery bypass graft surgery]], [[Implantation of an automated implantable cardiac defibrillator]], [[Implantation of an epicardial pacemaker]], [[Incomplete drainage of purulent pericarditis]], [[Orthopedic heart transplant]], [[Post mediatinal surgery]], [[Prior mediastinal radiation therapy]], [[Radiation therapy]], [[Sclerotherapy for esophageal varices.]]
|bgcolor="Beige"| [[Coronary artery bypass graft surgery]], Implantation of an automated implantable cardiac defibrillator, Implantation of an epicardial pacemaker, [[Incomplete drainage of purulent pericarditis]], [[Orthopedic heart transplant]], Post mediastinal surgery, Prior mediastinal radiation therapy, [[Radiation therapy]], [[Sclerotherapy for esophageal varices.]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
| '''Pulmonary'''
|bgcolor="Beige"| [[In association with pulmonary asbestosis]],[[Pneumococcal pneumonia]], [[Mesothelioma]]
|bgcolor="Beige"| [[In association with pulmonary asbestosis]], [[Pneumococcal pneumonia]], [[Mesothelioma]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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*[[Echovirus]]
*[[Echovirus]]
*[[Fungal infections]]
*[[Fungal infections]]
*[[Hepatitis viruses]]
*[[Hepatitis]] [[viruses]]
*[[Hydralazine]]
*[[Hydralazine]]
*[[Implantation of an automated implantable cardiac defibrillator]]
*[[Implantation]] of an automated [[implantable cardiac defibrillator]]
*[[Implantation of an epicardial pacemaker]]
*[[Implantation]] of an [[epicardial]] [[pacemaker]]
*[[In association with pulmonary asbestosis]]
*In association with [[pulmonary]] [[asbestosis]]
*[[Incomplete drainage of purulent pericarditis]]
*Incomplete drainage of [[purulent]] [[pericarditis]]
*[[Mesothelioma]]
*[[Mesothelioma]]
*[[Methysergide]]
*[[Methysergide]]
*[[Mulibrey nanism]]
*[[Mulibrey nanism]]
*[[Neoplastic pericardial infiltration]]
*[[Neoplastic]] [[pericardial]] infiltration
*[[Orthopedic heart transplant]]
*[[Orthopedic]] [[heart transplant]]
*[[Pneumococcal pneumonia]]
*[[Pneumococcal pneumonia]]
*[[Post mediatinal surgery]]
*Post [[mediastinal]] [[surgery]]
*[[Post viral pericarditis]]
*Post [[viral pericarditis]]
*[[Prior mediastinal radiation therapy]]
*Prior [[mediastinal]] [[radiation therapy]]
*[[Procainamide]]
*[[Procainamide]]
*[[Radiation therapy]]
*[[Radiation therapy]]
*[[Rheumatic pericarditis]]
*[[Rheumatic]] [[pericarditis]]
*[[Rheumatoid arthritis]]
*[[Rheumatoid arthritis]]
*[[Sarcoidosis]]
*[[Sarcoidosis]]
*[[Sclerotherapy for esophageal varices.]]
*[[Sclerotherapy]] for [[esophageal varices]].
*[[Systemic sclerosis]]
*[[Systemic sclerosis]]
*[[Tuberculosis]]
*[[Tuberculosis]]
*[[Uremia]
*[[Uremia]]
 
==References==
{{Reflist|2}}


==Sources==
http://www.nlm.nih.gov/medlineplus/ency/article/001103.htm
http://www.nlm.nih.gov/medlineplus/ency/article/001103.htm


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[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Intensive care medicine]]
[[Category:Intensive care medicine]]
[[Category:Patient information]]
[[Category:Up-To-Date]]
 
[[Category:Up-To-Date cardiology]]
[[Category:Needs overview]]
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Latest revision as of 18:17, 27 December 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Huda A. Karman, M.D.

Overview

Constrictive pericarditis is most commonly caused by conditions or events that cause inflammation to develop around the heart, including idiopathic, infectious (viral, bacterial, tuberculous, fungal, parasitic ) and purulent pericarditis. It can also occur post MI (Dressler syndrome), post surgical (CABG), post radiation therapy. Constrictive pericarditis can also be caused by or associated with connective tissue disease, pulmonary asbestosis, chronic renal failure, neoplasm (mesothelioma).

Causes

Common Causes

Constrictive pericarditis is most commonly caused by conditions or events that cause inflammation to develop around the heart, including:

Causes by Organ System

Cardiovascular Chylopericardium, Rheumatic pericarditis, Coronary artery bypass graft surgery, Post mediastinal surgery, Post viral pericarditis, Neoplastic pericardial infiltration, Dressler's syndrome
Chemical / poisoning No underlying causes
Dermatologic No underlying causes
Drug Side Effect Bromocriptine, Hydralazine, Methysergide, Procainamide
Ear Nose Throat No underlying causes
Endocrine No underlying causes
Environmental No underlying causes
Gastroenterologic No underlying causes
Genetic Mulibrey nanism
Hematologic No underlying causes
Iatrogenic Coronary artery bypass graft surgery, Implantation of an automated implantable cardiac defibrillator, Implantation of an epicardial pacemaker, Incomplete drainage of purulent pericarditis, Orthopedic heart transplant, Post mediastinal surgery, Prior mediastinal radiation therapy, Radiation therapy, Sclerotherapy for esophageal varices.
Infectious Disease Adenovirus, Bacterial infections, Coxsackievirus, Echovirus, Fungal infections, Hepatitis viruses, Pneumococcal pneumonia, Post viral pericarditis, Tuberculosis
Musculoskeletal / Ortho No underlying causes
Neurologic No underlying causes
Nutritional / Metabolic No underlying causes
Obstetric/Gynecologic No underlying causes
Oncologic Mesothelioma, Neoplastic pericardial infiltration
Opthalmologic No underlying causes
Overdose / Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary In association with pulmonary asbestosis, Pneumococcal pneumonia, Mesothelioma
Renal / Electrolyte Chronic renal failure, Uremia
Rheum / Immune / Allergy Connective tissue disorders, Dressler's syndrome, Rheumatoid arthritis, Sarcoidosis, Systemic sclerosis
Sexual No underlying causes
Trauma No underlying causes
Urologic No underlying causes
Dental No underlying causes
Miscellaneous No underlying causes

Causes in Alphabetical Order

References

  1. Armanious MA, Mohammadi H, Khodor S, Oliver DE, Johnstone PA, Fradley MG (2018). "Cardiovascular effects of radiation therapy". Curr Probl Cancer. 42 (4): 433–442. doi:10.1016/j.currproblcancer.2018.05.008. PMID 30006103.
  2. Rehman KA, Betancor J, Xu B, Kumar A, Rivas CG, Sato K; et al. (2017). "Uremic pericarditis, pericardial effusion, and constrictive pericarditis in end-stage renal disease: Insights and pathophysiology". Clin Cardiol. 40 (10): 839–846. doi:10.1002/clc.22770. PMC 6490618. PMID 28873222.

http://www.nlm.nih.gov/medlineplus/ency/article/001103.htm Template:WH Template:WS