Constrictive pericarditis causes

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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.


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).


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


  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. Template:WH Template:WS