Constrictive pericarditis primary prevention
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Differentiating Constrictive Pericarditis from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: "Hafiz M. Ahmed, M.D.[2]
Overview
There are no established measures that specifically prevent all cases of constrictive pericarditis. Prevention is mainly directed toward prompt recognition and treatment of underlying pericardial diseases that may progress to constrictive physiology, including post-cardiac injury pericarditis and tuberculous pericarditis in endemic regions.
Primary Prevention
- No universal preventive intervention is established for constrictive pericarditis.
- Prompt diagnosis and treatment of pericarditis after cardiac procedures is recommended because post-cardiac injury pericarditis may be underdiagnosed or misdiagnosed.
- In patients at risk for post-cardiac injury pericarditis, anti-inflammatory prophylaxis such as colchicine may be considered, although supporting data are limited.
- In regions where tuberculosis is endemic, appropriate diagnosis and treatment of tuberculous pericardial disease may help prevent progression to constrictive pericarditis.[1]
References
- ↑ Wang TKM, Klein AL, Cremer PC, Imazio M, Kohnstamm S, Luis SA, Mardigyan V, Mukherjee M, Ordovas K, Vakamudi S, Wohlford GF. 2025 Concise Clinical Guidance: An ACC Expert Consensus Statement on the Diagnosis and Management of Pericarditis: A Report of the American College of Cardiology Solution Set Oversight Committee. Journal of the American College of Cardiology. 2025;86(25):2691-2719. https://doi.org/10.1016/j.jacc.2025.05.023.