Pericarditis is caused by what?

Written by Liu Ying
Cardiology
Updated on September 22, 2024
00:00
00:00

Pericarditis refers to the inflammatory disease of the visceral and parietal layers of the pericardium. It can be classified according to its etiology into infectious, non-infectious, allergic, and immune pericarditis. Causes of infectious pericarditis include viral, purulent, tuberculous, and fungal pericarditis. Non-infectious pericarditis can be caused by acute myocardial infarction, uremia, tumors, trauma, aortic dissection, radiation, acute idiopathic, and sarcoidosis, among others. Causes of allergic or immune pericarditis include rheumatic, vasculitis, drugs, and more. Some patients remain undiagnosed after examinations and are categorized as having idiopathic pericarditis or nonspecific pericarditis.

Other Voices

doctor image
home-news-image
Written by Liu Yong
Cardiology
56sec home-news-image

Constrictive pericarditis causes hepatomegaly.

The so-called constrictive pericarditis refers to the presence of fibrotic calcifications and fibrotic hyperplasia in the pericardium, which severely affects the diastolic function of the heart. Once the diastolic function of the heart is compromised, the return flow of venous blood becomes severely obstructed, leading to congestion of the liver. Therefore, once congestion of the liver and spleen occurs, enlargement of the liver can occur, and in severe cases, it can lead to systemic edema, including ascites and similar conditions. Thus, the basic principle behind the enlargement of the liver in constrictive pericarditis is as such. Especially in such cases, patients will experience severe dietary problems, including poor appetite and indigestion, which further lead to low protein levels and malnutrition, exacerbating the enlargement of the liver and edema.

doctor image
home-news-image
Written by Xiong Hong Hai
Infectious Disease
42sec home-news-image

Is tuberculous pericarditis hereditary?

Tuberculous pericarditis is an infectious disease, not a hereditary disease. Most cases are due to tuberculosis of the lungs, after which the tuberculosis bacteria enter the bloodstream and cause tuberculous pericarditis in the pericardium. Tuberculous pericarditis is curable. If it is confirmed to be tuberculous pericarditis, it is necessary to start anti-tuberculosis treatment as soon as possible. It may also be necessary to combine some corticosteroids for treatment. With standardized anti-tuberculosis and symptomatic supportive treatment, it can generally be completely cured. Analysis should be tailored to the actual situation.

doctor image
home-news-image
Written by Liu Ying
Cardiology
42sec home-news-image

Early symptoms of acute pericarditis

The early symptoms of acute pericarditis are pain, which is located behind the sternum or in the precordial area, typically seen in the fibrin exudative type of inflammation. This pain arises from the friction between the visceral pericardium and the parietal pericardium. The nature of the pain is very sharp and related to respiratory movement, commonly exacerbated by coughing, deep breathing, or swallowing. The pain can radiate to the neck, left shoulder, and left arm. As fluid accumulates in the pericardium and the two layers of the pericardium separate, the pain may decrease or disappear.

doctor image
home-news-image
Written by Liu Ying
Cardiology
1min 1sec home-news-image

Treatment of constrictive pericarditis

Constrictive pericarditis refers to a disease in which the heart is surrounded by a densely thickened fibrotic or calcified pericardium, restricting ventricular diastolic filling and producing a series of circulatory disorders, typically chronic in nature. In China, the most common cause of constrictive pericarditis is tuberculosis. Constrictive pericarditis is a progressive disease, and most patients will develop chronic constrictive pericarditis. At this stage, pericardiectomy is the only effective treatment method. It should be performed early to avoid complications such as cardiac cachexia, severe liver dysfunction, and myocardial atrophy, with surgery usually carried out after controlling the pericardial infection. For tuberculosis patients, anti-tuberculosis treatment should continue for one year after surgery.

doctor image
home-news-image
Written by Han Shun Li
Pulmonology
44sec home-news-image

What causes constrictive pericarditis?

Constrictive pericarditis refers to the fibrosis or calcification of the pericardium, which restricts the filling of the ventricles during diastole and leads to a series of symptoms. What causes constrictive pericarditis? Generally, constrictive pericarditis is secondary to acute pericarditis. In our country, the most common cause of constrictive pericarditis is tuberculous pericarditis, followed by purulent or traumatic pericarditis. A minority of constrictive pericarditis cases may be associated with tumors of the pericardium, acute nonspecific pericarditis, and radiation-induced pericarditis, among others. Of course, some patients have idiopathic constrictive pericarditis.