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Pericarditis constrictiva - Treatment

Nombres alternativos

Pericarditis por constricción cardíaca

Tratamiento:

El objetivo del tratamiento es mejorar el funcionamiento cardíaco. Se debe identificar la causa y tratarla, lo cual puede abarcar antibióticos, medicamentos antituberculosos u otros tratamientos.

Con frecuencia, se prescriben diuréticos en pequeñas dosis para ayudarle al cuerpo a eliminar el exceso de líquido. Los analgésicos se pueden necesitar para controlar el dolor.

Se puede recomendar la disminución de la actividad para algunos pacientes.

Igualmente se puede aconsejar una dieta baja en sodio.

El tratamiento definitivo es un tipo de cirugía, llamada pericardiectomía, que implica el corte o extirpación de la cicatriz y parte de la cubierta similar a un saco del corazón.

Expectativas (pronóstico):

La pericarditis constrictiva puede ser potencialmente mortal si se deja sin tratamiento.

Sin embargo, la cirugía para tratar la afección está asociada con una alta tasa de complicaciones y generalmente se reserva para pacientes con síntomas graves.

Complicaciones:

Situaciones que requieren asistencia médica:

Consulte con el médico si tiene síntomas de pericarditis constrictiva.

  • Reviewed last on: 6/1/2010
  • Issam Mikati, MD, Associate Professor of Medicine, Feinberg School of Medicine, Director, Northwestern Clinic Echocardiography Lab, Northwestern University, Chicago, IL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

LeWinter MM. Pericardial diseases. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. St. Louis, Mo: WB Saunders; 2007:chap 70.

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