Rigid pericardium limits diastolic filling.
Causes
- • Post-viral, post-cardiac surgery, TB, radiation, uraemia
Clinical features
- • Right-sided HF signs: raised JVP, ascites, oedema
- • Kussmaul sign, pericardial knock
Investigations
- • Echo (septal bounce, respiratory variation)
- • Cardiac MRI (pericardial thickening/fibrosis)
- • Cardiac catheterisation (equalisation of diastolic pressures)
Management
- • Diuretics for symptoms
- • Pericardiectomy definitive
Educational — verify locally.
