कंस्ट्रिक्टिव पेरिकार्डिटिस के रूप में प्रस्तुत पेरिकार्डियल तपेदिक का उपचार

References

1. Tuberculous pericarditis presents clinically in 3 forms, namely, pericardial effusion, constrictive pericarditis, and a combination of effusion and constriction.
2. The treatment of tuberculous pericardial constriction involves the use of standard antituberculosis drugs for 6 months and pericardiectomy for persistent constriction in the face of drug therapy.
3. The timing of surgical intervention is controversial, but many experts recommend a trial of medical therapy for noncalcific pericardial constriction, and pericardiectomy in nonresponders after 4 to 8 weeks of antituberculosis chemotherapy.
4. The remarkable finding of this study is that constriction resolved on antituberculosis chemotherapy within 6 months in most patients, and only 29 (25%) of the 114 patients required pericardiectomy for persistent or worsening constriction during the follow-up of 2 years.