Constrictive Pericarditis

What is it?

Constrictive pericarditis is a condition where the pericardium (the outer layer of the heart) becomes thickened, scarred, and stiff. This prevents the heart from expanding fully, leading to restricted heart function.

What are the symptoms?

Shortness of breath (especially when lying down)
Swelling in the abdomen or legs (edema)
Fatigue or weakness
Chest discomfort or tightness
Difficulty breathing (dyspnea)
Palpitations

What else could it be? (Differential diagnosis)

Heart failure
Myocardial infarction (heart attack)
Pulmonary embolism
Pericarditis (inflammation of the pericardium)
Chronic obstructive pulmonary disease (COPD)

What are the aggravating factors?

Chronic inflammation (e.g., from infections or autoimmune conditions)
Previous heart surgery or radiation therapy
Tuberculosis (a common cause in developing countries)

What types of food are helpful?

Low-sodium diet: To reduce fluid retention.
Anti-inflammatory foods: Such as omega-3 fatty acids, fruits, and vegetables.
Adequate hydration: Ensuring proper fluid balance while avoiding excessive salt intake.

Sample Recipe: Grilled Chicken Salad with Avocado and Lemon Vinaigrette

Ingredients: Chicken breast, avocado, mixed greens, olive oil, lemon juice.
Directions: Grill chicken and serve with a fresh salad rich in healthy fats and antioxidants.

What are the traditional treatments?

Anti-inflammatory drugs: To reduce inflammation (e.g., NSAIDs).
Diuretics: To relieve fluid retention.
Surgical intervention: Pericardiectomy (removal of part of the pericardium) in severe cases.

What are the natural and alternative treatments?

Omega-3 fatty acids: From fish oil, which may help reduce inflammation in the heart.
Coenzyme Q10 (CoQ10): A supplement that may support heart function and reduce inflammation.
Acupuncture: Has been shown to support inflammation reduction and pain management.