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(Circulation. 1955;12:30.)
© 1955 American Heart Association, Inc.

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Factors in the Etiology of Constrictive Pericarditis

RALPH A. DETERLING JR. M.D.¹ GEORGE H. HUMPHREYS II M.D.¹

¹ From the Department of Surgery, College of Physicians and Surgeons, Columbia University, New York, and the Surgical Service of Presbyterian Hospital, New York.

Because of uncertainty existing in respect to the etiologic factors in certain cases of constrictive pericarditis, an analysis of 25 proven cases and of additional series from the literature was conducted. It was evident that a fairly consistent clinical syndrome developed, but the factor of myocardial insufficiency deserves as much consideration as actual constriction by the pericardium. The survey supports the belief that the clinical picture of chronic constrictive pericarditis may result from tuberculosis in most cases, at times only by implication. In addition, cases can result from trauma to the chest, rheumatic heart disease and purulent pericarditis.

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