What is the central pathophysiological feature of constrictive pericarditis?

Answer

A scarred, thickened pericardium restricts cardiac filling and limits cardiac volume

Explanation

Constrictive pericarditis occurs when a **scarred and thickened**, frequently calcified pericardium limits cardiac expansion and filling. This differs from tamponade, in which pressure from fluid in the pericardial space compresses the heart. The remaining options describe unrelated processes or incorrectly treat all pericardial fluid as tamponade. **Key takeaway:** In constriction, a diseased, rigid pericardium mechanically limits cardiac filling. **Glossary:** **Calcified**: containing calcium deposits. **Constrictive**: restricting expansion or movement.

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