Heart Failure Symptoms Due to Pericarditis: Effective Treatment Options

Pericarditis, an inflammation of the pericardium, can lead to a range of troubling symptoms such as shortness of breath, chest tightness, and fatigue. In more advanced cases, complications like pericardial calcification may develop, contributing to impaired heart function. These pathological changes often result in symptoms including palpitations, dizziness, and fluid retention, which can manifest as swelling in the legs, an enlarged liver or spleen, and even abdominal fluid accumulation.

Medications to Manage Symptoms

When dealing with heart failure symptoms caused by pericarditis, diuretics are often the first line of treatment. Commonly prescribed diuretics include hydrochlorothiazide, spironolactone, and torsemide, which help reduce fluid buildup in the body. These medications can significantly alleviate swelling and breathing difficulties by promoting urine production and reducing pressure on the cardiovascular system.

Supportive Therapies for Heart Function

In addition to diuretics, doctors may recommend digoxin to strengthen heart contractions and improve circulation. This medication helps the heart pump more efficiently, which can reduce symptoms like fatigue and shortness of breath. Another supportive treatment involves coenzyme Q10, a supplement known for its role in supporting heart muscle function and overall cellular energy production.

When Surgery Becomes Necessary

If conservative treatments fail to provide relief, a surgical procedure known as pericardiectomy may be required. This involves the removal of part or all of the pericardium to relieve constriction and allow the heart to function more normally. Surgery is typically considered when symptoms are severe or when there is evidence of constrictive pericarditis that does not respond to medication.

Managing pericarditis-related heart failure involves a combination of medication, lifestyle adjustments, and, in some cases, surgical intervention. Working closely with a cardiologist ensures that treatment is tailored to the individual's specific condition and needs, helping to improve quality of life and long-term outcomes.