Background: Chronic constrictive pericarditis (CCP) in the developing countries is usually due to tuberculous pericarditis. This study aims to determine the profile, clinical presentations, different diagnostic tests, procedures, and outcomes in patients with CCP at the Philippine Heart Center (PHC) and Philippine General Hospital (PGH).
Method: A retrospective study of all adult patients aged 18 years and above admitted to the PHC and PGH between January 2010 up to December 2013 for tuberculous pericarditis were included.
Results: Sixty-seven patients from PHC and 22 patients from PGH were included with a mean age of 38 years. The male to female ratio was 2.19:1 for PHC and 3.41:1 for PGH. Dyspnea was the most common complaint in 95% at PHC and 54% at PGH. Cardiac tamponade was documented by echocardiography in 35% of patients at PHC and 45% at PGH. Anti-Kochs therapy was given in 100% at PHC and 60% at PGH. Pericardiectomy was done in 11.94% of patients at PHC and 54% at PGH. Perioperative mortality was 3% for PHC and 8% for PGH.
Conclusion: Tuberculous pericarditis usually leads to CCP. The management of CCP varied in PHC and PGH. Pericardiectomy may improve the outcome of patient with CCP.