Restrictive Pericardial Disease

Posted By Launa on November 07, 1998 at 11:25:19:







I have been in A-Fib/Flutter with rapid ventricular response for over 6 months.  I have been unsuccessful at 6 cardioversion attempts and arrhymic meds.  I was on Verapamil, now trying Dilacor XR, also on Coumadin.
Yesterday I saw a new primary care physician who said, without re-checking a recent Echo, he noted a possible restrictive pericardial disease because he found, upon taking my b/p, a 15mmHg change with respiration.  The ER physician noted a small pericardial effusion, but did not speak of ventricular thickening.  IF it is Restrictive Pericardial Disease, what are the treatment modalities?  I have been considering a pacemaker but this was obviously to control the rvr.  Please email me with your thoughts.... thank you.
Incidentally, I am 58 years, do not drink alcohol or caffeine and have not had a hx of high blood pressure.
L Marlo