Advise the patient to restrict strenuous physical activities:[1]Adler Y, Charron P, Imazio M, et al. 2015 ESC guidelines for the diagnosis and management of pericardial diseases. Eur Heart J. 2015 Nov 7;36(42):2921-64.
https://academic.oup.com/eurheartj/article/36/42/2921/2293375
http://www.ncbi.nlm.nih.gov/pubmed/26320112?tool=bestpractice.com
Non-athletes: until symptoms have resolved and C-reactive protein has normalised, while also taking into account the patient’s previous history and other clinical conditions[1]Adler Y, Charron P, Imazio M, et al. 2015 ESC guidelines for the diagnosis and management of pericardial diseases. Eur Heart J. 2015 Nov 7;36(42):2921-64.
https://academic.oup.com/eurheartj/article/36/42/2921/2293375
http://www.ncbi.nlm.nih.gov/pubmed/26320112?tool=bestpractice.com
Athletes: for a minimum of 3 months until symptoms have resolved and C-reactive protein, ECG, and echocardiography have normalised.[1]Adler Y, Charron P, Imazio M, et al. 2015 ESC guidelines for the diagnosis and management of pericardial diseases. Eur Heart J. 2015 Nov 7;36(42):2921-64.
https://academic.oup.com/eurheartj/article/36/42/2921/2293375
http://www.ncbi.nlm.nih.gov/pubmed/26320112?tool=bestpractice.com
Constrictive pericarditis excludes patients from all competitive sports. Specific recommendations exist regarding participation in competitive sports.[64]Pelliccia A, Solberg EE, Papadakis M, et al. Recommendations for participation in competitive and leisure time sport in athletes with cardiomyopathies, myocarditis, and pericarditis: position statement of the Sport Cardiology Section of the European Association of Preventive Cardiology (EAPC). Eur Heart J. 2019 Jan 1;40(1):19-33.
https://academic.oup.com/eurheartj/article/40/1/19/5248228
http://www.ncbi.nlm.nih.gov/pubmed/30561613?tool=bestpractice.com