Definition of Pericardial friction rub in the Legal Dictionary - by Free online English dictionary and encyclopedia. What is Pericardial friction rub? Meaning of Pericardial friction rub as a legal term. What does Pericardial friction rub mean in law?

Although acute pericarditis is most often associated with viral infection, it may also be caused by many diseases, drugs, invasive cardiothoracic procedures, and chest trauma. Diagnosing acute pericarditis is often a process of exclusion. A history of abrupt-onset chest pain, the presence of a pericardial friction rub, and changes on electrocardiography suggest acute pericarditis, as do PR-segment depression and upwardly concave ST-segment elevation. Although highly specific for pericarditis, the pericardial friction rub is often absent or transient. Auscultation during end expiration with the patient sitting up and leaning forward increases the likelihood of observing this physical finding. Echocardiography is recommended for most patients to confirm the diagnosis and to exclude tamponade. Outpatient management of select patients with acute pericarditis is an option. Complications may include pericardial effusion with tamponade, recurrence, and chronic constrictive pericarditis. Use of colchicine as an

Prognosis: Most patients with acute pericarditis (generally those with presumed viral or idiopathic pericarditis) have a good long-term prognosis.Cardiac tamponade rarely occurs in patients with acute idiopathic pericarditis, and is more common in patients with a specific underlying aetiology such as malignancy, TB or purulent pericarditis. Constrictive pericarditis may occur in ,1% of patients with acute idiopathic pericarditis, and is also more common in patients with a specific aetiology. The risk of developing constriction can be classified as low (,1%) for idiopathic and presumed viral pericarditis; intermediate (2-5%) for autoimmune, immune-mediated and neoplastic aetiologies; and high (20-30%) for bacterial aetiologies, especially with TB and purulent pericarditis.36 Approximately 15-30% of patients with idiopathic acute pericarditis who are not treated with colchicine will develop either recurrent or incessant disease, while colchicine may halve the recurrence rate.. Notes:. ...

Pericarditis is a condition in which the sac-like covering around the heart (pericardium) becomes inflamed. A characteristics chest pain is often present. The hearts sits in the center of the chest and is surrounded by a sac called the pericardium. This sac has two layers, one that fits tightly onto the heart muscle and another looser layer surrounding the inner layer. Inflammation of these tissue layers surrounding the heart is referred to as pericarditis.. Causes of Pericarditis Pericarditis is usually a complication of viral infections, most commonly echovirus or coxsackie virus. Less frequently, it is caused by influenza or HIV infection. Infections with bacteria can lead to bacterial pericarditis (also called purulent pericarditis). Some fungal infections can also produce pericarditis. There are many causes of pericarditis. Most often the cause is unknown. In this case, the condition is called idiopathic pericarditis.. The causes of pericarditis are varied, including viral infections of the ...

The study by Imazio and colleagues addresses management of patients with recurrent pericarditis. Pericarditis may account for 5% of presentations to an emergency department for nonacute myocardial infarction chest pain, is troublesome for patients, and is difficult to treat effectively (1-3). Few studies have investigated the systematic management of recurrent pericarditis, although the use of colchicine is not new (4). In this study, patients receiving colchicine had a lower recurrence rate and better symptom relief. Although no serious side effects from colchicine occurred, about 6% of patients had diarrhea that required discontinuation of treatment. There are some obvious limitations to the study. First, because recurrent pericarditis is uncommon and the accrued sample size was small, the findings may have occurred by chance alone. Second, the study used an open-label design (acknowledged by the authors), which may increase bias, although outcome events were reviewed by an independent ...

Pericarditis is the inflammation of the pericardium, the membranous sac surrounding the heart. Recurrent pericarditis is the most common complication of acute pericarditis, causing severe and disabling chest pains. Recurrent pericarditis affects one in three patients with acute pericarditis within the first 18 months. Colchicine has been suggested to be beneficial in preventing recurrent pericarditis.. ...

Inflammation of the lining around the heart (the pericardium) causing chest pain and accumulation of fluid around the heart (pericardial effusion). Types: adhesive pericarditis a condition due to the presence of dense fibrous tissue between the parietal and visceral layers of the pericardium. constrictive pericarditis a chronic form in which a fibrotic, thickened, adherent pericardium restricts diastolic filling and cardiac output, usually resulting from a series of events beginning with fibrin deposition on the pericardial surface followed by fibrotic thickening and scarring and obliteration of the pericardial space. fibrinous pericarditis, fibrous pericarditis that characterized by a fibrinous exudate, sometimes accompanied by a serous effusion; usually manifested as a pericardial friction rub. pericarditis obli´terans , obliterating pericarditis adhesive pericarditis that leads to obliteration of the pericardial cavity. ...

The management of refractory recurrent pericarditis is challenging. Previous clinical reports have noted a beneficial effect of high-dose intravenous human immunoglobulins (IvIgs) in isolated and systemic inflammatory disease-related forms. In this article, we analyzed retrospectively our clinical experience with IvIg therapy in a series of clinical cases of pericarditis refractory to conventional treatment. We retrospectively analyzed 9 patients (1994 to 2010) with refractory recurrent pericarditis, who received high-dose IvIg as a part of their medical treatment. Nonsteroidal anti-inflammatory drugs (NSAIDs), steroids, or colchicine treatment was not discontinued during IvIg treatment. No patients had a history of autoimmune or connective tissue diseases. During an average period of 11 months from the first recurrence, patients had experienced a mean of 5 relapses before the first IvIg treatment. In 4 cases, patients showed complete clinical remission with no further relapse after the first ...

Initial evaluation includes a clinical history and physical examination, ECG, echocardiography, chest radiography, and lab studies.. ECG can be diagnostic in acute pericarditis and typically shows diffuse ST elevation. The ratio of the amplitude of ST segment to the amplitude of the T wave in leads I, V4, V5, and V6 on electrocardiogram can be used to differentiate acute pericarditis (AP) from early repolarization (ER) and early repolarization of left ventricular hypertrophy (ERLVH), according to a recent study. When ST elevation was present in lead I, the ST/T ratio had the best predictive value for discriminating between AP, ER and ERLVH. The study involved 25 patients with AP, 27 with ER, and 28 with ERLVH. [1]. Echocardiography is indicated if pericardial effusion is suspected on clinical or radiographic grounds, the illness lasts longer than 1 week, or myocarditis or purulent pericarditis is suspected.. A chest radiograph is helpful to exclude pulmonary conditions that may be responsible ...

Uremic pericarditis is a form of pericarditis. It causes fibrinous pericarditis. The main cause of the disease is poorly understood. Fibrinous pericarditis is an exudative inflammation. The pericardium is infiltrated by the fibrinous exudate. This consists of fibrin strands and leukocytes. Fibrin describes an amorphous, eosinophilic (pink) network. Leukocytes (white blood cells; mainly neutrophils) are found within the fibrin deposits and intrapericardic. Vascular congestion is also present. Inflammatory cells do not penetrate the myocardium (as is seen with other presentations of pericarditis), and as a result, this particular variant does not present with diffuse ST elevation on ECG (a classic sign of pericarditis known as stage I ECG changes which are seen with other causes). To naked eye examination, this pathology is referred to as having a Bread and Butter Appearance. Uremic pericarditis is correlated to the degree of azotemia in the system. BUN is normally >60 mg/dL (normal is 7-20 ...

MIRON, Lorena et al. Pericarditis as initial presentation of disseminated meningococcal disease. Arch. argent. pediatr. [online]. 2013, vol.111, n.6. ISSN 0325-0075. http://dx.doi.org/10.5546/aap.2013.e144.. Pericarditis is a well-recognized but uncommon complication of meningococcal infection. The incidence of pericarditis complicating meningococcal disease in all age groups is reported to be 3-19%. There are few cases reported in the paediatric age group. Disseminated meningococcal disease with pericarditis, defned as purulent pericarditis with clinical evidence of disseminated meningococcemia and meningitis. We report the case of a 4-month-old male infant who presented disseminated meningococcal disease with pericarditis caused by Neisseria meningitidis serogroup B. The patient was treated with antibiotic with excellent response. It is important to point out that meningococcal disease may present in unusual forms which may lead to diagnostic and therapeutic diffculties.. Palabras clave : ...

Acute pericarditis usually occurs in the presence of more or less easily recognized infections elsewhere in the body, as with rheumatic fever, pneumococcic pneumonia, septicemia or tuberculosis, to mention the more common examples. That it may occur spontaneously and without the demonstration of any known infectious agent is not well known. Such cases have been called acute, non-specific pericarditis. The sudden onset and the severity of the chest pain may be such as to lead to the erroneous diagnosis of coronary thrombosis,1, 2, 3 or to pulmonary infarction.4. The recognition of several cases of acute, primary or non-specific pericarditis in ...

Synonyms for external pericarditis in Free Thesaurus. Antonyms for external pericarditis. 1 word related to pericarditis: carditis. What are synonyms for external pericarditis?

The causes of pericarditis can be broadly divided into infectious and non-infectious. Infectious pericarditis, particularly bacterial, can progress rapidly and lead to severe complications in a short period of time. Viral pericarditis may be just as acute but depending on the virus involved, it can resolve spontaneously with minimal treatment. Other infectious causes includes tuberculosis, fungal infections and certain parasites which tends to lead to a more chronic pericarditis.. Among the non-infectious causes, the immune mediated conditions feature prominently. This includes rheumatic fever, systemic lupus erythematosus (SLE) and scleroderma. There is often an immune component involved in other conditions like after a myocardial infarction (heart attack) known as Dressler syndrome, cardiothoracic surgery and hypersenstivity to drugs.. Other causes may include heart diseases and trauma, including a myocardial infarction with secondary inflammation of the pericardium, injury to the pericardium, ...

View details of top viral pericarditis hospitals in New Delhi. Get guidance from medical experts to select best viral pericarditis hospital in New Delhi

The frequency of pericarditis in patients with rheumatoid arthritis has been reported to range between 30-50%,1 2 but cardiac tamponade is a rare complication in such patients. The progression of cardiac tamponade caused by rheumatoid pericarditis is not necessarily due to deterioration of rheumatoid arthritis, and the prognosis of patients is very poor. However, rheumatoid pericarditis is absent from the index to the activity of disease. We report a case of cardiac tamponade caused by rheumatoid pericarditis associated with high concentrations of interleukin-6 (IL-6) in pericardial fluid.. A 60 year old Japanese woman was admitted to hospital with cardiac tamponade. The patient had been treated with non-steroidal anti-inflammatory drugs after the initial diagnosis of rheumatoid arthritis (rheumatoid factor 120 IU/ml) when she was 47 years old. At the age of 59 years, she was also diagnosed as having a moderate pericardial effusion caused by rheumatoid arthritis, based on chest radiographic and ...

Looking for niche pericarditis? Find out information about niche pericarditis. see ecology ecology, study of the relationships of organisms to their physical environment and to one another. The study of an individual organism or a... Explanation of niche pericarditis

TY - JOUR. T1 - Myopericarditis as an initial presentation of meningococcemia. Unusual manifestation of infection with serotype W135. AU - Brasier, Allan R.. AU - Macklis, Jeffrey D.. AU - Vaughan, Doug. AU - Warner, Laurel. AU - Kirshenbaum, James M.. PY - 1987/3/23. Y1 - 1987/3/23. N2 - Acute meningococcemia is a dramatic clinical syndrome from infection with the gram-negative diplococcus, Neisseria meningitidis. Although pericarditis may complicate the course of meningococcemia, it is distinctly unusual as a presenting sign. A case of disseminated meningococcemia presenting as acute myopericarditis is reported. The serotype isolated, type W135, was a sporadic cause of N. meningitidis in the Boston area. Although the patient had meningitis, bacteremia, and myopericarditis, his course was uncomplicated with early institution of antibiotic therapy.. AB - Acute meningococcemia is a dramatic clinical syndrome from infection with the gram-negative diplococcus, Neisseria meningitidis. Although ...

This page includes the following topics and synonyms: Medication Causes of Pericarditis, Pericarditis due to Medications, Drug-Induced Pericarditis.

TY - JOUR. T1 - Histone deacetylase inhibition attenuates atrial arrhythmogenesis in sterile pericarditis. AU - Chang, Chien Jung. AU - Li, Shao Jung. AU - Chen, Yao Chang. AU - Huang, Shih Yu. AU - Chen, Shih Ann. AU - Chen, Yi Jen. PY - 2018/10. Y1 - 2018/10. N2 - Cardiac surgery is complicated with atrial fibrillation (AF). Histone deacetylase (HDAC) inhibition reduces AF occurrence. In pericarditis, HDAC inhibition may modulate AF trigger and substrate. We recorded electrocardiograms in control and pericardiotomic (op) rabbits without and with an intraperitoneal injection of MPT0E014 (HDAC inhibitor). Conventional microelectrodes recorded action potentials (APs) in pulmonary veins (PVs), the right and left atrium (LA). Massons trichrome was used to identify collagen fibers in PVs and the LA. Electrocardiograms showed frequent atrial premature contractions in op rabbits, but not in the other 3 groups. The beating rates in PVs and opPVs were decreased by MPT0E014 treatment. Spontaneous burst ...

Pleuropericarditis Symptom Checker: Possible causes include Pleurisy & Acute Pleuropericarditis & Systemic Lupus Erythematosus. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search.

The findings on the CT PA are consistent with acute pericarditis. The patient presented with pleuritic chest pain, for which the ED needed to exclude pulmonary embolism. The CT PA shows no evidence of PE, but shows thickening and enhancement of...

Pericarditis and myocarditis are diseases of a similar etiology and clinical image, and they often overlap. Depending on the clinical manifestation, there is pericarditis with simultaneous involvement of the heart muscle (myopericarditis), or myocarditis with pericardial involvement (perimyocarditis). The paper presents a case of a young patient with myopericarditis, with attention to the electrocardiographic image and parameters of myocardial damage ...

A case of herniation of the left atrial appendage, through a defect in the pericardium, is described in a 16-year-old boy who was below the third percentile for height and weight. The clinical presentation was an acute pericarditis. Widespread inversion of T waves on the electrocardiogram and collapse of the lower lobe of the left lung with pleural effusion developed. Thoracotomy showed strangulation of the atrial appendage which was excised, and the pericardial defect repaired. After operation there was a striking improvement in the electrocardiogram and a rapid gain in weight. Syndromes caused by pericardial defects are reviewed. ...

Acute pericarditis usually responds to anti-inflammatory drugs such as colchicine or NSAIDs (such as aspirin and ibuprofen). The drugs can be tapered once the patients symptoms improve. Colchicine also decreases the likelihood of recurrence. If pain is very severe, an opiate such as morphine may be needed. Prednisone, a corticosteroid, is prescribed in some cases to reduce inflammation. It should not be used in persons with viral infection as it can aggravate symptoms. Prednisone also increases the chances of recurrence ...

Acute pericarditis in young patients usually has a benign course. However, in those with autoimmune diseases it is mandatory to consider the risk of opportunistic infections, and of association with the underlying disease or immunomodulatory drugs. This case report aims to show possible strategies for diagnosis and treatment of this particularly complex group of patients.

In Fig 5A⇑, window 1 shows an activation wave front of the reentrant circuit at time zero. This area of zero activation time was reactivated at 100 ms. This reentrant circuit (orange) had one rotation around a central line of functional block at the right atrial appendage in a clockwise direction with a cycle length of 100 ms, and subsequently one rotation that included the superior vena cava as part of the central line of block with a cycle length of 130 ms (windows 2 and 3). Window 3 shows persistence of the reentrant circuit but with a change, ie, the line of functional block shortened. The shorter line of functional block allowed the free wall close to the right atrial appendage now to be activated from this reentrant circuit. Because of the short cycle length (80 ms) of the reentrant circuit during window 3, that area (at 170 ms) was probably still refractory, and block of the reentrant wave front at 250 ms (represented by T markers) occurred. The electrograms recorded from six sites (a ...

Infective endocarditis on mitral annular calcification complicated with purulent pericarditis: A case report., Takasumi Goto, Koichi Toda, Shunsuke Saito, Shigeru Miyagawa, Yasushi

Find the best rheumatic pericarditis doctors in Chennai. Get guidance from medical experts to select rheumatic pericarditis specialist in Chennai from trusted hospitals - credihealth.com

In 5-10% of patients with acute myocardial infarction occurs a slight pericarditis after a few days. The condition is usually harmless, and it goes back by itself. As a result of modern treatment (thrombolysis), this pericarditis form becomes less frequent. Another type of pericarditis occurs later in throughout heart attack in 10-20% of infarct patients ...

The prevalence of uremic pericarditis (UP) used to range from 3% to 41%. More recently, it has decreased to about 5%-20% and to ,5% in the last decades, as hemodialysis techniques have become widely used and dialysis quality improved. The objective of this work is to determine the initial clinical picture and the prognosis of patients presenting End Stage Renal Disease (ESRD) with UP. MATERIALS: This is a retrospective study (May 2015-September 2017). Inclusion criteria targeted patients who had uremic pericarditis defined as pericarditis occurring in a patient with ESRD before initiation of renal replacement therapy, or within eight weeks of its initiation ...

Dressler syndrome is a secondary form of pericarditis that occurs in the setting of injury to the heart or the pericardium (the outer lining of the heart). It consists of fever, pleuritic pain, pericarditis and/or a pericardial effusion. Dressler syndrome is also known as postmyocardial infarction syndrome and the term is sometimes used to refer to post-pericardiotomy pericarditis. It was first characterized by William Dressler at Maimonides Medical Center in 1956. It should not be confused with the Dresslers syndrome of haemoglobinuria named for Lucas Dressler, who characterized it in 1854. Dressler syndrome was, historically, a phenomenon complicating about 7% of myocardial infarctions; however, in the era of percutaneous coronary intervention, it is very uncommon. The disease consists of a persistent low-grade fever, chest pain (usually pleuritic in nature), pericarditis (usually evidenced by a pericardial friction rub), and/or a pericardial effusion. The symptoms tend to occur 2-3 weeks ...

Yes pericarditis can be recurrent. It may come back after discontinuing the treatment. People who have urticaria, asthma or hay fever have higher chances of recurrent pericarditis.

Professor Rabie E. Abdel-Halim and Dr and Salah R. Elfaqih This is a study and translation of the section on pericarditis in Kitab al-taysir fi al-mudawat wa-l-tadbir (Book of Simplification Concerning Therapeutics and Diet) written by the Muslim physician Ibn Zuhr (Avenzoar) who lived and practiced in Al-Andalus between 1091-1162 CE. Ibn Zuhr described the serous type of pericarditis as well as the pathological findings in fibrinous pericarditis. His description of the latter may also fit with the picture of chronic fibrous pericarditis. He also described acute purulent pericarditis and involvement of the pericardium in cases of acute carditis with hectic fever. Ibn Zuhrs description of the pericardial effusion in serous pericarditis as looking like urine indicates that he must have seen a sample of the fluid obtained either by pericardiocentesis or during a post-mortem examination. However, his description of solid substances accumulating on the inside of the hearts covering looking like ...

Pericarditis is an inflammation of the parietal or visceral layers of the heart. It has many causes, can mimic many conditions, and requires early diagnosis for prompt treatment in order to avoid long term sequelae. How does it present? Sharp/pleuritic chest pain Radiates to back or shoulders Better leaning forward and worse when lying flat Associated with fever, chills, malaise What will you find on exam? Nothing Pericardial friction rub Pericardial effusion (large effusion think uremic pericar

Purpose A review of published data on the safety and efficacy of colchicine therapy for primary and secondary prevention of pericarditis is presented. Summ

Ive had 7 pericarditis recurrences in the last year and a half. I was treated immediately with corticosteroids and NSAIDs, and have had steroids restarted everytime it relapsed and then slowly tapered...

Bacterial pericarditis is an infection of the pericardium, which is a thin membrane that protects your heart. Read more about how to treat this infection.

Paper A Randomized Trial of Colchicine for Acute Pericarditis Presenter SH Summary Background Colchicine is effective for the treatment of recurrent pericarditis. However, conclusive data are lacking regarding the use of colchicine during a first attack of acute pericarditis and in the prevention of recurrent symptoms. Methods In a multicenter, double-blind trial, eligible adults with…

Seventeen patients with rheumatoid pericarditis, diagnosed clinically, are compared with 41 cases reported in the literature and with 85 control patients with rheumatoid arthritis but without pericarditis. Rheumatoid pericarditis occurred in patients with definite or classical rheumatoid arthritis. Rheumatoid factor, present in 93% of the patients tested, was statistically commoner than in the control group. Subcutaneous nodules were present in 47%. The presenting complaints were left-sided chest pain (59%) and symptoms of congestive heart failure (18%). A pericardial friction rub was detected in 65%. All patients had cardiomegaly, as seen by X ray, accompanied by pleural effusion in 65%. A low sugar concentration in the pericardial fluid, elevated lactic dehydrogenase and gamma globulin levels, and, probably, a low complement value indicate rheumatoid arthritis as the most probable cause of the effusion. Over one third of the pericarditis patients eventually required pericardiectomy or died of ...

Pericarditis is inflammation of the pericardium, the thin sac (membrane) that surrounds the heart. There is a small amount of fluid between the inner and outer layers of the pericardium. Often, when the pericardium becomes inflamed, the amount of fluid between its two layers increases, causing a pericardial effusion. If the amount of fluid increases quickly, the effusion caused can impair the ability of the heart to function properly. A complication of pericarditis, which is a serious condition, is called cardiac tamponade.. ...

Pericarditis is inflammation of the pericardium, the thin sac (membrane) that surrounds the heart. There is a small amount of fluid between the inner and outer layers of the pericardium. Often, when the pericardium becomes inflamed, the amount of fluid between its two layers increases, causing a pericardial effusion. If the amount of fluid increases quickly, the effusion caused can impair the ability of the heart to function properly. A complication of pericarditis, which is a serious condition, is called cardiac tamponade.. ...

Watch the video lecture Acute Pericarditis: Diagnosis & boost your knowledge! Study for your classes, USMLE, MCAT or MBBS. Learn online with high-yield video lectures by world-class professors & earn perfect scores. Save time & study efficiently. ➨ Try now for free! Online Learning with Lecturio - anytime, anywhere

Editorial (subscription or payment may be required). Survival Lower for Night CPR Events in Children. WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- Hospitalized children have reduced survival odds with cardiopulmonary resuscitation (CPR) events occurring at night compared to other times of the day, according to a study published online Nov. 7 in JAMA Pediatrics.. Full Text. Better Teamwork Linked to Improved Outcomes for CABG. WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- For patients undergoing coronary artery bypass grafting (CABG), surgical outcomes are better for health systems with physicians who have higher teamwork levels, according to a study published online Nov. 8 in Circulation: Cardiovascular Quality and Outcomes.. Full Text (subscription or payment may be required). Anakinra Cuts Risk of Recurrence in Recurrent Pericarditis. WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- Use of anakinra reduces the risk of recurrence of pericarditis among patients with recurrent pericarditis with ...

Pericarditis is inflammation or infection of the pericardium. In children, pericarditis is most likely to happen after surgery to repair heart defects.

Pericarditis is inflammation or infection of the pericardium. In children, pericarditis is most likely to happen after surgery to repair heart defects.

Pericarditis is inflammation or infection of the pericardium. In children, pericarditis is most likely to happen after surgery to repair heart defects.

The American Heart Association explains pericarditis, an inflammation of the pericardium, the potential causes, and who is at risk for pericarditis.

First of all I would like to thank you Dr. Smith for all of you excellent posts and teachings. I am an RN and I work in Huntington, WV. It is very bothersome to me that most people immediately say pericarditis d/t age. I have personally seen a 24,26,30 year olds with true stemis unrelated to stimulants. Sadly most of the physicians in our ER would jump straight to pericarditis even after seeing young people with AMI. There have been a few instances one very recent where I begged a physician to activate the cath lab for an EKG that was transmitted to us from the volunteer fire department I am a part of. This was an obvious anterior/lateral mi with depression in inferior leads and this pt was 55 years old! So,you can imagine when a young person presents with CP and ekg changes. So,again thank you for your posts and teachings on up to date electrocardiography findings. I wish more of our physicians were like you. It makes ER work a lot easier when you arent arguing with a physician over an ekg. ...

Tuberculous pericarditis is one of the most severe forms of extrapulmonary tuberculosis, causing death or disability in a substantial proportion of affected people.1,2 In Africa, the incidence of tuberculous pericarditis is rising as a result of the HIV epidemic.3 The effect of HIV infection on survival in patients with tuberculous pericarditis is unknown.2,4 Whereas some investigators have suggested that HIV-infected patients with tuberculous pericarditis have a similar outcome to non-infected cases,5 others have shown that there may be an increase in mortality in HIV associated with tuberculous pericarditis.2,6,7 We established a prospective observational study, the Investigation of the Management of Pericarditis in Africa (IMPI Africa) registry, to obtain current information on the diagnosis, management and outcome of patients with presumed tuberculous pericarditis living in sub-Saharan Africa, where the burden of HIV infection is the greatest in the world.4,8-10 In this paper, we report the ...

Start Over You searched for: Languages English ✖Remove constraint Languages: English Copyright Public domain ✖Remove constraint Copyright: Public domain Subjects Pericarditis ✖Remove constraint Subjects: Pericarditis Titles Clinic: pericarditis with effusion : a clinic given at the Peter Bent Brigham Hospital to students of the Harvard Medical School ✖Remove constraint Titles: Clinic: pericarditis with effusion : a clinic given at the Peter Bent Brigham Hospital to students of the Harvard Medical School ...

Objective: To assess the value of pericardial fluid adenosine deaminase (ADA) and pericardial lysozyme (Lys) as tools in diagnosing tuberculous pericarditis. Methods: Forty-one patients (age range 17-77 years) with significant pericardial effusion were included in the study. Diagnostic pericardiocentesis and pericardial biopsy were performed while serum and pericardial fluid ADA and Lys were measured in all patients. Grouping of patients resulted as follows: group I = 7 patients with tuberculous pericarditis; group II = patients with neoplastic pericarditis; group III = 30 patients with idiopathic pericarditis. Results: Pairwise multiple comparison procedures revealed a significant difference of ADA in group I versus group III (p | 0.05) but not versus group II. Furthermore, pericardial Lys in group I was higher than in groups II and III (p | 0.05). A strong correlation between pericardial ADA and Lys was found (r = 0.733, p = 0.01) for all the patients. Receiver operating curves showed a value of

Inflammation of the pericardium is called pericarditis. This condition typically causes chest pain that spreads to the back that is worsened by lying flat. In patients suffering with pericarditis, a pericardial friction rub can often be heard when listening to the heart with a stethoscope. Pericarditis is often caused by a viral infection (glandular fever, cytomegalovirus, or coxsackievirus), or more rarely with a bacterial infection, but may also occur following a myocardial infarction. Pericarditis is usually a short-lived condition that can be successfully treated with painkillers, anti-inflammatories, and colchicine. In some cases, pericarditis can become a long-term condition causing scarring of the pericardium which restricts the hearts movement, known as constrictive pericarditis. Constrictive pericarditis is sometimes treated by surgically removing the pericardium in a procedure called a pericardiectomy.[6]. Fluid can build up within the pericardial sack, referred to as a pericardial ...

Inflammation of the pericardium is called pericarditis. This condition typically causes chest pain that spreads to the back that is worsened by lying flat. In patients suffering with pericarditis, a pericardial friction rub can often be heard when listening to the heart with a stethoscope. Pericarditis is often caused by a viral infection (glandular fever, cytomegalovirus, or coxsackievirus), or more rarely with a bacterial infection, but may also occur following a myocardial infarction. Pericarditis is usually a short-lived condition that can be successfully treated with painkillers, anti-inflammatories, and colchicine. In some cases, pericarditis can become a long-term condition causing scarring of the pericardium which restricts the hearts movement, known as constrictive pericarditis. Constrictive pericarditis is sometimes treated by surgically removing the pericardium in a procedure called a pericardiectomy.[5]. Fluid can build up within the pericardial sack, referred to as a pericardial ...

The authors bring back 70 cases of pericarditis brought together between 2012 and 2017 in the service of surgery B of the CHU Point G and to the Hospital Mother-Child, the Luxembourg in Mali. The average age of the patients is 31.5 years with extremes of 2 years and 84 years. The tubercular etiology widely comes to mind with 49 cases. The diagnostic contributions of the echocardiography are analyzed. The accent is put on good tolerance hemodynamic of the tubercular pericarditis. The forecast depends essentially on the etiology and on the diagnostic delay; indeed the tamponade pericardium can be inaugural or complicated; the evolution of the pericarditis is burdened of a heavy mortality (4.2% in our series). On the other hand the passage in the chronicity complicates essentially pericarditis seen late (8.6% in our series).

Start Over You searched for: Collections World War 1, 1914-1918 ✖Remove constraint Collections: World War 1, 1914-1918 Copyright Public domain ✖Remove constraint Copyright: Public domain Subjects Pericarditis ✖Remove constraint Subjects: Pericarditis Subjects Boston ✖Remove constraint Subjects: Boston Genre Case Reports ✖Remove constraint Genre: Case Reports Titles Clinic: pericarditis with effusion : a clinic given at the Peter Bent Brigham Hospital to students of the Harvard Medical School ✖Remove constraint Titles: Clinic: pericarditis with effusion : a clinic given at the Peter Bent Brigham Hospital to students of the Harvard Medical School Dates by Range 1900-1949 ✖Remove constraint Dates by Range: 1900-1949 ...

TY - JOUR. T1 - Rheumatoid pericarditis presenting as a mass lesion. AU - Goldman, S.. AU - Gall, E. P.. AU - Hager, W. D.. PY - 1978/1/1. Y1 - 1978/1/1. N2 - The findings of a loculated pericardial effusion presenting as a mass lesion are described in a 54-year-old man with rheumatoid arthritis who exhibited findings of both cardiac tamponade and of constrictive pericarditis.. AB - The findings of a loculated pericardial effusion presenting as a mass lesion are described in a 54-year-old man with rheumatoid arthritis who exhibited findings of both cardiac tamponade and of constrictive pericarditis.. UR - http://www.scopus.com/inward/record.url?scp=0018091141&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0018091141&partnerID=8YFLogxK. U2 - 10.1378/chest.73.4.550. DO - 10.1378/chest.73.4.550. M3 - Article. C2 - 630979. AN - SCOPUS:0018091141. VL - 73. SP - 550. EP - 552. JO - Chest. JF - Chest. SN - 0012-3692. IS - 4. ER - ...

Acute myopericarditis and exertional rhabdomyolysis, two uncommon but well-described diseases with potentially life-threatening effects, are generally considered as independent clinical entities. However, they may in fact be pathophysiologically related under certain circumstances. This is the first ever report of influenza myopericarditis provoked by exertional rhabdomyolysis to the best of our knowledge. A 25-year-old immunocompetent Chinese man presented with bilateral leg pain, dizziness, and shortness of breath on admission soon after completing vigorous training comprising running drills. Exertional rhabdomyolysis was diagnosed with 44 fold high serum creatine phosphokinase. Then he developed chest pain, pericardial effusion, changes of electrocardiography and positive troponin I suggestive of myopericarditis. Influenza A (H3N2) virus infection was confirmed by polymerase chain reaction analysis of nasopharyngeal wash samples. Other possible infective and autoimmune causes were excluded. Patient

Background: Definitive diagnosis of tuberculous pericarditis requires isolation of the tubercle bacillus from pericardial fluid, but isolating the organism is often difficult. Aim: To improve diagnostic efficiency for tuberculous pericarditis, using available tests. Design: Prospective observational study. Methods: Consecutive patients (n=233) presenting with pericardial effusions underwent a predetermined diagnostic work-up. This included (i) clinical examination; (ii) pericardial fluid tests: biochemistry, microbiology, cytology, differential white blood cell (WBC) count, gamma interferon (IFN-γ), adenosine deaminase (ADA) levels, polymerase chain reaction testing for Mycobacterium tuberculosis; (iii) HIV; (iv) sputum smear and culture; (v) blood biochemistry; and (vi) differential WBC count. A model was developed using classification and regression tree analysis. The cut-off for the total diagnostic index (DI) was optimized using receiver operating characteristic (ROC) curves. Results: ...

To the Editor: We do not agree with the diagnosis of myocardial infarction in the case of a 36-year-old man 2 days after a dog bite1 . For several reasons, we believe that the patient had myopericarditis rather than myocardial infarction.. First, the patient had symptoms, signs, and laboratory findings consistent with sepsis, and blood cultures yielded Capnocytophaga canimorsus. Myocardial infarction occurs occasionally in patients with bacteremia, and it usually results from sepsis-associated hypotension or from endocarditis with septic embolism to the coronary arteries. However, viral and bacterial infections are more commonly the cause of pericarditis and myocarditis.2 3 ECG patterns of acute myopericarditis are known to resemble those seen with acute myocardial infarction.4 The presented ECG demonstrated ST elevations in both anterior and inferior leads in a manner consistent with the pattern found in acute myopericarditis.4 5 Second, the absence of regional wall motion abnormalities and the ...

TY - JOUR. T1 - Reversal of the pattern of respiratory variation of Doppler inflow velocities in constrictive pericarditis during mechanical ventilation. AU - Abdalla, Ibrahim A.. AU - Murray, R. Daniel. AU - Awad, Hamdy E.. AU - Stewart, William J.. AU - Thomas, James D.. AU - Klein, Allan L.. PY - 2000/1/1. Y1 - 2000/1/1. N2 - Background: Spontaneous inspiration causes a characteristic decrease of the mitral valve (MV) and puLrnonary venous (PV) flow velocities obtained by Doppler echocardiography in patients with constrictive pericarditis (CP). This has been explained by the decrement it causes in the intrathoracic pressure. Positive pressure ventilation (PPV) causes an increment of intratlloraclc pressure with meclmnical inspiration. Therefore the pattern of respiratory variatipn produced during PPV may differ from that seen during spontaneous breathing. Objective: Our goal was to desct4be the effect of PPV on the pattern and magnitude of respiratory variation of MV and PV flow velocities in ...

The clinical aspects of pericardial disease encompass acute and recurrent pericarditis, pericardial effusion and pericardial tamponade, constrictive pericarditis, and effusive-constrictive pericarditis. These disorders differ not only in clinical presentation but also in the timeline of development, thus management of pericardial disease can be challenging for many clinicians. To assist medical professionals with this often complex area, this book provides an extensive review of pericardial disease evaluation and management in a unified, stepwise pathway-based approach. Management of Pericardial Disease contains a selection of defining clinical images to guide in identification and management of pericardial disease. Fellows, residents, cardiologists, thoracic medicine physicians, cardiothoracic surgeons, radiologists, and intensive care and emergency medicine physicians alike will find this book to be an essential resource for developing the skills and knowledge applicable to managing ...

I too have had a pericardiectomy from constrictive pericarditis. I was misdiagnosed with costochondritis for several years and finally was properly diagnosed when I went to the hospital with such sever pain. I was 27. A few months later (after MRIs and unsuccessful treatments with methotrexate and indomethecin), I was told I had some of the worse fusion the surgeon has ever seen. Approximately 3 months after the surgery, I began having pericarditis symptoms identical to the symptoms I had before. Same intensity and everything! I now suspect they didnt remove enough calcium that was fused to my heart too, or perhaps they left too much unscarred tissue behind, which continues to get inflamed. My surgery was done in 2010 at Suburban Hospital in Bethesda, MD which is part of the Johns Hopkins family. I typically have a flareup once every 6 months, which I have treated with prednisone until about 6 months ago when my flareups became more frequent. I think the prednisone caused the more frequent ...

TY - JOUR. T1 - Chronic GvHD-associated serositis and pericarditis. AU - Leonard, J. T.. AU - Newell, L. F.. AU - Meyers, G.. AU - Hayes-Lattin, B.. AU - Gajewski, J.. AU - Heitner, S.. AU - Nonas, S.. AU - Allen, B.. AU - Stentz, A.. AU - Frires, R.. AU - Maziarz, R. T.. AU - Holtan, S. G.. PY - 2015/8/8. Y1 - 2015/8/8. N2 - Serositis is a rare manifestation of chronic GvHD (cGvHD). No risk factors or laboratory changes associated with this syndrome have been recognized to date, and outcomes have not been described in a large series. We searched our institutional database for patients undergoing allogeneic hematopoietic cell transplant identified as having serositis or pericarditis. Laboratory studies from prior to diagnosis, at diagnosis and post diagnosis of serositis, as well as outcomes from invasive procedures were included. Twenty patients met criteria for cGvHD-associated serositis, and all but three patients had a prior diagnosis of cGvHD. Fifteen were male, and the complication ...

Sub-Saharan Africa is in the midst of three epidemics which predispose patients to infections of the heart. these epidemics are rheumatic heart disease, tuberculosis, and human immunodeficiency virus (HIV) infection. <BR>Patients with valvular heart disease (i.e. abnormal native or prosthetic valves), congenital heart disease, patches or conduits are at risk of developing infective endocarditis. <BR>Infective endocarditis is rarely an acute illness that requires immediate intervention. <BR>TB pericarditis presents in three forms: pericardial effusion, constrictive pericarditis, and effusive-constrictive pericarditis. <BR>Treatment of TB pericarditis is by means of standard four-drug antituberculosis chemotherapy for 6 months. <BR>The clinical effects of HIV on the heart are relatively uncommon, compared with the impact of HIV infection on the lungs, gastrointestinal tract, central nervous system and the skin. <BR>Pericardial effusion, as a result of TB pericarditis,

Tuberculous pericarditis. A review of 100 cases.: A retrospective survey of 100 Black patients with presumed tuberculous paricarditis showed that 82 presented w

Constrictive pericarditis (CP) is a reduction in the elasticity, or stiffening, of the pericardium, a sack-like covering that surrounds the heart, resulting in impaired filling of the heart with blood. The symptoms of CP, which may include exercise intolerance, liver failure, dyspnea, and renal failure, appear insidiously and may be misleading.

Periodical: Osler, William. Tuberculous Pericarditis. American Journal of the Medical Sciences 105, (1893): 20-37. Article. 9 Images ...

During March 25--31, four cases of myocarditis and/or pericarditis were identified, totaling 14 cases among approximately 250,000 personnel who received smallpox vaccination for the first time. No cases of myocarditis and/or pericarditis were identified among approximately 115,000 service members who were revaccinated. Among the approximately 365,000 vaccinated military service members, one death has been reported. The 14 patients with myocarditis and/or pericarditis ranged in age from 21 to 33 years. Severity ranged from mild (no ECG or echocardiogram changes) to severe (congestive heart failure), with onset 7 to 19 days after vaccination. All military patients were hospitalized, and all survived. As of April 2, the patient with the most severe case has been hospitalized for 6 days. All other hospitalized patients have been discharged; they have either returned to duty or are on short-term convalescent leave. Following are two cases that represent the spectrum of clinical presentations of ...

Mayosi BM, Ntsekhe M, Bosch J, Pandie S, Jung H, Gumedze F, Pogue J, Thabane L, Smieja M, Francis V, Joldersma L, Thomas KM, Thomas B, Awotedu AA, Magula NP, Naidoo DP, Damasceno A, Chitsa Banda A, Brown B, Manga P, Kirenga B, Mondo C, Mntla P, Tsitsi JM, Peters F, Essop MR, Russell JB, Hakim J, Matenga J, Barasa AF, Sani MU, Olunuga T, Ogah O, Ansa V, Aje A, Danbauchi S, Ojji D, Yusuf S. Prednisolone and Mycobacterium indicus pranii in tuberculous pericarditis. N Engl J Med. 2014 Sep 18; 371(12):1121-30 ...

PANDIE S, PETER JG, KERBELKER ZS, MELDAU R, THERON G, GOVENDER U, NTSEKHE M, DHEDA K, MAYOSI BM. Diagnostic accuracy of quantitative PCR (Xpert MTB/RIF) for tuberculous pericarditis compared to adenosine deaminase and unstimulated interferon-? in a high burden setting: a prospective study BMC Med [online] :101 [viewed 30 September 2014] Available from: doi:10.1186/1741-7015-12- ...

Medical definition of Dresslers syndrome: pericarditis after heart attack or open-heart surgery that is often recurrent and is typically accompanied by chest pain, fever, malaise, difficulty in breathing, pleurisy, and pericardial and pleural effusions.

Learn about some of the myths that exist regarding differentiation of pericarditis from STEMI from the Master himself, Dr. Amal Mattu.

During January 24--June 20, 2003, smallpox vaccine was administered to 37,802 civilian health-care and public health workers in 55 jurisdictions to prepare the United States for a possible terrorist attack using smallpox virus. This report updates information on vaccine-associated adverse events among civilians vaccinated since the beginning of the program and among contacts of vaccinees, received by CDC from the Vaccine Adverse Event Reporting System (VAERS) as of June 20. Two cases of dilated cardiomyopathy (DCM) were diagnosed 3 months after vaccination. For the potential relation between smallpox vaccine and DCM to be assessed, identification of additional cases of DCM among vaccinees will be essential. Physicians who treat smallpox vaccine recipients are encouraged to evaluate and report patients with symptoms compatible with DCM, including those that occur several months after vaccination. In this vaccination program, CDC, the Food and Drug Administration, and state health departments are ...

bacterial pericarditis - Chinese - English Dictionary with Pinyin & Handwriting Recognition. View stroke orders for each character too!

Pericardial diseases constitute pathologic processes that involve the pericardium, the pericardial sac and its contents, and the thoracic structures surrounding the heart. Cardiovascular perturbations associated with pericardial disease range from the asymptomatic electrocardiographic findings in uremic pericarditis to catastrophic circulatory collapse observed in the setting of acute hemorrhagic pericardial tamponade. The clinical features of pericardial diseases may resemble right-side failure, notably right ventricular (RV) failure and tricuspid insufficiency, but can also present as left-side failure manifesting as shortness of breath, reduced exercise tolerance, and multiorgan hypoperfusion. However, clinical management of pericardial pathology may differ significantly from that of ventricular dysfunction or valvular heart disease. As a consequence, timely diagnosis and initiation of appropriate medical or surgical therapy is imperative. This chapter deals specifically with the clinical ...

Signs include a pericardial friction rub and tachycardia. If there is a large enough pericardial effusion, one may not hear a friction rub because the visceral and parietal pleura are not apposed. As effusions increase in volume, dyspnea, or shock may develop. In the presence of pericardial tamponade, distended jugular veins and hepatomegaly may become noticeable. As cardiac output decreases because of decreased cardiac stroke volume, delayed capillary refill, decreased urine output, and hypotension develop. Pulsus paradoxus, an exaggerated decrease in systolic blood pressure during inspiration, may be appreciated.1 ...

Signs include a pericardial friction rub and tachycardia. If there is a large enough pericardial effusion, one may not hear a friction rub because the visceral and parietal pleura are not apposed. As effusions increase in volume, dyspnea, or shock may develop. In the presence of pericardial tamponade, distended jugular veins and hepatomegaly may become noticeable. As cardiac output decreases because of decreased cardiac stroke volume, delayed capillary refill, decreased urine output, and hypotension develop. Pulsus paradoxus, an exaggerated decrease in systolic blood pressure during inspiration, may be appreciated.1 ...

Of 25 adults with RP (21 idiopathic, 4 post-pericardiotomy, mean age 42.8 y, mean 2.6 prior recurrences, 20/25 pts on > 2 pericarditis medications), 23 completed 6 months of rilonacept treatment. One pt chose not to continue into EP, and 1 discontinued TP due to a serious adverse event (SAE). In symptomatic RP pts with CRP >1mg/dL, lower pain and CRP levels were observed after the first injection and maintained to the end of study (Fig 1). Improvement/resolution of other pericarditis manifestations (pericardial effusion, ECG changes, pericardial rub) and improvements in global physical and mental health scores were observed. No subject had pericarditis recurrence in EP, and of 12 pts on CS at baseline completing EP, 1 reduced CS dose and 10 stopped CS during EP. Two SAEs were reported: skin abscess resulting in rilonacept discontinuation and atypical chest pain; both resolved. Most common adverse events were injection site reactions, all mild and none resulting in rilonacept discontinuation ...

M1.CV.112) A 10-year-old male presents with his mother with multiple complaints. A few weeks ago, he had a sore throat for several days that improved without specific therapy. Additionally, over the past several days he has experienced pain in his ankles and wrists and, more recently, his left knee. His mother also noted several bumps on both of his elbows, and he has also had some pain in his center of his chest. He thinks the pain is better when he leans forward. On physical examination, he is noted to be mildly febrile, and a pericardial friction rub is auscultated. Which of the following histopathologic findings is most likely associated with this patients condition? ...

Pericardial calcification usually occurs in patients with a history of pericarditis. Pathology Aetiology uraemia previous trauma or prior pericarditis later sequelae of rheumatic heart disease malignant pericardial involvement (e.g. medias...

Cardiac tamponade happens when the collection of fluid in pericardial space is more quickly than the expansion of the pericardial sac to incorporate the excess...

Authors present the first results of video-assisted pericardioscopy and pericardial biopsy in patients with agnogenic pericarditis. Indications for video-assisted pericardioscopy include pericardial effusion with an etiology which cannot be determined using non-invasive techniques, major pericardial effusion, signs of cardiac tamponade, and sustained exudation in pericardial cavity during conservative therapy ...

Figure 2: Echocardiogram did not show pericardial effusion.. Approximately 1.5 liters of nonmalignant, noninfectious inflammatory exudate was aspirated on thoracocentesis. However, the patient had multiple recurrences, with multiple thoracocenteses and similar outcomes. A pleural decortication surgery was planned. Prior to the surgery, he developed atrial fibrillation. Due to the pleuritic nature of pain and history of low-grade fever, late gadolinium-enhanced CMR imaging was ordered.. CMR Findings: Late gadolinium enhancement revealed marked enhancement of the pericardium with no enhancement of parietal or visceral pleura despite large pleural effusions (Figure 3-A), consistent with primary pericardial inflammation with secondary pleural effusions. Erythrocyte sedimentation rate was 100 mm/hr. The diagnosis of primary pericarditis with secondary reactive pleural effusion was made. Steroid therapy led to near-complete resolution of pericarditis (Figure 3-B) and pleural effusions (Figure 1-B) as ...