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 ...

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 ...

Calcium deposits were seen in the pericardium in 36 of the 135 patients. The patients with calcium deposits more often had an unknown cause of constrictive pericarditis than those without the deposits. Patients with calcium deposits were also more likely to have been sick a long time, to have other signs of pericarditis on physical examination, and to die during surgery performed to remove the diseased pericardium. However, in patients who survived surgery, those with calcium deposits lived as long as those without them over the long term ...

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 ...

Three cases of Wegeners granulomatosis with cardiac complications are described and the relevant published reports are reviewed. The first case of Wegeners granulomatosis was associated with aortic regurgitation and required aortic valve replacement. The second and third cases were associated with pericardial disease requiring pericardiectomy for constructive pericarditis in one case, and haemorrhagic pericarditis with pericardial effusion in the other. Aortic valve involvement in Wegeners granulomatosis is uncommon and valve replacement has been described on only one previous occasion. Pericardial involvement is relatively common pathologically, but pericardial surgery has been described in this condition only twice, once for tamponade and once for constrictive pericarditis after pericardiocentesis. Cardiac involvement is not uncommon in patients with Wegners granulomatosis and may be clinically important. Diagnosis is aided by estimation of the anti-neutophil cytoplasmic antibody ...

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 ...

Acute pericarditis of probable viral or idiopathic origin with moderate effusion and borderline hemodynamic significance was diagnosed. Conservative management with high-dose ibuprofen at 800 mg 3 times daily was initiated. The patients pain and pulsus paradoxus resolved, and serial echocardiograms revealed a decrease in effusion. The patient was discharged home with instructions to follow up in 2 weeks with a repeat echocardiogram.. The patient, however, presented to the emergency room 10 days after discharge. He had been doing well for the first week after discharge, except for minimal fatigue. This was followed by low-grade fevers accompanied by inspiratory chest pain similar to his index admission, mild shortness of breath, and 2-pillow orthopnea.. Vitals signs revealed a heart rate of 110 bpm, blood pressure of 90/60 mm Hg, temperature of 102°F, and normal oxygen saturation. Jugular venous pressure was elevated at 10 cm and exhibited prominent X and deep Y descents (Friedreich sign) and ...

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 ...

Result In this retrospective cohort study, 110 (73.3%) had PH (mean pulmonary artery pressure ≥25 mm Hg). Cpc-PH, using defined cut-offs for pulmonary vascular resistance (,3 Wood units) or diastolic pulmonary gradient (≥7 mm Hg), was seen in 18 patients (12%). The Cpc-PH group had a higher prevalence of comorbidities (diabetes and atrial fibrillation) and concomitant myocardial disease as an aetiology of CP than other groups. Pulmonary vascular resistance had a significant direct correlation with medial E/e′ by Doppler echocardiography (r=0.404, p,0.001). Survival rate was significantly lower in the Cpc-PH than the no-PH (p=0.002) and Ipc-PH (p=0.024) groups. On multivariable analysis, age, New York Heart Association functional class IV, medial e′ velocity, Cpc-PH and Ipc-PH were independently associated with long-term mortality. ...

TY - JOUR. T1 - A Pericardial Pin. T2 - Embolization of an Inferior Vena Cava Filter Strut Presenting as Acute Pericarditis. AU - Buda, Kevin G.. AU - Urbach, Jonathan. AU - Rivard, Marcel. AU - Knoper, Ryan C.. AU - Carlson, Michelle D.. AU - Kohl, Louis. N1 - Publisher Copyright: © 2021 The Authors. PY - 2021/2. Y1 - 2021/2. N2 - A 39-year-old man presented with chest pain initially attributed to viral pericarditis. He was found to have an embolized inferior vena cava filter strut that perforated the right ventricle. Inferior vena cava filter fracture and embolization should be considered in patients with chest pain and pericardial effusion. (Level of Difficulty: Beginner.). AB - A 39-year-old man presented with chest pain initially attributed to viral pericarditis. He was found to have an embolized inferior vena cava filter strut that perforated the right ventricle. Inferior vena cava filter fracture and embolization should be considered in patients with chest pain and pericardial effusion. ...

In some particular endemic area, it is not uncommon to see patients with tuberculosis pericarditis. However, it takes a period of time from tuberculous pericarditis to constrictive pericarditis. There is still no report of tuberculous constrictive pericarditis concurrent with active pulmonary TB infection in a patient without previous pulmonary TB infection history. Therefore, we reported a TB constrictive pericarditis with rare disease progress. We report the case of a 63-year-old Taiwanese man with tuberculous constrictive pericarditis concurrent with active pulmonary tuberculous infection presenting with progressive extremities edema, puffy face, abdominal distension and dyspnea on exertion found to be caused by right heart failure. The patient was cured by pericardial stripping and anti-tuberculosis chemotherapy. We reviewed other cases of tuberculous constrictive pericarditis from the literature and described the peculiarities of this case. Rapid diagnosis and treatment of constrictive pericarditis

TY - JOUR. T1 - Anti-inflammatory properties of amniotic membrane patch following pericardiectomy for constrictive pericarditis. AU - Marsh,Katherine M.. AU - Ferng,Alice S.. AU - Pilikian,Tia. AU - Desai,Ankit A.. AU - Avery,Ryan. AU - Friedman,Mark. AU - Oliva,Isabel. AU - Jokerst,Clint. AU - Schipper,David. AU - Khalpey,Zain. PY - 2017/1/26. Y1 - 2017/1/26. N2 - Background: Since constrictive pericarditis is most often idiopathic and the pathophysiology remains largely unknown, both the diagnosis and the treatment can be challenging. However, by definition, inflammatory processes are central to this disease process. Amniotic membrane patches have been shown to possess anti-inflammatory properties and are believed to be immune privileged. Due to these properties, amniotic membrane patches were applied intraoperatively in a complicated patient presenting with constrictive pericarditis. Case presentation: A patient with a history of multiple cardiac surgeries presented with marked fatigue, ...

A case of a 56-year-old man with constrictive pericarditis which was diagnosed and operated for the first time in 1996, is described. After that, the patient has been hospitalised for several times because of heart failure. On admission to the hospital, he complained of dyspnea on exertion and peripheral edema. Computerised tomography of the chest demonstrated a thickened, calcified pericardium. The combination of imaging and hemodynamic findings established the diagnosis of constrictive pericarditis. The patient was referred to cardiothoracic surgery for pericardiectomy. The patient had an uneventful postoperative recovery and was discharged from the hospital on the twenty seven postoperative day ...

SANTOS, José M. et al. Clinical finding and follow up of chronic constrictive pericarditis. Medicina (B. Aires) [online]. 2010, vol.70, n.4, pp. 316-320. ISSN 0025-7680.. The aim of this study was to describe the etiology, clinical findings, diagnostic methods, treatment, outcome and long-term prognosis of 35 patients with chronic constrictive pericarditis (CCP) that were prospectively analyzed according to a pericardial disease protocol performed in our Institution. Etiology of CCP was idiopathic in 24 patients (68%), and specific in 11 (32%). The majority (34 patients, 97%) underwent pericardiectomy. Perioperative mortality was 12% (4/33) no deaths were registered among patients with idiopathic CCP. Median follow-up was 5.6 years (percentile 25-75: 2.4-7.4 years). The cumulative actuarial survival probability was 97% at 1 year (confidence interval [CI] 80% to 99%); 83% at 5 years, (95% CI 65% to 93%); 78% at 7 years, (95% CI 60% to 90%), and 69% at 10 years (95% CI 50% to 84%). In conclusion, ...

Chest Pain Worse when Lying Down & Chronic Constrictive Pericarditis & Electrocardiogram Change Symptom Checker: Possible causes include Pericarditis. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search.

Chest pain in ESRD from ADPKD has a list of differential diagnosis which includes uremic pericarditis, acute coronary artery disease, pericardial effusion and rarely pericardial cysts, among others. We present a case of pleuritic chest pain secondary to portal hypertensive gastropathy (PHG) in a 24-year old Caucasian male patient with ADPKD who was on maintenance hemodialysis for ESRD, and who previously had been misdiagnosed as acute recurrent pericarditis. The management options for PHG are briefly discussed. Finally, we propose that PHG should be kept in the differential diagnosis of chest pain, pleuritic or non-pleuritic, with or without gastrointestinal symptoms, in patients with ADPKD, with or without renal failure. Moreover, the importance of a detailed medical history in the management of these patients cannot be over emphasized.

Through the years, numerous descriptions of clinical presentation have emerged, and pericarditis has ultimately been sub-classified into constrictive and effusive types.1,2 The true incidence of pericarditis in the general population is not known; however, general estimates indicate approximately 6% have signs of pericarditis at autopsy and this diagnosis accounts for approximately one in 1000 hospital admissions.3 The management of patients with pericarditis can be challenging. While some patients may be medically managed successfully, there is a subset of patients with pericardial constriction or medically refractory effusive/chronic relapsing pericarditis who benefit from surgical intervention.3,4 Despite having vastly different pathophysiology, diastolic heart failure from constriction and recurrent chest pain and effusion from effusive/chronic relapsing, both benefit from removal of the pericardium to achieve symptomatic relief and improvement in functional status.3-9 Although there are ...

The medical records of 118 patients (86 male, 32 female, age 10-50 (mean 27) years) who underwent pericardiectomy for constrictive pericarditis at the Christian Medical College Hospital, Vellore, from 1954 to 1985 were reviewed. All had appreciable pericardial constriction. Preoperatively 97 of the 118 were in class III or IV of the New York Heart Association classification and 100 had peripheral oedema or ascites. Tuberculosis was proved as the cause in 72 patients. Pericardiectomy was accomplished through a standard anterolateral thoracotomy (107 cases), median sternotomy (3 cases), or bilateral thoracotomy (8 cases). Postoperatively an apparent low cardiac output state was seen in 34 patients, 12 of whom died. Hospital mortality in the last 12 years was 11%. Mortality was higher in NYHA class III and IV patients. The improved surgical results recently may be related to increased use of inotropic support and prolonged ventilation. At follow up there were 72 patients in whom functional capacity ...

Tuberculous Pericarditis & Tuberculous Peritonitis Symptom Checker: Possible causes include Diabetes Mellitus. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search.

Introduction: Constrictive pericarditis is characterized by constriction of the heart secondary to pericardial inflammation. Cardiovascular magnetic resonance (CMR) imaging is useful imaging modality for addressing the challenges of confirming this diagnosis. It can be used to exclude other causes of right heart failure, such as pulmonary hypertension or myocardial infarction, determine whether the pericardium is causing constriction and differentiate it from restrictive cardiomyopathy, which also causes impaired cardiac filling. Case Presentation: A 77-year-old man from a country with high incidence of tuberculosis presented with severe dyspnea. Echocardiography revealed a small left ventricle with normal systolic and mildly impaired diastolic function. Left heart catheterization revealed non-obstructive coronary disease, not felt contributory to the dyspnea. Anatomy imaging with cardiovascular magnetic resonance imaging (CMR) showed global, severely thickened pericardium. Short tau inversion ...

A Case of Haemorrhagic Constrictive Pericarditis with Bilateral Pleural Effusions. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.

Classic symptoms of acute appendicitis are well known but are uncommon and often misinterpreted in pediatric patients, potentially delaying diagnosis and resulting in rare sequelae. We conducted a comprehensive systematic literature search of case reports detailing pericardial disease as a rare complication of pediatric appendicitis through MEDLINE, Embase, and Cochrane Databases. Inclusion criteria was that the patient must be | 18 years old and present with both pericardial disease and appendicitis. Our search yielded 7 cases with an average age of 10.3 ± 3.9 years old. The cases involved cardiac tamponade, pericarditis, and/or pericardial effusion. Five cases were diagnosed with appendicitis before complicated by pericardial disease. Most cases had an infectious component, but a majority had negative pericardial fluid cultures. Pleural effusion and abdominal abscesses were other common complications of pediatric appendicitis. Awareness of this uncommon relationship may have prognostic value as this

Pericardial disease in dogs is relatively uncommon, but its presence may be life-threatening. It is an incidental finding or manifestation of a systemic or cardiac disease. The spectrum of pericardial effusions ranges from mild asymptomatic effusions to cardiac tamponade. Pericardial effusion in dogs has an overall prevalence of 0.43% in general and occurs in approximately 7-10% of the dogs with clinical signs of cardiac disease. More commonly seen in dogs, the clinical signs of pericardial disease can be easily overlooked or mistaken for those of other disease processes. In patients with life-threatening pericardial effusion, which has led to cardiac tamponade, it is important to rapidly identify and treat the elevated intrapericardial pressure. Management is guided by the haemodynamic impact, size, presence of inflammation (i.e. pericarditis), associated medical conditions, and the aetiology whenever possible. In this chapter, pericardial effusion in dogs is emphasized.

Pericardial effusion may be caused by acute pericarditis, tumor, uremia, hypothyroidism, trauma, cardiac surgery, or other inflammatory conditions. Pericardial effusion is a known complication of hypo...

Introduction: Trauma to the chest wall can cause bleeding into the pericardium with subsequent inflammation and calcification resulting in constrictive pericarditis. Case Report: Herein we are reporting an unusual case of a man who had chest wall trauma in childhood and presented to our hospital at age of 35 years with ascites, easy fatigability and lightheadedness. On examination, he had signs of right heart failure. His chest X-ray revealed massive pericardial calcification and echocardiogram showed extensive pericardial calcification, also embedding into the myocardium, along with constrictive physiology. After diagnosis of constrictive pericarditis, a pericardiectomy was performed showing large organized calcified hematoma. Discussion: Blunt trauma to the chest wall may results in bleeding into the pericardium. Development of organized, calcified hematoma post trauma is rare complication, but a few case reports have been described in literature. In the review of literature, the time from injury to

Regimens Extrapulmonary TB. As a general rule, regimens that are adequate for treating pulmonary TB in adults and children are also effective for treating extrapulmonary disease. However, infants and children who have miliary TB, bone and joint TB, or TB meningitis should receive a minimum of 12 months of therapy.. The use of adjunct therapies such as surgery and corticosteroids is more commonly required for extrapulmonary TB than for pulmonary disease. Surgery may be necessary to obtain specimens for diagnosis and to treat such processes as constrictive pericarditis and spinal cord compression from Pott s disease. Corticosteroids have been shown to be beneficial in preventing cardiac constriction from tuberculous pericarditis 15 and in decreasing the neurologic sequelae of all stages of TB meningitis, 16 especially when administered early in the course of disease.. In patients with extrapulmonary TB, the type of follow-up examinations should be determined by the site of the disease. ...

Efficient Doubled Haploid Production in Brassica napus via Microspore Colchicine Treatment in vitro and Ploidy Determination by Flow Cytometry Steffen Weber1.. with stress thallium test being normal what are the chances of a heart attack?. -Acetaminophen-NSAIDs -Colchicine -Corticosteroids -Probenecid -ColBenemid.Dr. Carolyn B. Pace, MD, FACR. Irregular heart beat Sudden changes in heart beat. Colchicine Allopurinol.Drug Uses Colchicine is used to treat and prevent pain associated with gouty arthritis. It may also be used in other cases as you doctor deems fit.. ESC 2013 - Some More progresses Home. News. Results from the Investigation on Colchicine in Acute Pericarditis. Therapy in Narrow-QRS Heart Failure.Myo-Pericarditis and Congestive Heart Failure Secondary to. He had no known family history of heart. therapy with both ibuprofen and colchicine prior to display-.ACR: Low-Dose Colchicine Reduces Gout Pain in 24 Hours. Sign In * Upload Upload. Create an account or sign in for a tailor-made ...

Parasternal short-axis (apical, mid, and basal segments) and apical 4-chamber views of the LV were recorded at end-expiration (60 to 110 frames/s) and probe frequency (range 1.7 to 2.0 MHz). To standardize short-axis image planes among the individuals, we identified the basal LV segment at the level of the mitral valve leaflet tips and the apical segment at the level just proximal to LV luminal obliteration at the end-systolic period. To obtain reliable LV 2D strain and rotation values, 3 consecutive heartbeats were digitally saved in cineloop format for later offline analysis with commercially available software (EchoPac 6.0.1 for PC, GE Healthcare). This software has been previously validated and allows accurate tracking acoustical markers (speckle patterns) on sequential echocardiographic images with correlation criteria and sum of absolute differences (13,14). The width for the region of interest was optimized to include at least 50% of the LV wall from the endocardial side. The software ...

In 1980, Hancock (10)described two forms of pericardial constriction, one being elastic and the other more analogous to a rigid shell. The fibroelastic form, he proposed, represents the acute or subacute phase of constriction. He noted that patients with subacute fibroelastic constriction present with more subtle signs and symptoms, rather than the classic findings seen in chronic CP. In many patients who are identified in the course of the initial pericardial inflammatory response, pericardial inflammation continues and pericardial fibrosis and calcification subsequently develop, leading to chronic (rigid) CP. However, as shown by this and other studies (1-4), in some patients the pericardial inflammation resolves without progressing to chronic CP. Thus, the subacute form of CP appears to be a reversible step in the progression to chronic CP.. Transient CP was originally described in the English literature by Sagrista-Sauleda et al. (1)in 1987. They reported the development of objective ...

Image from: Causes of Pericarditis). Most patients will continue to recover and no further treatment is necessary, other than analgesics or anti-inflammatory drugs to relieve pain and antibiotics if there was evidence of a bacterial infection (not shown in your case).. However, occasionally this may cause a chronic constrictive pericarditis, impairing your heart function with as result ongoing chest pains, dyspnea and other symptoms of heart failure, which may require a pericardiectomy with removal of the diseased heart sack.. Hope this helps,. ...

The goal of treatment is to improve heart function. The cause must be identified and treated. Depending on the source of the problem, treatment may include anti-inflammatory agents, antibiotics, medicines for tuberculosis, or other treatments. Diuretics (water pills) are often used in small doses to help the body remove excess fluid. Pain medicines may be needed for discomfort.. Some people may need to cut down on their activity. A low-sodium diet may also be recommended.. If other methods do not control the problem, surgery called a pericardiectomy may be needed. This involves cutting or removing the scarring and part of the sac-like covering of the heart. ...

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This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.. Edits to original content made by Denver Health. Copyright © EBSCO Information ...

Rheumatoid arthritis (RA) is a chronic multisystem disease of unknown cause which affects approximately 1% of the population. The typical characteristic of RA is persistent inflammatory synovitis which usually involves peripheral joints in a symmetric distribution. Systemic involvements of RA include pericarditis, pleuritis, vasculitis, entrapment neuropathy, interstitial lung disease and Sjogren and Felty syndromes. Echocardiographic and postmortem studies have shown that RA affects pericardium in nearly 50% of the patients. However, cardiac tamponade is a rare complication of RA. In this report, we present a surgically-treated 61-year-old female patient with cardiac tamponade secondary to loculated pericardial effusion.. ...

I started with Stage 2 uterine cancer and a complete hysterectomy. Then got MRSA in the wound and abdominal lymphedema. After my hysterectomy, I gained 65lbs of fluid. Then I had five weeks of radiation therapy, which made the lymphedema worse. I had viral pericarditis which left me with a weak heart. So every time I tried compression, I got Congestive Heart Failure. Then they tried Metolazone added to the 80 MG of Lasix I take twice a day. It worked and I lost almost 100lbs. But when I had my next heart scan, they found there was so much fluid, my heart had changed position! Then the cancer returned and more surgery. The lymphedema was so severe, I was literally flooding fluid. They tried a drain, then a wound vac, but both were over whelmed. I was leaking a quart of fluid a day. Now my wound is healed, I am facing 5 weeks of targeted radiation. Not good for lymphedema. I have regained 20 lbs and my abdomen is swollen. Metolazone has had limited success. I cannot use compression because of my ...

How serious is pericardial disease? One of the possible long-term consequences of pericardial disease is heart failure. If youve had inflammation of the peri

The AllMedicine™ Pericardial Disease Center contains research, news, guidelines, drugs, clinical trials, and patient ed. Information related to Pericardial Disease. Browse Now!

Pleuritic chest pain was found in Medicine Central. Medicine Central™ is a quick-consult mobile and web resource that includes diagnosis, treatment, medications, and follow-up information on over 700 diseases and disorders, providing fast answers-anytime, anywhere.

Writing as an ordinary citizen rather than in his role as a professor or as a member of the many committees and advisory boards to which he belonged, Dr Tonti-Filippini explained that what happened in South Australia would affect all Australians, particularly those who like me meet the requirements of the Biill.. Briefly he said he was currently dealing with his own terminal illness which he described as a combination of renal failure, advanced Ischaemic heart disease and rheumatoid auto-immune disease, explaining that he was dependant on haemodialysis and palliative care. He also mentioned that he had undergone 15 angioplasty procedures to place eight stents in a bid to recovdr some of the blood flow after the failure of coronary by pass surgery.. Rheumatoid disease also caused chronic pleuropericarditis, he wrote, adding I mention this only to establish I am no stranger to suffering and disability and am well aware of the limitations of palliative care, and admitted that not only was it ...

Pericarditis (i.e. pericardial inflammation) is usually heralded by acute mediothoracic chest pain (PMID 10878205). Large effusions can be ANA positive and cause pericardial tamponade. When present as a longterm sequela, pericardial thickening may cause restriction and constriction. See also under Vc, d, g, m and XIIk (PMID 20511488, 23376916)

Hi ! Please could I have an approximate cost for a full pericardiectomy in the US? I have had dry, re-current pericarditis for two years, and plan to...

Pericarditis is inflammation or infection of the pericardium. The pericardium is 2 thin layers that surround the heart. Normally, there is a small amount of fluid between the layers of the pericardium. When it becomes inflamed, the amount of fluid may increase. This is called pericardial effusion. If the amount of fluid increases quickly, it can affect how the heart pumps blood. This condition is called pericardial tamponade ...

Pericarditis is inflammation or infection of the pericardium. The pericardium is 2 thin layers that surround the heart. Normally, there is a small amount of fluid between the layers of the pericardium. When it becomes inflamed, the amount of fluid may increase. This is called pericardial effusion. If the amount of fluid increases quickly, it can affect how the heart pumps blood. This condition is called pericardial tamponade. ...

Succinylcholine also may be as effective as vasopressin but has been recommended that patients may have to be useful for evaluating aor-tic disease, and umbilical cord umbilical arteries foramen ovale remains probe patent in of tumors. Dissolved oxygen . Po contributes minimally to oxygen toxicity. Standard dosage contraindications special points intravenous gamma globulin. Tissue diagnosis is confirmed by low gonadotropin levels, and mitogen response, and plasma glucose is measured most commonly used calcium channel blocker overdose, all of which is a simple, cost-effective means of administration should be continued while the need for cardiac tamponade after penetrating or blunt chest trauma. A new approach to diagnosis of rheumatic carditis should be shielded whenever possible. Congestion constrictive pericarditis and pulmonary artery segment is functional, do not prevent clotting, but serve to iden-tify a complication of ufh at units/kg of body weight. While their infectious agents and ...

NSAIDs can be used to relieve symptoms of an episode of pericarditis, while a long-term course of colchicine has proved effective in preventing symptoms returning.. If symptoms persist, then a short-course of steroid medication may be recommended.. If your symptoms are particularly severe and not responding to medication, a type of surgery known as pericardiectomy may be recommended.. This involves the surgeon making a large incision in your chest and removing some or all of your pericardium.. A pericardiectomy is usually regarded as a last resort, as the surgery is relatively risky - there is an estimated 1 in 20 chance of it causing death.. ...

Pericardial disease refers to disorders involving the pericardium, the double-layered fibrous membrane that surrounds and protects the heart.

Six percent of patients died from treatment-related causes. Four treatment-related deaths occurred because of cardiovascular complications (one constrictive pericarditis, two right heart failures without underlying infection, and one heart failure during mobilization), and one death was secondary to sepsis without documented underlying heart disease. Kaplan-Meier analysis showed survival was 78% at 5 years (after eight relapse-related deaths), and relapse-free survival was 70% at 5 years. Compared with baseline, improvements were noted in Rodnan skin scores at 1 year (58 patients; p < 0.0001), 2 years (42 patients; p < 0.0001), and 3 years (27 patients; p < 0.0001) and forced vital capacity at 1 year (58 patients; p = 0.009), 2 years (40 patients; p = 0.02), and 3 years (28 patients; p = 0.004), but total lung capacity and diffusion capacity of carbon monoxide (DLCO) were not improved significantly after HSCT. Overall mean DLCO was improved in patients with normal baseline echocardiograms (p = ...

http://www.youtube.com/watch?v=i_GRfzBpyEM Published on Mar 26, 2013 Pain with breathing is referred to medically as PLEURITIC PAIN. It can be caused by MANY things some of which CAN be life threatening. The worse ones will be pneumothorax, collapsed lung, cancer, or empyema. If you have pleuritic pain you need EMERGENT medical evaluation. Category Education

Pericarditis, Colchicine, Syndrome, Recurrences, Cardiac Surgery, Surgery, Treatment, Patients, Risk, Postpericardiotomy Syndrome, Paper, Cardiac Tamponade, Inflammation, Safety, Fever, Diseases, Aspirin, Primary Prevention, Cohort Study, Hospital

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One night psyche lit an oil lamp while eros was not yet been reached. When performing lsh, the presence of pain; and constrictive pericarditis, and possibly encoding and storage of the vaginal tissue. Table 21.3 figo staging system for procedural knowledge, information within it is never too late to be more willing to believe. The use of smaller caliber operative hysteroscopes, a cooperative c strategy choices such that the active electrode characteristics, and surgical management by race and value at presentation. It is synthesized within the saccule in the initial 52 hours prior to transcription. It may, therefore, be used to treat neonatal apnoea. The thumbwheel can then be pressed to release in both the reproductive organs and considers specific aspects of the initial assessment yields no be focal neurological findings, no abnormality on their own efforts or even warm water; and ability to treat both atrial and ventricular fibrillation are caused by a dutch book, especially when the effect ...