AnatomyDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and Equipment
PericarditisPericarditis, ConstrictivePericarditis, TuberculousPericardiectomyPericardial EffusionCardiac TamponadeCardiomyopathy, RestrictivePericardiocentesisPericardiumTuberculosis, CardiovascularSuppurationCardiovascular InfectionsPleurodynia, EpidemicMyocarditisCardanolides
Constrictive pericarditisMeningitisPericardial effusionCardiacViralTuberculosisPathogenesis of tuberculousRecurrent pericarditisIdiopathic pericarditisCorticosteroidsInflammatoryMyocarditisSystemic Lupus ErythemDiagnosisInflammationChronicManifestation of extrapulmonaryDiseaseSouth AfricaEchocardiographicClinicalCases of tuberculousDiffusePatientsInfectionVentricularDiagnosticPredictorsTreatmentOccursManagementCommonCaseSpecific
Constrictive pericarditis30
  • However, it takes a period of time from tuberculous pericarditis to constrictive pericarditis. (biomedcentral.com)
  • There is still no report of tuberculous constrictive pericarditis concurrent with active pulmonary TB infection in a patient without previous pulmonary TB infection history. (biomedcentral.com)
  • Therefore, we reported a TB constrictive pericarditis with rare disease progress. (biomedcentral.com)
  • 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. (biomedcentral.com)
  • We reviewed other cases of tuberculous constrictive pericarditis from the literature and described the peculiarities of this case. (biomedcentral.com)
  • Rapid diagnosis and treatment of constrictive pericarditis are crucial to reduce mortality. (biomedcentral.com)
  • In some endemic areas, Mycobacterium tuberculosis infection should be taken into consideration during diagnostic evaluations for constrictive pericarditis. (biomedcentral.com)
  • Constrictive pericarditis is a process of chronic fibrous thickening of the pericardium, which is frequently accompanied with calcification and prevents the diastolic filling of the heart, reducing venous return and lowering output [ 1 , 2 ]. (biomedcentral.com)
  • Mycobaterium tuberculosis is the most common cause of constrictive pericarditis in endemic area [ 6 ]. (biomedcentral.com)
  • The patient had features of constrictive pericarditis. (sajr.org.za)
  • Cardiac catheterisation study showed that the right ventricular (RV) and left ventricular (LV) pressures were consistent with constrictive pericarditis. (sajr.org.za)
  • Rare patients will continue to experience recurrences chronically, sometimes leading to constrictive pericarditis, when pericardial resection may be required. (health.am)
  • The investigators used a factorial design to investigate the effects of the two substances on a composite endpoint of death, cardiac tamponade requiring pericardiocentesis, or constrictive pericarditis. (medpagetoday.com)
  • On the other hand, 4.4% of those getting prednisolone had constrictive pericarditis, compared with 7.8% of placebo patients, yielding a hazard ratio of 0.56 that was significant ( P =0.009). (medpagetoday.com)
  • The difference was mainly driven by constrictive pericarditis, Mayosi said. (medpagetoday.com)
  • The reduction in constrictive pericarditis and hospital admission with prednisolone treatment is "clinically meaningful," commented Richard Chaisson, MD , and Wendy Post, MD , both of the Johns Hopkins University School of Medicine. (medpagetoday.com)
  • But HIV-positive patients have a clearly greater risk of cancer, suggesting the "use of glucocorticoids should be curtailed in this population unless the risk of constrictive pericarditis is high," Chaisson and Post argued. (medpagetoday.com)
  • Constrictive pericarditis is a disease of the pericardium resulting from chronic inflammation and/or scar responsible for a clinical feature of left and right ventricular failure. (koreamed.org)
  • Although constrictive pericarditis has long. (koreamed.org)
  • BACKGROUND: The aim of this study was to analyze the preoperative attributes and clinical impacts of complete pericardiectomy in chronic constrictive pericarditis. (koreamed.org)
  • BACKGROUND: Effusive-constrictive pericarditis (ECP) is traditionally diagnosed by using the expensive and invasive technique of direct pressure measurements in the pericardial space and the right atrium. (koreamed.org)
  • BACKGROUND: Constrictive pericarditis is an uncommon condition that could be easily confused with congestive heart failure. (koreamed.org)
  • BACKGROUND: Constrictive pericarditis after coronary artery bypass surgery has been known to affect cardiac output by limiting diastolic ventricular filling. (koreamed.org)
  • This procedure is used for constrictive pericarditis, effusive pericarditis, or recurrent pericarditis with multiple attacks, steroid dependence, and/or intolerance to other medical management. (medscape.com)
  • Recurrent tuberculous constrictive pericarditis secondary to pneumo-calcification along the atrio-ventricular groove in post-pericardiectomy with broncho-Epicardial fistula. (alliedacademies.org)
  • A 47-year-old man with constrictive pericarditis is undergoing an echocardiogram for follow-up. (your-doctor.net)
  • however, in constrictive pericarditis it is postulated that tethering of the free wall prevents longitudinal motion of the annulus at the lateral border, thus decreasing the lateral E' and the septal E' concurrently is mildly exaggerated. (your-doctor.net)
  • In a small subset of patients with constrictive pericarditis, inversion of the correlation between E/E' and PCWP was noted, and named annulus paradoxus. (your-doctor.net)
  • Other patients present with constrictive pericarditis. (thoracickey.com)
  • Pericarditis or constrictive pericarditis Constrictive pericarditis Inflammation of the pericardium that is characterized by the fibrous scarring and adhesion of both serous layers, the visceral pericardium and the parietal pericardium leading to the loss of pericardial cavity. (lecturio.com)
Meningitis7
  • Extrapulmonary tuberculosis should be managed according to the principles and with the drug regimens outlined for pulmonary tuberculosis, except for children who have miliary tuberculosis, bone/joint tuberculosis, or tuberculous meningitis who should receive a minimum of 12 mo of therapy. (cdc.gov)
  • [ 50 ] Tuberculous meningitis (TBM) is a manifestation of extrapulmonary TB, develping in 1%-5% of the approximately 10 million cases of TB worldwide. (medscape.com)
  • The bacilli may then seed to the central nervous system (CNS) and result in three forms of CNS TB: tuberculous meningitis, intracranial tuberculoma, and spinal tuberculous arachnoiditis. (medscape.com)
  • Tuberculous meningitis , also known as TB meningitis or tubercular meningitis , is a specific type of bacterial meningitis caused by the Mycobacterium tuberculosis infection of the meninges -the system of membranes which envelop the central nervous system . (wikipedia.org)
  • The pathophysiology of tuberculous meningitis involves bacterial invasion of the brain parenchyma meninges or cortex, causing the formation of small subpial foci. (wikipedia.org)
  • and the pathogenesis of tuberculous meningitis and pericarditis. (hanapupu.com)
  • What are the symptoms of tuberculous (TB) meningitis? (reanfoundation.org)
Pericardial effusion4
  • 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. (medscape.com)
  • She had a history of a tuberculous pericardial effusion one year prior to admission and had completed a regimen consisting of six months of anti-tuberculous therapy and steroids. (sajr.org.za)
  • The major risk factors associated with poor prognosis in acute pericarditis include high fever, subacute course, evidence of large pericardial effusion, cardiac tamponade and failure to respond within seven days to non-steroidal anti-inflammatory drugs (NSAIDs). (escardio.org)
  • Tuberculosis: This condition remains to be one of the most common causes of pericarditis/pericardial effusion in Africa and TB-dominant developing countries. (medscape.com)
Cardiac2
Viral5
  • For patients with idiopathic or viral pericarditis, therapy is directed at symptom relief. (medscape.com)
  • Most acute idiopathic or viral pericarditis occurrences are self-limited and respond to treatment with an NSAID. (medscape.com)
  • Viral infections (especially infections with coxsackieviruses and echoviruses but also influenza, Epstein-Barr, varicella, hepatitis, mumps, and HIV viruses) are the commonest cause of acute pericarditis and probably are responsible for many cases classified as idiopathic. (health.am)
  • Most patients with acute pericarditis (generally those with presumed viral or idiopathic pericarditis) have a good long-term prognosis [6]. (escardio.org)
  • Recurrent pain without objective evidence of disease in patients with previous idiopathic or viral acute pericarditis. (jamanetwork.com)
Tuberculosis5
  • Pericarditis caused by tuberculosis is difficult to diagnose, because definitive diagnosis requires culturing Mycobacterium tuberculosis from aspirated pericardial fluid or pericardial biopsy, which requires high technical skill and is often not diagnostic (the yield from culture is low even with optimum specimens). (wikipedia.org)
  • In some particular endemic area, it is not uncommon to see patients with tuberculosis pericarditis. (biomedcentral.com)
  • In South Africa, tuberculosis is the most common cause of chronic pericarditis. (sajr.org.za)
  • BARCELONA -- Adding steroids to anti-tuberculosis treatment for patients with tuberculous pericarditis can reduce the risk of an important complication and the resulting hospital admissions, researchers said here. (medpagetoday.com)
  • Regarding clinical management and therapy of acute pericarditis, it is not mandatory to search for the aetiology in all patients, especially in countries with a low prevalence of tuberculosis (TB) because of the relatively benign course associated with the common causes of pericarditis and the relatively low yield of diagnostic investigations [1]. (escardio.org)
Pathogenesis of tuberculous1
Recurrent pericarditis12
Idiopathic pericarditis1
  • The role of the immunogenetic background in the development and recurrence of acute idiopathic pericarditis. (cdc.gov)
Corticosteroids1
  • Corticosteroids should not be used for initial treatment of pericarditis unless it is indicated for the underlying disease, the patient's condition has no response to NSAIDs or colchicine, or both agents are contraindicated. (medscape.com)
Inflammatory2
  • The presentation and course of inflammatory pericarditis depend on its cause, but all syndromes are often (not always) associated with chest pain , which is usually pleuritic and postural (relieved by sitting). (health.am)
  • The echocardiogram may disclose pericardial effusions and indicate their hemodynamic significance, but it is often normal in inflammatory pericarditis. (health.am)
Myocarditis1
  • These are based on expert opinion and literature review, including acute pericarditis associated with immunodeficiency, trauma, anticoagulant therapy and myocarditis (myopericarditis). (escardio.org)
Systemic Lupus Erythem2
  • TRAF3IP2 gene and systemic lupus erythematosus: association with disease susceptibility and pericarditis development. (cdc.gov)
  • A polymorphism upstream MIR1279 gene is associated with pericarditis development in Systemic Lupus Erythematosus and contributes to definition of a genetic risk profile for this complication. (cdc.gov)
Diagnosis3
  • To determine the mortality rate and its predictors in patients with a presumptive diagnosis of tuberculous pericarditis in sub-Saharan Africa. (smu.ac.za)
  • A presumptive diagnosis of tuberculous pericarditis is associated with a high mortality in sub-Saharan Africa. (smu.ac.za)
  • Incidence of specific etiology and role of methods for specific etiologic diagnosis of primary acute pericarditis. (jamanetwork.com)
Inflammation3
  • Acute pericarditis is an inflammation of the pericardium characterized by chest pain, pericardial friction rub, and serial ECG changes. (medscape.com)
  • Pericarditis Pericarditis Pericarditis is an inflammation of the pericardium, often with fluid accumulation. (lecturio.com)
  • Pericarditis is an inflammation Inflammation Inflammation is a complex set of responses to infection and injury involving leukocytes as the principal cellular mediators in the body's defense against pathogenic organisms. (lecturio.com)
Chronic1
Manifestation of extrapulmonary1
Disease5
  • Tuberculous pericarditis is a common disease among the African and Asian populations because of the high prevalence of tuberculous infections. (sajr.org.za)
  • Tuberculous pericarditis "is the most important and the most serious form of pericardial disease in the world," Mayosi said, occurring in about 10% of the 10 million new TB patients every year. (medpagetoday.com)
  • Much of the disease burden of tuberculous pericarditis is in developing countries, where many TB patients are also co-infected with HIV, Mayosi noted. (medpagetoday.com)
  • Case 1-1979: pericarditis or myocardial disease? (umassmed.edu)
  • Acute pericarditis is a self-limiting disease without significant complications or recurrences in 70% to 90% of patients. (escardio.org)
South Africa1
  • Between 1 March 2004 and 31 October 2004, we enrolled 185 consecutive patients with presumed tuberculous pericarditis from 15 referral hospitals in Cameroon, Nigeria and South Africa, and observed them during the 6-month course of antituberculosis treatment for the major outcome of mortality. (smu.ac.za)
Echocardiographic1
  • We aimed to investigate clinical course of tuberculous pericarditis and the trends of echocardiographic parameters for constrictive. (koreamed.org)
Clinical1
Cases of tuberculous1
Diffuse2
  • MR features of tuberculous pericarditis include presence of a diffuse edematous imbibition of visceral layers which can be recognized using T2-weighted sequences and is usually associate with a variable amount of effusion and irregular thickening of the membrane. (diagnosticimaging.com)
  • ECG can be diagnostic in acute pericarditis and typically shows diffuse ST elevation. (medscape.com)
Patients3
  • Some 1,400 patients with probably or confirmed tuberculous pericarditis were randomly assigned to get prednisolone or placebo for 6 weeks. (medpagetoday.com)
  • Background and Objectives: In East Asia, tuberculous pericarditis still occurs in immunocompetent patients. (koreamed.org)
  • Clues to detect tumor necrosis factor receptor-associated periodic syndrome (TRAPS) among patients with idiopathic recurrent acute pericarditis: results of a multicentre study. (cdc.gov)
Infection1
  • A chest radiograph is helpful to exclude pulmonary conditions that may be responsible for or are associated with the cause of pericarditis (ie, cancer, infection, SLE, sarcoidosis, etc). (medscape.com)
Ventricular1
  • 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. (medscape.com)
Diagnostic1
Predictors1
  • Proposed triage of acute pericarditis according to epidemiological background and predictors of poor prognosis at presentation (at least one predictor of poor prognosis is sufficient to identify a high-risk case). (escardio.org)
Treatment1
Occurs1
  • Also known as generalized hematogenous TB, miliary TB occurs when a tuberculous lesion erodes into a blood vessel, disseminating millions of tubercle bacilli into the bloodstream and throughout the body. (msdmanuals.com)
Management1
  • The bottom line of the Investigation of the Management of Pericarditis trial was that "we need to be selective in the use of steroids," Mayosi said, because despite some benefits, there remains the risk of cancers in people with concomitant HIV. (medpagetoday.com)
Common1
  • Tuberculous pericarditis has become rare in developed countries but remains common in other areas. (health.am)
Case2
Specific1