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At least 919 records · Page 51Linked to original sources
PubMed1979

The MB fraction of creatine phosphokinase. An indicator of myocardial involvement in acute pericarditis.

An elevated level of the MB fraction of creatine phosphokinase (CPK) with normal serum myoglobin and normal CPK values was found in a case of acute idiopathic pericarditis. The elevated serum CPK-MB isozyme is suggested to be an indicator of myocardial involvement accompanying acute pericarditis. The normal CPK and serum myoglobin values and the pattern of rapid decrease of CPK-MB level ruled out the possibility of acute myocardial infarction.

Acute Disease↗
PubMed1983

[Tamponade caused by subacute pericarditis in Basedow's disease].

No case of cardiac tamponade due to subacute pericarditis in the course of Grave's disease has yet been reported. From the 2 cases presented here it would appear that the association is mere coincidence, the clinical manifestations of the pericarditis being probably aggravated by the hyperthyroidism which facilitates the development of oedema and serous effusions.

Adult↗
PubMed1982

[Pericarditis occurring in the course of meningococcal meningitis. Description of a case and review of literary data. (author's transl)].

The authors report a new case of acute pericarditis in a 21 month-old girl, occurring on the fourth day of a meningococcal meningitis. The patient's recovery from the pericarditis was achieved thanks to a surgical drain in association with antibiotherapy, and despite a relapse after a puncture. On the basis of this case and the literary data reviewed, they endeavor to assess the frequency of this rare complication, to examine the most likely physiopathological hypothesis and to study the most effective treatment.

Acute Disease↗
PubMed1984

[Differential diagnosis between constrictive pericarditis and cardiac amyloidosis by computerized M-mode echocardiography].

A diastole is a non specific haemodynamic syndrome which may result from constrictive pericarditis or from a restrictive cardiomyopathy. The aim of this study was to differentiate these two types of condition by analysis of computerised M mode recordings of the left ventricle. Three groups of patients were studied: 5 cases of confirmed cardiac amyloidosis (Am); 5 cases of constrictive pericarditis confirmed surgically (CP) and 10 normal subjects (NL). The study was based on analysis of parameters of ventricular filling and of diastolic thinning of the LV free wall. A significant difference was observed between AM and CP but not between PC and NL. Amyloidosis was characterised by a reduction in the maximum velocity of endocavitary diameter lengthening (AM 0,84 +/- 0,56 cir/sec; PC 3,95 +/- 0,77, p less than 0,01), prolongation of the rapid filling phase (AM 0,42 +/- 0,17 sec; PC 0,16 +/- 0,06 sec, p less than 0,02) and a decrease in maximum velocity of free wall thinning (AM 0,45 +/- 0,23 th/syst/sec; PC 4,79 +/- 2,1, p less than 0,01). The diastolic thickness of the free wall was greater in the amyloidosis group (AM 1,73 +/- 0,61 cm; PC 1,05 +/- 0,21, p less than 0,05) and correlated with the reduction of maximum velocity of free wall thinning. Parameters of global diastolic filling did not distinguish the two conditions. The M mode recordings were therefore digitalised to provide graphs of chamber filling and wall thinning and their derivatives.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1978

[Surgical treatment of uraemic pericarditis (author's transl)].

Surgical therapy was undertaken in 8 patients with uraemic pericarditis. The clinical symptoms and signs, operative technique and results are presented and compared with the relevant literature. Extended pericardial resection after median sternotomy has proved to be the method of choice in the management of pericardial tamponade due to uraemic pericarditis with haemorrhagic effusion. Acute pericardial tamponade is thereby alleviated, relapse prevented and intra- and postoperative respiratory function maintained.

Adolescent↗
PubMed1978

[Echocardiography in the diagnosis of exudative pericarditis].

Echocardiography revealed pericardial effusion in 20 patients with various oncologic diseases. Chest X-ray showed effusion only in 5 patients, electrocardiographic signs of pericarditis were found in 12 patients. Echocardiography is an exact and simple method for the diagnosis of exudative pericarditis.

Adolescent↗
PubMedDate not supplied

Total pericardiectomy for chronic constrictive pericarditis using femoro-femoral bypass.

A technique of total pericardiectomy for chronic constrictive pericarditis is presented. The authors have used a femoro-femoral cardiopulmonary bypass in nine cases of constrictive pericarditis to prevent the complications of the traditional approach. The advantages of this technique in comparison to the performance of pericardiectomy without the use of extracorporeal circulation (ECC) or with standard ECC are discussed.

Cardiopulmonary Bypass↗
PubMed1981

[Constrictive pericarditis secondary to myocardial infarction. Surgical care].

The authors report the case of anteroseptal myocardial infarction, complicated by a late pericardial reaction (5th - 10th week), the development of an aneurysm, and, above all, refractory ascites (12th week) found to be secondary to constrictive pericarditis. Pericardectomy and partial resection of the aneurysm were performed. Constrictive pericarditis is rare after myocardial infarction and its relationship to a forme fruste of Dressler's syndrome remains uncertain. The pathogenesis of the constriction is unknown. This complication (only reported once previously) should be recognised because of the surgical management it implies.

Adult↗
PubMed1980

Haemophilus influenzae sepsis leading to pericarditis despite antimicrobial therapy.

Acute purulent pericarditis is a well-recognized, though infrequently seen, manifestation of systemic Haemophilus influenzae type b disease. We recently studied two pediatric patients who developed signs of this septic complication during appropriate antibiotic treatment for bacteremia. These case reports should alert physicians to the possibility that pericarditis may become clinically evident in patients with systemic H. influenzae infections many days after initiation of appropriate therapy. The pathophysiology, diagnostic modalities and therapy are briefly reviewed.

Ampicillin↗
PubMed1980

Hemophilus influenzae purulent pericarditis in children: diagnostic and therapeutic considerations.

Purulent pericarditis is an unusual complication of infection in infancy and has been associated with an extremely high mortality rate. Early diagnosis followed by combined antibiotic therapy and surgical drainage of the pericardium has markedly improved survival. Between APril, 1975, and February, 1979, nine patients with purulent pericarditis secondary to Hemophilus influenzae type B were treated at the Oklahoma Children's Memorial Hospital. In every case signs and symptoms of congestive heart failure were present, and a pericardial effusion was demonstrated by echocardiography and confirmed by pericardiocentesis. The organism was identified with countercurrent immunoelectrophoresis and antibiotic sensitivity determined by rapid beta lactamase assay. All patients were treated with a combination of parenteral antibiotics and open surgical drainage of the pericardium. There were no deaths and all patients demonstrated marked improvement following operation. Follow-up echocardiography revealed no evidence of pericardial effusion or signs of constriction in any patient.

Anti-Bacterial Agents↗
PubMed1982

Acute infective pericarditis in infancy.

Infective pericarditis is rare; the characteristic presenting illness in 3 children, each aged under one year, is recorded. Early diagnosis is important since surgical drainage of the pericardium is often necessary in addition to antibiotic therapy. The clinical features may suggest pericarditis, but diagnosis is readily and reliably confirmed by echocardiography.

Acute Disease↗
PubMed1982

Tuberculous pericarditis developing during chemotherapy.

A 6-year-old boy with active tuberculosis developed a pericarditis 9 weeks after starting adequate chemotherapy. Although no Mycobacterium tuberculosis was isolated from the pericardial fluid we assume, for several reasons, that the pericarditis was caused by tuberculosis. Consequently, it is important to be aware of possible serious complications even during treatment with adequate antituberculous drugs.

Child↗
PubMed1981

Constrictive pericarditis: a case requiring pericardiectomy following Dressler's postmyocardial infarction syndrome.

Exertional neck tightness developed 6 months following a myocardial infarction that was complicated by Dressler's syndrome. The patient's symptoms were initially interpreted as angina pectoris but did not respond to antianginal therapy. Findings at cardiac catheterization were indicative of constructive pericarditis. The diagnosis was confirmed at pericardiectomy and the symptoms resolved completely postoperatively. Constrictive pericarditis should be considered as an unusual but important sequel of Dressler's postmyocardial infarction syndrome.

Cardiac Catheterization↗
PubMed1981

Chronic constrictive pericarditis in children - etiology, clinical picture and treatment. A report of 20 cases.

Twenty children with constrictive pericarditis are reported on. Tuberculous etiology was established in five, could not be excluded in 7, while the etiology could not be identified in 8 cases. The main symptoms were venous congestion involving the pulmonary and systemic circulation (hepatomegaly, pulmonary congestion), pericardial click at the apex, abnormalities of repolarization in the ECG. X-ray evidence of pericardial calcification and a "quiet heart" were occasionally found. Hypoproteinaemia, hypalbuminaemia and ascites, signs of an associated protein losing enteropathy may occur in constrictive pericarditis, but are not invariably present. Pericardiectomy is the most adequate form of treatment. Sixteen of the 17 cases in whom the operation was performed recovered completely; one child died.

Adolescent↗
PubMed1981

Infection complicating intrapericardial steroid instillation in uremic pericarditis.

Short-term, indwelling, percutaneous pericardiocentesis for drainage with local steroid instillation has been advocated for refractive uremic pericarditis. It is reported to be almost universally successful and to cause only minor complications. We describe a patient in whom this technique lead to purulent pericarditis (Staphylococcus aureus) requiring pericardiectomy.

Adult↗
PubMed1980

[Pericarditis and myocarditis in salmonellosis].

Possible cardiac involvement has been investigated in 103 cases of salmonellosis. 12 patients showed pathological clinical, laboratory and ECG findings suggesting heart damage during the course of the infectious disease. In 2 cases acute fibrinous pericarditis was diagnosed, in 1 case acute effusive pericarditis and in 1 patient acute peri-myocarditis. In the remaining 8 patients the pathological findings suggested the presence of myocarditis. The heart involvement may be the predominating clinical sign, as shown in 3 out of our cases, but in the majority the cardiac symptoms are only very slight. These data indicate that heart involvement is less rare in salmonellosis than is generally thought. On the other hand, salmonellosis should be considered in cases of peri- or myocarditis of unknown origin.

Adult↗
PubMedDate not supplied

Uremic pericarditis. Treatment by limited pericardiectomy.

Between 1963 and 1979, limited pericardiectomy through left anterolateral thoracotomy was performed in 14 patients with uremic pericarditis. Two patients died after operation and one patient presented an early recurrence. Within a mean follow-up time of 3.3 years there were 7 late deaths but no recurrences or no cases of constrictive pericardidis. After reviewing the literature, it is concluded that the best early and late results in uremic pericarditis are obtained with pericardiectomy through an anterolateral thoractomy, the subxiphoid approach with creation of a pericardial window being a good alternative in critically ill patients.

Adult↗
PubMed1981

[Resorption from the pericardial cavity during growth in normal conditions and in experimental pericarditis].

The isotope 131I-hippuran was introduced via a microirrigator into the pericardial cavity of 26 puppies aged 1--3 months to study resorption function of the epicardium. Pericarditis was induced by administering the culture of Staph. aureus into the cavity. It was disclosed that in health the isotope half-life falls within the 12th minute, while complete elimination within the 45th--50th minute. On the 5th--6th day of experimental pericarditis, the resorption becomes 6 times slower, on the 14th day it returns to normal and on the 28th day exceeds normal 3--4 times. This fact is a consequence of a powerful development of the subepicardial venous network.

Animals↗