Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Pericarditis”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,081 records · Page 60Linked to original sources
PubMed2005

Pericarditis constrictiva and high-degree atrioventricular block as a first manifestation of a cardiac B-cell lymphoma.

Primary cardiac lymphoma is an extremely rare extranodal non-Hodgkin's lymphoma, exclusively located in the heart and/or the pericardium with no evidence of extracardiac dissemination. In this report, we describe a cardiac B-cell lymphoma arising in a 70-year-old woman who presented to the hospital with heart failure symptoms and a high-degree atrioventricular block of unknown origin. Echocardiography revealed a massive infiltrative thickening of the atrial septum, the aortic root, and the pericardium. Pulsed wave and Doppler tissue findings were highly suggestive for pericarditis constrictiva. Positron emission tomography showed unusually strong metabolic activity in the atrial septum, both atria, and the entire pericardium. Suggested malignoma was confirmed by the pericardial biopsy specimens, which revealed a high-grade diffuse CD20+ B-cell lymphoma.

Aged↗
PubMed2005

Doppler tissue imaging improves assessment of abnormal interventricular septal and posterior wall motion in constrictive pericarditis.

We hypothesized that Doppler tissue imaging in the short axis would provide enhanced quantitative information for differentiating the pattern and extent of abnormal septal and posterior wall motion in constrictive pericarditis (CP). Using quantitative pulsed wave and color M-mode Doppler tissue imaging, we quantified the pattern of abnormal septal and posterior wall motion and studied its incremental advantage over conventional M-mode and 2-dimensional echocardiography in 40 patients with surgically proven CP. The pattern and extent of abnormalities were compared with 35 age- and sex-matched control subjects and 20 patients with abnormal septal motion of other causes. In 33 patients (82.5%) with CP, the interventricular septum showed high-velocity (>7 cm/s) early diastolic biphasic motion with or without multiple recoil waves (polyphasic diastolic septal fluttering). In the posterior wall, the early diastolic wave was normal but the late diastolic wave was reduced in 24 patients (60%) and absent in 7 (17.5%). In comparison, M-mode and 2-dimensional echocardiography identified abnormal septal or posterior wall motion in 24 patients (60%) ( P = .003). The pattern of abnormal septal motion in CP could be differentiated from abnormal septal motion of other causes in 16 patients (80%). The overall sensitivity and specificity of high-velocity polyphasic septal flutter for differentiating CP from control cases and other diseases was 82.5% and 92.7%, respectively. In CP, Doppler tissue imaging in the short axis provides unique diagnostic information and reliably differentiates CP from control cases and most other causes of abnormal septal motion.

Adult↗
PubMed2005

Doppler echocardiographic evaluation of pulmonary regurgitation facilitates the diagnosis of constrictive pericarditis.

Diagnosing constrictive pericarditis (CP) remains a clinical challenge. Ventricular interdependence and dissociation of intrathoracic and intracardiac pressures are hallmark features that are readily recognized by invasive and noninvasive hemodynamics. The Doppler echocardiographic signal from pulmonic valve regurgitation depends on the relationship between pulmonary artery (intrathoracic) and right ventricular (intracardiac) pressure. Respiration-associated changes in this signal may aid in the evaluation of pericardial constriction. We demonstrate here that early diastolic cessation with inspiration can indicate a CP process. Early diastolic cessation with inspiration was shown to have correctly diagnosed CP in 70% of the patients in this study, with a sensitivity of 77%, specificity of 64%, positive predictive value of 67%, and negative predictive value of 75%. This noninvasive insight into dissociation of intracardiac and intrathoracic pressures, although not sufficient on its own, may be a valuable tool for aiding in the diagnosis of CP.

Echocardiography, Doppler↗
PubMed2006

Perforated periaortic valve abscess presents as acute pericarditis and patient died in transesophageal echocardiographic study.

Rupture of infective endocarditis-associated perivalvular abscess of left ventricular outlet leading to death is a rare complication of transesophageal echocardiography. We report a case of impending rupture periaortic valve abscess of left ventricular outlet that was initially diagnosed as acute pericarditis at the emergency department in which the patient suddenly collapsed during the ongoing procedure of transesophageal echocardiography. Emergency surgical intervention was performed, but in vain. Destructive aortic valve and rupture of the periaortic valve abscess were found.

Abscess↗
PubMed2006

Spontaneous tension hydropneumopericardium complicating serofibrinous pericarditis.

A hydropneumopericardium is a rare but critical condition, which is mostly ascribed to primary infiltrative lesions from adjacent organs, pericardial infections, or trauma. Although there have been reports about pyopneumopericardium, no case of spontaneous non-purulent hydropneumopericardium has been documented in literature. We report a case of a previously healthy man of spontaneously occurred tension hydropneumopericardium complicating serofibrinous pericarditis. A surgical exploration followed by partial pericardiectomy was performed to stop cardiac tamponade and possible later constriction. Remarkably, no definite pathogenesis was identified despite surgical and laboratory investigations. The spontaneity and management of hydropneumopericardium are discussed.

Humans↗
PubMed2005

Noninfectious constrictive pericarditis in a heart transplant recipient.

Acute rejection, infection, and allograft coronary artery disease have been recognized as the major causes of postoperative morbidity and mortality in cardiac transplant patients. More recently, pericardial and mediastinal complications have been recognized as a more common complication than previously believed. We describe a case of a heart transplant recipient admitted for apparent congestive heart failure exacerbation who was unresponsive to standard medical management of congestive heart failure and rejection. After further invasive evaluation, it was discovered the patient's condition was attributable to posttransplantation constrictive pericarditis. It is appropriate to consider this diagnosis in any postcardiac surgery (especially heart transplant recipients) in patients presenting with congestive heart failure exacerbations refractory to usual medical management.

Cardiac Catheterization↗
PubMed2004

Cross your heart: Some historical comments about fibrinous pericarditis.

This article briefly describes the origin of one of the more common (food-related) pathologic terms--"bread and butter pericarditis." The eminent French physician, Laennec, the inventor of the stethoscope amongst several other important medical contributions, can be credited for having coined the term that is still in common usage amongst pathologists.

Auscultation↗
PubMed2005

Recurrent noisy pneumothorax mimicking pericarditis.

Sounds related to the cardiac cycle may have an extra-cardiac origin. We report a case of recurrent noisy pneumothorax producing a loud rub, audible at a distance from the patient and initially diagnosed as pericarditis. The sounds and their mechanisms of production in this condition are also discussed.

Adolescent↗
PubMed2005

Beta-blocker therapy can mask ECG signs of pericarditis.

PR-segment changes of ECG can help differentiate acute myocardial infarct from pericarditis preventing the patient from an unnecessary coronarography. Here we present a case where beta-blocker therapy masked PR-segment changes.

Adrenergic beta-Antagonists↗
PubMed2005

The efficacy of brain natriuretic peptide levels in differentiating constrictive pericarditis from restrictive cardiomyopathy.

OBJECTIVES: We sought to determine the usefulness of brain natriuretic peptide (BNP) measurements to differentiate constrictive pericarditis (CP) from restrictive cardiomyopathy (RCMP). BACKGROUND: The differentiation of CP from RCMP may be clinically difficult and often requires hemodynamic assessment. No laboratory marker has been shown to differentiate the two conditions. METHODS: We measured BNP levels in 11 patients suspected of having either CP or RCMP. All patients had hemodynamic assessment the day of BNP measurements. RESULTS: Six patients had CP and five patients had RCMP based on established hemodynamic criteria. Both CP and RCMP patients had similar elevation in intracardiac pressures. Despite similar pressures, the mean plasma BNP levels were significantly higher in RCMP compared to CP (825.8 +/- 172.2 pg/ml vs. 128.0 +/- 52.7 pg/ml, p < 0.001, respectively). CONCLUSIONS: The BNP levels are significantly elevated in RCMP compared to CP patients; BNP may prove to be a useful noninvasive marker for the differentiation of the two conditions.

Cardiomyopathy, Restrictive↗
PubMed2006

Traumatic, pericardio-diaphragmatic rupture: an extremely rare cause of pericarditis.

A 54-year-old man with a recent history of blunt abdominal trauma presented to the Emergency Department with severe pain in the chest and abdomen. He was tachycardic, tacypneic, and hypoxic. An electrocardiogram (EKG) at that time showed ST elevation and PR depression consistent with acute pericarditis, and a computed tomography (CT) scan subsequently showed herniation of abdominal contents into the pericardium and left hemithorax. After surgical repair of the diaphragmatic defect and intrapericardial hernia, the EKG findings resolved. He recovered over the course of several weeks and was subsequently discharged home.

Accidents, Traffic↗
PubMed1976

The ECG of constrictive pericarditis--pattern resembling right ventricular hypertrophy.

The ECG changes in 122 cases of constrictive pericarditis have been reviewed. Ninety-five per cent of tracings were typical and showed a normal QRS axis, low voltage, and generalized T wave flattening or inversion. The remaining six tracings showed evidence of right ventricular hypertrophy and half of these showed right axis deviation in addition. In only one could these findings be readily accounted for by the presence of severe fibrotic annular subpulmonic constriction; the remainder are unexplained and it is postulated that cardiac rotation and distrotion is causative since none of the other mechanisms of right axis deviation or right ventricular hypertrophy were operative.

Adult↗
PubMed1977

Clinical pathologic conference. Purulent pericarditis with asymmetric cardiac tamponade: a cause of death months after coronary artery bypass surgery.

This relatively young man with a host of medical problems including polycystic kidneys. chronic renal failure, long-standing hypertension, and premature atherosclerosis, died of cardiovascular disease; not, as might be expected, from his severe coronary artery disease but rather from purulent pericarditis. The latter was an unusual and unexpected consequence of the entire complex of his illnesses and because of its confinement to the posterior pericardium by postoperative adhesions produced an asymmetric cardiac tamponade.

Autopsy↗
PubMed2001

Pericardiectomy for constrictive pericarditis using the harmonic scalpel.

A 35-year-old man with constrictive pericarditis underwent pericardiectomy. The pericardium was dissected with a Harmonic Scalpel (Ethicon Endo-Surgery, Cincinnati, OH). This new device has many advantages including no muscular stimulation, low heat, a smokeless field, and easy hemostasis. The Harmonic Scalpel is beneficial for dissection of thickened pericardium.

Adult↗