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Pericardial heart disease.

W C Roberts, T L Spray

    Current Problems in Cardiology
    |June 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    This review presents a morphologic classification for pericardial heart disease, a condition often unrecognized clinically. It clarifies that "pericarditis" is often inaccurate as many pericardial diseases are noninflammatory.

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    Area of Science:

    • Cardiology
    • Pathology

    Background:

    • Pericardial heart disease is clinically uncommon and often undiagnosed during life.
    • The term "pericarditis" is frequently inaccurate, as most pericardial diseases are noninflammatory.
    • A comprehensive classification integrating clinical, etiologic, and morphologic features is currently lacking.

    Purpose of the Study:

    • To review the morphologic aspects of pericardial heart disease.
    • To present a novel morphologic classification for pericardial heart disease.

    Main Methods:

    • Review of existing literature on pericardial heart disease.
    • Analysis of morphologic features relevant to classification.

    Main Results:

    • Morphologic classification of pericardial heart disease is proposed.

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  • Chronic pericardial disease can present as acute illness.
  • Cardiac dysfunction (constriction) results from increased pericardial fluid or tissue.

    • Conclusions:

    • A morphologic classification aids in understanding pericardial heart disease.
    • Treatment strategies differ based on whether increased fluid (drainage) or tissue (excision) is the cause of constriction.
    • Etiology often remains unclear even after histologic examination.