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Related Concept Videos

Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
Pericarditis I: Introduction01:22

Pericarditis I: Introduction

Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...

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Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
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Constrictive pericarditis after coronary artery bypass.

Ahmad Halawa1, Said Iskandar, Israel Garcia

  • 1East Tennessee State University, James H. Quillen College of Medicine, Johnson City, Tennessee, USA.

Reviews in Cardiovascular Medicine
|January 17, 2007
PubMed
Summary

A patient developed constrictive pericarditis after coronary artery bypass graft surgery. Despite treatment and pericardiectomy, the patient succumbed to respiratory insufficiency, highlighting a rare complication.

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An Intact Pericardium Ischemic Rodent Model
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An Intact Pericardium Ischemic Rodent Model

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Cardiovascular Imaging

Background:

  • Coronary artery bypass graft (CABG) surgery is a common procedure for coronary artery disease.
  • Post-cardiac surgery complications can include inflammatory responses and fluid accumulation.
  • Constrictive pericarditis is a rare but serious condition affecting the heart's outer lining.

Observation:

  • A 67-year-old male developed recurrent heart failure exacerbations within two months of CABG.
  • Initial heart failure treatment provided only partial relief, necessitating readmission for worsening symptoms.
  • Diagnostic imaging revealed thickened pericardium and pericardial exudates, suggestive of constrictive pericarditis.

Findings:

  • Doppler echocardiography indicated hemodynamics consistent with constrictive pericarditis.
  • Magnetic resonance imaging confirmed pericardial thickening and exudates.
  • Cardiac catheterization demonstrated equalization of diastolic pressures in both ventricles, confirming the diagnosis.

Implications:

  • Constrictive pericarditis is a potential, albeit rare, complication following coronary artery bypass graft surgery.
  • Early diagnosis and intervention, such as pericardiectomy, may be crucial for managing this condition.
  • Despite surgical intervention, severe cases can lead to fatal outcomes due to associated respiratory complications.