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Related Concept Videos

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...
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...
Cardiomyopathy IV: Restrictive Cardiomyopathy01:29

Cardiomyopathy IV: Restrictive Cardiomyopathy

Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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.

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Related Experiment Video

Updated: Jun 21, 2026

Induction of Right Ventricular Failure by Pulmonary Artery Constriction and Evaluation of Right Ventricular Function in Mice
09:40

Induction of Right Ventricular Failure by Pulmonary Artery Constriction and Evaluation of Right Ventricular Function in Mice

Published on: May 13, 2019

Effusive constrictive pericarditis.

Rajeev Garg1, Avneet Singh, Anand Chockalingam

  • 1Department of Internal Medicine, Division of Cardiology, University of Missouri-Columbia, Columbia, MO, USA.

Congestive Heart Failure (Greenwich, Conn.)
|July 25, 2009
PubMed
Summary
This summary is machine-generated.

Effusive constrictive pericarditis (ECP) may be reversible. Steroids and colchicine offer effective non-surgical treatment options for ECP, potentially avoiding invasive surgery.

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Last Updated: Jun 21, 2026

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09:40

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Published on: May 13, 2019

An Intact Pericardium Ischemic Rodent Model
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Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
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Area of Science:

  • Cardiology
  • Internal Medicine
  • Pericardial Diseases

Background:

  • Effusive constrictive pericarditis (ECP) is a rare condition where symptoms persist despite pericardial effusion drainage.
  • Surgical pericardiectomy is the traditional treatment but involves significant risks.
  • Recent evidence suggests potential reversibility in some ECP cases.

Observation:

  • Two patients with ECP were successfully treated non-surgically.
  • One patient received steroids, and the other received colchicine.
  • Both patients experienced resolution of symptoms, avoiding surgery.

Findings:

  • Steroids and colchicine represent viable non-surgical therapeutic options for ECP.
  • These treatments can obviate the need for extensive pericardial stripping.
  • A subset of ECP patients may exhibit reversible pericardial pathology.

Implications:

  • Non-surgical management with steroids or colchicine should be considered for ECP.
  • Further research into the role of colchicine in reversible pericarditis is warranted.
  • This approach may reduce morbidity and mortality associated with ECP treatment.