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Related Concept Videos

Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

145
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...
145
Pericarditis I: Introduction01:22

Pericarditis I: Introduction

121
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...
121
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

105
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...
105
Myocarditis II: Clinical Features and Diagnostic Tests01:27

Myocarditis II: Clinical Features and Diagnostic Tests

101
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
101
Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

159
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.
159
Myocarditis I: Introduction01:21

Myocarditis I: Introduction

160
Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
160

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Updated: Nov 18, 2025

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
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Effusive-constrictive cholesterol pericarditis: a case report.

Simran Shergill1, James Davies1, Naomi Cairns1

  • 1Cardiology Department, South Warwickshire NHS Foundation Trust, Lakin Road, Warwick CV34 5BW, UK.

European Heart Journal. Case Reports
|February 8, 2021
PubMed
Summary
This summary is machine-generated.

Cholesterol pericarditis, a rare condition causing large effusions, can lead to heart failure. Management involves drainage and potentially surgery for constrictive pericarditis.

Keywords:
Case reportCholesterol pericarditisEffusive-constrictive pericarditisPericardial effusionPericardiectomyRheumatoid arthritisTamponade

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Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Cholesterol pericarditis (CP) is a rare condition characterized by chronic pericardial effusions with high cholesterol levels.
  • Effusions can be large, leading to ventricular compression and pericardial adhesions.
  • CP is associated with rheumatoid arthritis, tuberculosis, and hypothyroidism.

Purpose of the Study:

  • To present a case of cholesterol pericarditis in a patient with rheumatoid arthritis.
  • To highlight the diagnostic and management challenges of this rare condition.

Main Methods:

  • A 72-year-old male with rheumatoid arthritis presented with an incidental pericardial effusion.
  • Echocardiography revealed a large effusion with tamponade features.
  • Pericardial fluid analysis showed high cholesterol concentration and crystals.

Main Results:

  • The patient experienced recurrent effusions and developed pericardial constriction.
  • A pericardial window was performed successfully.
  • The patient is under outpatient surveillance for potential future pericardiectomy.

Conclusions:

  • Cholesterol pericarditis can present emergently with heart failure and tamponade, requiring pericardiocentesis.
  • The disease often follows a chronic course with recurrent effusions and potential constriction.
  • Pericardiectomy may be necessary for definitive management of constrictive pericarditis.