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Idiopathic Effusive-Constrictive Pericarditis Presented by Variant Angina.
Kentaro Adachi1, Takaharu Hayashi1, Takashi Omatsu1
1Cardiovascular Medicine, Osaka Police Hospital, Osaka, JPN.
Cureus
|May 14, 2021
Summary
A rare case of idiopathic pericarditis presented with variant angina and heart failure in an 80-year-old man. The condition progressed to effusive-constrictive pericarditis (ECP), highlighting a complex cardiac presentation.
Area of Science:
- Cardiology
- Internal Medicine
- Pathology
Background:
- Variant angina and heart failure are serious cardiovascular conditions.
- Effusive-constrictive pericarditis (ECP) is a rare but severe form of pericardial disease.
Observation:
- An 80-year-old male patient presented with loss of appetite and developed variant angina and heart failure.
- Initial treatment with calcium channel blockers controlled variant angina.
- Progressive heart failure was linked to increasing pericardial effusion, leading to diagnosis of ECP via pericardiocentesis.
Findings:
- The patient had idiopathic pericarditis, variant angina, and pre-existing endothelial dysfunction.
- The case illustrates a rare idiopathic pericarditis leading to ECP.
Implications:
- This case highlights the complex interplay between variant angina, heart failure, and pericardial disease.
- Understanding such rare presentations is crucial for effective diagnosis and management of cardiovascular emergencies.
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