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Related Concept Videos

Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

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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...
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Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

16
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...
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Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

24
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
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Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

11
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
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Cardiomyopathy IV: Restrictive Cardiomyopathy01:29

Cardiomyopathy IV: Restrictive Cardiomyopathy

12
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...
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An Intact Pericardium Ischemic Rodent Model
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Constrictive Pericarditis: A Diagnostic Conundrum.

Aryan Mehta1, Mridul Bansal1, Yashashwi Pokharel1

  • 1Section of Cardiovascular Medicine, Department of Medicine, Wake Forest School of Medicine, Winston-Salem, USA.

Cureus
|June 26, 2023
PubMed
Summary
This summary is machine-generated.

A 65-year-old man developed constrictive pericarditis after presumed idiopathic pericarditis. Treatment included medications, hemodynamic measurements, and ultimately pericardiectomy for symptom relief.

Keywords:
cardiac imagingconstrictive pericarditisheart failureinterventional cardiologypericardial disease

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Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Acute idiopathic pericarditis can progress to constrictive pericarditis.
  • Early diagnosis and management are crucial for patient outcomes.

Observation:

  • A 65-year-old male presented with symptoms suggestive of pericarditis, including chest pain and tachycardia.
  • Initial treatment for presumed idiopathic pericarditis was unsuccessful, leading to the development of pleural effusions and ascites.
  • Invasive hemodynamic measurements confirmed constrictive pericarditis despite equivocal echocardiographic findings.

Findings:

  • Cardiovascular magnetic resonance imaging revealed persistent pericardial inflammation.
  • Surgical intervention (pericardiectomy) was required due to persistent symptoms and pericardial fibrosis.
  • The patient experienced a favorable outcome following pericardiectomy.

Implications:

  • This case highlights the importance of considering constrictive pericarditis in refractory pericarditis cases.
  • Multimodality imaging and invasive hemodynamics are valuable in diagnosing constrictive pericarditis.
  • Pericardiectomy can be an effective treatment for symptomatic constrictive pericarditis.