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Related Concept Videos

Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

24
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...
24
Pericarditis I: Introduction01:22

Pericarditis I: Introduction

23
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...
23
Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

51
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.
51
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

26
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...
26
Myocarditis II: Clinical Features and Diagnostic Tests01:27

Myocarditis II: Clinical Features and Diagnostic Tests

21
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...
21
Myocarditis I: Introduction01:21

Myocarditis I: Introduction

30
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...
30

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Updated: Sep 13, 2025

Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders
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Cholesterol Pericarditis.

Mohammad Saquib Alam1, Khwaja Saifullah Zafar1

  • 1Department of Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India.

JACC. Case Reports
|August 1, 2025
PubMed
Summary
This summary is machine-generated.

Cholesterol pericarditis, a rare cause of pericardial effusion, is diagnosed by analyzing pericardial fluid for cholesterol crystals. Prompt treatment involving pericardiocentesis and lipid management improves patient outcomes.

Keywords:
dyslipidemiasechocardiographyelectrocardiogrampericardial effusion

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Area of Science:

  • Cardiology
  • Internal Medicine
  • Pathology

Background:

  • Cholesterol pericarditis is a rare condition involving cholesterol crystal buildup in the pericardium.
  • It is frequently associated with hyperlipidemia and chronic inflammatory conditions.

Observation:

  • A 50-year-old woman with hypercholesterolemia presented with dyspnea, chest pain, and fatigue.
  • Imaging revealed a massive pericardial effusion, confirmed by pericardiocentesis to contain cholesterol crystals.

Findings:

  • Pericardial fluid analysis is key to diagnosing cholesterol pericarditis.
  • Successful treatment involved pericardiocentesis, NSAIDs, and lipid-lowering therapy, resolving symptoms.

Implications:

  • Cholesterol pericarditis is an underrecognized cause of pericardial effusion requiring high clinical suspicion.
  • Early diagnosis and management, including lipid control, are crucial for favorable outcomes and preventing recurrence.