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    [Tuberculosis of the urinary tract of women suspected of pulmonary tuberculosis. A case report].
    Wiad Lek 2016 ;69(6):825-828
    Katedra I Zakład Medycyny Rodzinnej, Warszawski Uniwersytet Medyczny, Warszawa, Polska.
    Diagnosis of tuberculosis requires bacteriological confirmation. The sputum is the material most frequently used for this purpose. In the case of extra-pulmonary tuberculosis, it is necessary to obtain other materials, such as urine, pleural fluid, pericardial effusion, ascites, cerebrospinal fluid, sample of tissue, etc. Read More

    Point-of-care ultrasonography for evaluation of acute dyspnea in the emergency department.
    Chest 2017 Feb 14. Epub 2017 Feb 14.
    Emergency Department, Careggi University Hospital, Florence, Italy.
    Background: Acute dyspnea is a common symptom in the emergency department (ED). Standard approach to dyspnea often relies on radiologic and laboratoristic results, causing excessive delay before adequate therapy is started; an integrated point-of-care ultrasonography (PoCUS) approach can shorten the time needed to formulate a diagnosis maintaining an acceptable safety profile.

    Methods: Consecutive adult patients presenting with dyspnea and admitted after ED evaluation were prospectively enrolled. Read More

    Utidelone plus capecitabine versus capecitabine alone for heavily pretreated metastatic breast cancer refractory to anthracyclines and taxanes: a multicentre, open-label, superiority, phase 3, randomised controlled trial.
    Lancet Oncol 2017 Feb 10. Epub 2017 Feb 10.
    Department of Medical Oncology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. Electronic address:
    Background: Utidelone, a genetically engineered epothilone analogue, has shown promise as a potential treatment for breast cancer in phase 1 and 2 trials. The aim of this phase 3 trial was to compare the efficacy and safety of utidelone plus capecitabine versus capecitabine alone in patients with metastatic breast cancer.

    Methods: We did a multicentre, open-label, superiority, phase 3, randomised controlled trial in 26 hospitals in China. Read More

    AEOL 10150 Mitigates Radiation-Induced Lung Injury in the Nonhuman Primate: Morbidity and Mortality are Administration Schedule-Dependent.
    Radiat Res 2017 Feb 16. Epub 2017 Feb 16.
    f Statistician, Rockville, Maryland.
    Pneumonitis and fibrosis are potentially lethal, delayed effects of acute radiation exposure. In this study, male rhesus macaques received whole-thorax lung irradiation (WTLI) with a target dose of 10.74 Gy prescribed to midplane at a dose rate of 0. Read More

    Diagnostic yield of cytopathology in evaluating pericardial effusions: Clinicopathologic analysis of 419 specimens.
    Cancer 2017 Feb 24;125(2):128-137. Epub 2016 Oct 24.
    Department of Pathology and Laboratory Medicine, NewYork-Presbyterian Hospital, Weill Cornell Medicine, New York, New York.
    Background: Pericardial effusions can cause considerable morbidity and potentially may lead to mortality. Malignant pericardial effusions are uncommon, and data on malignancies encountered in pericardial effusion cytology specimens are limited.

    Methods: Relevant records of all pericardial effusions from January 2008 to September 2014 were examined and compared with pericardial biopsy results when performed. Read More

    Cytokine Profiles in Pericardial Effusion in a Down Syndrome Infant with Transient Abnormal Myelopoiesis.
    Tohoku J Exp Med 2017 ;241(2):149-153
    Department of Pediatrics, The University of Tokyo Hospital.
    Infants with Down Syndrome (DS) are at risk of developing a transient abnormal myelopoiesis (TAM). TAM is characterised by increased circulating blast cells but usually self-limiting. DS patients with TAM sometimes show fetal hydrops and effusion in body cavities, but the mechanism remains unclear. Read More

    Pericardial Effusion and Cardiac Tamponade Following Percutaneously Inserted Central Line Insertion in an Extremely Low-birth-weight Baby: Case Report and Successful Management.
    Indian J Crit Care Med 2017 Jan;21(1):57-59
    Department of Neonatology, Nowrosjee Wadia Maternity Hospital, Acharya Donde Marg, Mumbai, Maharashtra, India.
    Pericardial effusion and cardiac tamponade are rare complications of percutaneously inserted central lines (PICLs), in extremely low-birth-weight babies. This particular complication carries a high degree of mortality, if not suspected and diagnosed. Bedside echocardiography proves not only diagnostic but also can be lifesaving in these conditions. Read More

    Coxsackie Myocarditis and Hepatitis with Reactivated Epstein-Bar Virus (EBV): A Case Report.
    Am J Case Rep 2017 Feb 15;18:166-169. Epub 2017 Feb 15.
    Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
    BACKGROUND Myocarditis, defined as inflammation of myocardial tissue of the heart, is an uncommon cardiac presentation and is due to a variety of causes. It affects 1% of the US population, 50% of which is caused by coxsackie B virus. Cardiac tissue is the prime target, and destruction of myocardium results in cardiac failure with fluid overload. Read More

    Pericardio-Amniotic Shunting for Incomplete Pentalogy of Cantrell.
    Fetal Diagn Ther 2017 Feb 15;41(2). Epub 2017 Feb 15.
    A 27-year-old woman, gravida 2, para 0, presented with an incomplete Pentalogy of Cantrell with an omphalocele, diaphragmatic hernia, and a pericardial defect at 32 weeks' gestation. A large pericardial effusion compressed the lungs and had led to a reduced lung growth with an observed-to-expected total lung volume of 28% as measured by MRI. The effusion disappeared completely after the insertion of a pericardio-amniotic shunt at 33 weeks. Read More

    Hydralazine Induced Lupus Syndrome Presenting with Recurrent Pericardial Effusion and a Negative Antinuclear Antibody.
    Case Rep Rheumatol 2017 17;2017:5245904. Epub 2017 Jan 17.
    Department of Internal Medicine, Seton Hall University School of Health and Medical Sciences, Saint Francis Medical Center, Trenton, NJ, USA.
    Drug induced lupus erythematosus (DIL or DILE) is an autoimmune disorder caused by chronic use of certain drugs. We report a unique case of hydralazine induced lupus syndrome (HILS) with a negative antinuclear antibody in a female patient who was on hydralazine for a period of 1.5-2 years and developed recurrent pericardial effusion as a result of it. Read More

    Association of serum intact fibroblast growth factor 23 with left ventricular mass and different echocardiographic findings in patients on hemodialysis.
    J Transl Int Med 2016 Sep 23;4(3):135-141. Epub 2016 Sep 23.
    Department of Nephrology, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran (Islamic Republic of).
    Objectives: To determine the association of fibroblast growth factor 23 (FGF23) with left ventricular hypertrophy (LVH) through the assessment of left ventricular (LV) mass and left ventricular mass index (LVMI) in patients on hemodialysis, this study was done.

    Methods: All patients on hemodialysis who are older than 18 years and in whom hemodialysis vintage was at least 6 months were enrolled. All patients were on hemodialysis thrice a week for 4 h using low-flux dialysis filters, polysulfone membranes, reverse osmosis purified water, and bicarbonate-base hemodialysis solution. Read More

    Recurrent pericarditis.
    Rev Med Interne 2017 Feb 6. Epub 2017 Feb 6.
    University Cardiology, Department of Medical Sciences, AOU Città della Salute e della Scienza di Torino, University of Torino, Torino, Italy.
    Recurrent pericarditis is the most troublesome complication of pericarditis occurring in 15 to 30% of cases. The pathogenesis is often presumed to be immune-mediated although a specific rheumatologic diagnosis is commonly difficult to find. The clinical diagnosis is based on recurrent pericarditis chest pain and additional objective evidence of disease activity (e. Read More

    Management of iatrogenic aortal dissection as a complication of coronary intervention: wait and watch.
    Future Cardiol 2017 Mar 9;13(2):125-129. Epub 2017 Feb 9.
    Department of Cardiology, Evangelisches Krankenhaus, Mülheim (Ruhr), Germany.
    Iatrogenic aortic dissection (AD) is quite a rare complication during percutaneous coronary intervention (PCI). The exact mechanism of iatrogenic AD during PCI is unknown. A standard of care in the management of iatrogenic AD is still lacking. Read More

    Clinical value of contrast-enhanced ultrasound in improving diagnostic accuracy rate of transthoracic biopsy of anterior-medial mediastinal lesions.
    Chin J Cancer Res 2016 Dec;28(6):617-625
    Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing),1Department of Ultrasound.
    Objective: To evaluate the clinical value of contrast-enhanced ultrasound (CEUS) in transthoracic biopsy of anterior-medial mediastinal lesions.

    Methods: A total of 123 patients with anterior or middle mediastinum lesions required ultrasound guided transthoracic biopsy for pathological diagnosis. Among them, 72 patients received CEUS examinations before biopsy. Read More

    [Clinical, pathologic and radiologic analysis of paragonimiasis in children].
    Zhonghua Bing Li Xue Za Zhi 2017 Feb;46(2):108-111
    Departments of Pediatric Infection, the Second Hospital Affiliated to Wenzhou Medical University, Wenzhou 325027, China.
    Objective: To analyze the clinical, pathological and radiological characteristics of paragonimiasis in children for accurate diagnosis and therapy. Methods: A total of 31 patients with paragonimiasis treated from 2002 to 2016 were selected, including 17 cases from migrant areas and 14 cases from Wenzhou area. Results: In migrant children group, the serum IgE was significantly higher than that in Wenzhou area group [(2 379±944) IU/mL∶(1 552±1 121) IU/mL, t=-2. Read More

    Pericardial effusion with cardiac tamponade caused by a central venous catheter in a very low birth weight infant.
    Pan Afr Med J 2016 20;25:13. Epub 2016 Sep 20.
    Department of Intensive Care and Neonatal Medicine, Teaching Hospital of Monastir, Tunisia.
    With more and more extreme premature and very low-birth weight babies being resuscitated, umbilical central venous catheterisation is now being used more frequently in neonatal intensive care. One of the life-threatening complications is pericardial effusion and cardiac tamponade; however, it is potentially reversible when it is caught in time. The authors present a case of cardiac tamponade following umbilical venous catheterisation in a neonate. Read More

    [Ebstein's anomaly revealed by fetal-placental anasarca. Original case study].
    Pan Afr Med J 2016 28;24:279. Epub 2016 Jul 28.
    Equipe de Recherche en Santé et Nutrition du Couple Mère Enfant, Service de Médecine et de Réanimation Néonatale à l'Hôpital d'Enfant de Rabat, Faculté de Médecine et de Pharmacie, Université Mohammed V, Rabat, Maroc.
    Ebstein's anomaly is a congenital heart defect rarely revealed by fetal-placental anasarca. Our study reports an original case of Ebstein's anomaly diagnosed during fetal-placental anasarca assessment, revealed by antenatal ultrasound, objectifying hydramnios, ascites and pericardial effusion. Echocardiography allowed the identification of Ebstein's disease with significant tricuspid insufficiency, mitral regurgitation (grade 3) and patent ductus arteriosus. Read More

    [Cardiobacterium hominis pericarditis: an unusual case].
    Rev Chilena Infectol 2016 Dec;33(6):691-695
    Nefrología, Instituto de Medicina, Universidad Austral de Chile, Chile.
    The case of a male patient under hemodialytic therapy, who developed right heart failure is presented. Echocardiography revealed pericardial effusion, constrictive pattem in the right cavities, septation, without valvular damage and preserved systolic and diastolic function. Pericardial drainage and extensive pericardiectomy was performed obtaining cultures of pericardial tissue positive for an HACEK group organism, Cardiobacterium hominis, with repeatedly negative blood cultures. Read More

    Cardiac Tamponade Diagnosed by Point-of-Care Ultrasound.
    Pediatr Emerg Care 2017 Feb;33(2):132-134
    From the *Department of Emergency Medicine, †Division of Pediatric Emergency Medicine, Department of Pediatrics, and ‡Division of Emergency Ultrasound, Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN.
    We present a case involving a 12-year-old boy who presented to the emergency department and was diagnosed with a pericardial effusion with tamponade physiology by point-of-care ultrasound. The diagnosis resulted in prompt treatment and definitive therapy. Read More

    Exaggerated Interventricular Dependence Among Patients With Pectus Excavatum: Combined Assessment With Cardiac MRI and Chest CT.
    AJR Am J Roentgenol 2017 Jan 31:1-8. Epub 2017 Jan 31.
    1 Department of Computed Tomography and Magnetic Resonance Imaging, Diagnóstico Maipu, Avenue Maipu 1668, Buenos Aires, Vicente López B1602BQ, Argentina.
    Objective: We sought to explore whether patients with pectus excavatum have exaggerated interventricular dependence and to evaluate the impact of the malformation severity (assessed on CT) on both anatomic and functional cardiac parameters (assessed on cardiac MRI).

    Subjects And Methods: The current study involved consecutive patients with a diagnosis of pectus excavatum who were referred to undergo cardiac MRI and chest CT to establish surgical candidacy or to define treatment strategies.

    Results: Sixty-two patients with pectus excavatum underwent cardiac MRI and chest CT. Read More

    Cytopathologic analysis of pericardial effusions in 116 cases: Implications for poor prognosis in lung cancer patients with positive interpretations.
    Diagn Cytopathol 2017 Jan 31. Epub 2017 Jan 31.
    Department of Pathology, The Affiliated Hospital of Qingdao University, Qingdao, 266003, China.
    Background: Few studies have evaluated the cytology of pericardial effusions. The aim of this study is to investigate the etiologies of pericardial effusions and to establish the relationship between cytopathologic interpretations and outcome patterns among patients with pericardial effusions.

    Methods: We identified 116 patients with pericardial effusions at a single institution over a 4-year period and carefully analyzed all available clinical documents, including clinical diagnoses, cytopathologic findings, and outcome patterns. Read More

    [Estimation of poor prognostic factors in patients with pulmonary artery thromboembolism].
    Ter Arkh 2016 ;88(12):28-32
    Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Seiences, Tomsk, Russia.
    Aim: To identify predictors of fatal outcome in hospitalized patients with risk factors (RF) for pulmonary artery thromboembolism (PATE) during its occurrence.

    Subjects And Methods: To determine predictors of fatal outcome in patients with PATE, the data of a 10-year city hospital pulmonary embolism registry were used to analyze RF for PATE (according to European and Russian guidelines), complaints, medical histories, and laboratory and instrumental data, which can be identified at general surgery or general therapy hospital, as well as a nosological entity existing in the patients.

    Results: According to the existing idea on thrombogenesis, RF for PATE and its fatal outcome, information about used treatment, and autopsy data, 137 parameters were selected in patients with PATE. Read More

    Contemporary management of pericardial effusion: practical aspects for clinical practice.
    Postgrad Med 2017 Jan 30. Epub 2017 Jan 30.
    a Department of Medical Sciences , University Cardiology, AOU Città della Salute e della Scienza di Torino, and University of Torino , Torino , Italy .
    A pericardial effusion (PE) is a relatively common finding in clinical practice. It may be either isolated or associated with pericarditis with or without an underlying disease. The aetiology is varied and may be either infectious (especially tuberculosis as the most common cause in developing countries) or non-infectious (cancer, systemic inflammatory diseases). Read More

    [Atypical and rare cardiac revelation about Sheehan's syndrome: A report of three cases].
    Ann Cardiol Angeiol (Paris) 2017 Jan 24. Epub 2017 Jan 24.
    Service d'endocrinologie, diabétologie, maladie métaboliques et nutrition, CHU Med VI, Marrakech 40000, Maroc.
    Sheehan syndrome is a potentially serious complication in the postpartum period corresponding to ischemic necrosis of the anterior pituitary related to postpartum haemorrhage. We report three original observations showing an unusual mode of revelation of this syndrome. The first observation is that of a 46-year-old patient admitted initially to resuscitation for a recovered cardiorespiratory arrest, severe hypoglycemia and profound hyponatremia. Read More

    Anti-inflammatory properties of amniotic membrane patch following pericardiectomy for constrictive pericarditis.
    J Cardiothorac Surg 2017 Jan 26;12(1). Epub 2017 Jan 26.
    Department of Surgery, Division of Cardiothoracic Surgery, University of Arizona College of Medicine, 1501 North Campbell Avenue, Room 4302, Tucson, AZ, 85724, USA.
    Background: Since constrictive pericarditis is most often idiopathic and the pathophysiology remains largely unknown, both the diagnosis and the treatment can be challenging. However, by definition, inflammatory processes are central to this disease process. Amniotic membrane patches have been shown to possess anti-inflammatory properties and are believed to be immune privileged. Read More

    [A rare and mortal infection agent in patients with hematological malignancies: Saprochaete capitata].
    Mikrobiyol Bul 2016 Oct;50(4):613-620
    Gazi University Faculty of Medicine, Department of Hematology, Ankara, Turkey.
    Saprochaete capitata (formerly known as Geotrichum capitatum and Blastoschizomyces capitatus) is a rare invasive fungal agent that may lead to mortal clinical course in patients with hematological malignancies. This agent can be colonized in skin, lungs and intestines, and it can cause major opportunistic infections. Invasive systemic infections due to S. Read More

    [Bacteremia caused by ciprofloxacin-resistant Salmonella serotype Kentucky: a case report and the review of literature].
    Mikrobiyol Bul 2016 Oct;50(4):598-605
    Ankara Atatürk Training and Research Hospital, Medical Microbiology Laboratory, Ankara, Turkey.
    Salmonella infections can be seen in four clinical types, namely gastroenteritis, bacteremia/sepsis, enteric fever and carriage. These infections can result in uncomplicated diarrhea in most cases, but can lead to invasive disease requiring antimicrobial therapy and can be life-threatening in elderly or immunocomprimised patients. Broad-spectrum cephalosporins and fluoroquinolones are crucial options in the treatment of the invasive infections. Read More

    Clinical and historical features of emergency department patients with pericardial effusions.
    World J Emerg Med 2017 ;8(1):29-33
    Department of Emergency Medicine, University of Arizona, Tucson, AZ 85721, USA.
    Background: Diagnosing pericardial effusion is critical for optimal patient care. Typically, clinicians use physical examination findings and historical features suggesting pericardial effusion to determine which patients require echocardiography. The diagnostic characteristics of these tools are not well described. Read More

    Efficacy of computed tomography features in predicting stage III thymic tumors.
    Oncol Lett 2017 Jan 23;13(1):29-36. Epub 2016 Nov 23.
    Institute of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai 200233, P.R. China.
    Accurate assessment of the invasion of intrathoracic structures by stage III thymic tumors assists their appropriate management. The present study aimed to evaluate the efficacy of computed tomography (CT) features for the prediction of stage III thymoma invasion. The pre-operative CT images of 66 patients with confirmed stage III thymic tumors were reviewed retrospectively. Read More

    Roles of real-time three-dimensional transesophageal echocardiography in peri-operation of transcatheter left atrial appendage closure.
    Medicine (Baltimore) 2017 Jan;96(4):e5637
    Department of Ultrasound Imaging, Renmin Hospital of Wuhan University, Wuhan, China.
    Left atrial appendage (LAA) closure is a new treatment option for the prevention of stroke in patients with nonvalvular atrial fibrillation (AF). Conventional 2-dimensional transesophageal echocardiography (2D TEE) has some limitations in the imaging assessment of LAA closure. Real-time 3-dimensional transesophageal echocardiography (RT-3D TEE) allows for detailed morphologic assessment of the LAA. Read More

    Adapting Gel Wax into an Ultrasound-Guided Pericardiocentesis Model at Low Cost.
    West J Emerg Med 2017 Jan 21;18(1):114-116. Epub 2016 Nov 21.
    LSU-HSC Shreveport, Emergency Medicine Department, Shreveport, Louisiana.
    Cardiac tamponade is a life-threatening emergency for which pericardiocentesis may be required. Real-time bedside ultrasound has obviated the need for routine blind procedures in cardiac arrest, and the number of pericardiocenteses being performed has declined. Despite this fact, pericardiocentesis remains an essential skill in emergency medicine. Read More

    Cardiac Toxicity After Radiotherapy for Stage III Non-Small-Cell Lung Cancer: Pooled Analysis of Dose-Escalation Trials Delivering 70 to 90 Gy.
    J Clin Oncol 2017 Jan 23:JCO2016700229. Epub 2017 Jan 23.
    Kyle Wang, Michael J. Eblan, Matthew Lipner, Timothy M. Zagar, Panayiotis Mavroidis, Carrie B. Lee, Brian C. Jensen, Julian G. Rosenman, and Lawrence B. Marks, University of North Carolina Hospitals; Allison M. Deal and Yue Wang, Lineberger Comprehensive Cancer Center Biostatistics Core, University of North Carolina Hospitals, Chapel Hill; Thomas E. Stinchcombe, Duke University Hospitals, Durham, NC; and Mark A. Socinski, Florida Hospital Cancer Institute, Orlando, FL.
    Purpose The significance of radiotherapy (RT) -associated cardiac injury for stage III non-small-cell lung cancer (NSCLC) is unclear, but higher heart doses were associated with worse overall survival in the Radiation Therapy Oncology Group (RTOG) 0617 study. We assessed the impact of heart dose in patients treated at our institution on several prospective dose-escalation trials. Patients and Methods From 1996 to 2009, 127 patients with stage III NSCLC (Eastern Cooperative Oncology Group performance status, 0 to 1) received dose-escalated RT to 70 to 90 Gy (median, 74 Gy) in six trials. Read More

    Disseminated Penicillium marneffei infection recurrence in a non-acquired immune deficiency syndrome patient: A case report.
    Mol Clin Oncol 2016 Dec 27;5(6):829-831. Epub 2016 Sep 27.
    Department of Radiology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410000, P.R. China.
    Penicillium marneffei is a rare deep tissue fungal infection causing an endemic in Southeast Asia. This infection causes penicilliosis disease and is more common in patients who are immunocompromised. To date, no cases of P. Read More

    Everolimus-Induced Systemic Serositis After Simultaneous Liver and Kidney Transplantation: A Case Report.
    Transplant Proc 2017 Jan - Feb;49(1):181-184
    Division of Nephrology, Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul, Korea. Electronic address:
    Although everolimus, a mammalian target of rapamycin inhibitor, has been used as a potent immunosuppressive agent in organ transplantation, data regarding its adverse effect profile compared with that of sirolimus in clinical circumstances are limited. A 50-year-old man who underwent simultaneous liver and kidney transplantation 14 months previously was admitted with large pleural effusion, pericardial effusion, and ascites. Laboratory findings and cultures for possible infectious causes were all negative. Read More

    [102 patients with suspected myocarditis : Clinical presentation, diagnostics, therapy and prognosis].
    Herz 2017 Jan 18. Epub 2017 Jan 18.
    Paracelsus Harz-Klinik Bad Suderode, Paracelsusstr. 1, 06485, Quedlinburg, Deutschland.
    Introduction: Myocarditis is a disease which is difficult to diagnose and which includes a risk of the development of dilated cardiomyopathy and sudden cardiac death.

    Methods And Patients: In this study 102 patients were included from the time period 2003-2013 after diagnosis or suspected diagnosis of myocarditis in the department of internal medicine at the University Hospital Halle (Saale).

    Results: Of the study participants 77. Read More

    Effectiveness of computed tomography attenuation values in characterization of pericardial effusion.
    Anatol J Cardiol 2017 Jan 17. Epub 2017 Jan 17.
    Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital; Ankara-Turkey.
    Objective: The aim of this study was to evaluate the effectiveness of computed tomography (CT) attenuation values in the characterization of pericardial effusion.

    Methods: This study consisted of 96 patients with pericardial effusion who underwent pericardiocentesis. For further diagnostic evaluation of pericardial effusion, all the patients were assessed by thorax CT. Read More

    A rare cause of constrictive pericarditis.
    BMJ Case Rep 2017 Jan 18;2017. Epub 2017 Jan 18.
    Cardiovascular Medicine Division, Pennsylvania Hospital, Philadelphia, Pennsylvania, USA.
    A 67-year-old man presented with 3 months of exertional dyspnoea and 1 week of oedema. Examination revealed elevated neck veins, pulsus paradoxus, muffled heart sounds, decreased breath sounds and pedal oedema. Transthoracic echocardiogram (TTE) demonstrated cardiac tamponade, and chest X-ray showed pleural effusion. Read More

    A case of generalized lymphatic anomaly causing skull-base leakage and bacterial meningitis.
    Brain Dev 2017 Jan 13. Epub 2017 Jan 13.
    Department of Pediatrics and Tokushima Prefectural Central Hospital, Japan.
    Generalized lymphatic anomaly is a multifocal lymphatic malformation that affects the skin, thoracic viscera, and bones. A 3year-old Japanese boy presented with right facial palsy due to cystic tumors in the ipsilateral petrous bone. Pericardial effusion had been found incidentally and generalized lymphatic anomaly had been diagnosed by pericardial biopsy. Read More

    Echocardiographic approach to cardiac tamponade in critically ill patients.
    J Crit Care 2016 Dec 24. Epub 2016 Dec 24.
    Department of Critical Care Medicine, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland; University College Dublin School of Medicine, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland. Electronic address:
    Cardiac tamponade should be considered in a critically ill patient in whom the cause of haemodynamic shock is unclear. When considering tamponade, transthoracic echocardiography plays an essential role and is the initial investigation of choice. Diagnostic sensitivity of transthoracic echocardiography is dependent on image quality, and in some cases a transoesophageal approach may be required to confirm the diagnosis. Read More

    Systematic review and meta-analysis of randomized controlled trials assessing safety and efficacy of posterior pericardial drainage in patients undergoing heart surgery.
    J Thorac Cardiovasc Surg 2016 Dec 19. Epub 2016 Dec 19.
    Department of Cardiac Surgery, Dr Antoni Jurasz Memorial University Hospital in Bydgoszcz, Bydgoszcz, Poland; Department of Hygiene, Epidemiology and Ergonomics, Division of Ergonomics and Physical Effort, Collegium Medicum UMK in Bydgoszcz, Bydgoszcz, Poland. Electronic address:
    Objectives: To investigate the potential beneficial effects of posterior pericardial drainage in patients undergoing heart surgery.

    Methods: Multiple online databases and relevant congress proceedings were screened for randomized controlled trials assessing the efficacy and safety of posterior pericardial drainage, defined as posterior pericardiotomy incision, chest tube to posterior pericardium, or both. Primary endpoint was in-hospital/30 days' cardiac tamponade. Read More

    Mixed Connective Tissue Disorder Complicated by Polymyositis, Sjogren's Syndrome, Pleural Effusion and Pericarditis.
    Cureus 2016 Dec 1;8(12):e906. Epub 2016 Dec 1.
    Department of Internal Medicine, Carthage Area Hospital, New York, USA.
    We report a case of a 24-year-old female with a history of asthma and gastroesophageal reflux disease (GERD). She presented to the emergency room with severe chest pain, chest tightness, and shortness of breath following an upper respiratory tract infection. The patient reported that she had a cough and runny nose one week prior to this presentation, followed by a sudden sharp pain in the center of the chest 8/10 in intensity on the visual analog scale and pleuritic in nature, which aggravated by deep breathing and lying down flat. Read More

    Prevalence of vomiting in dogs with pericardial effusion.
    J Vet Emerg Crit Care (San Antonio) 2017 Jan 12. Epub 2017 Jan 12.
    Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, MA, 01536.
    Background: Pericardial effusion (PE) is common in dogs. Clinical signs may be vague until cardiac tamponade and associated cardiovascular decompensation develops. Vomiting has previously been identified in some dogs, but the actual prevalence of vomiting in dogs with PE is unknown. Read More

    Clinical effects of thermotherapy in combination with intracavitary infusion of traditional Chinese medicine in the treatment of malignant pleural effusion.
    J Biol Regul Homeost Agents 2016 Oct-Dec;30(4):1023-1028
    Compositive Thermotherapy Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
    Malignant fluid, a commonly seen tumor associated complication, mainly includes peritoneal effusion, malignant pleural effusion and pericardial effusion. It can produce huge negative influence on the quality of life of patients and even lead to death. Treatment of malignant effusion is one of the effective measures for improving life expectancy of patients. Read More

    Identification and clinical course of 166 pediatric cardiac tumors.
    Eur J Pediatr 2017 Feb 10;176(2):253-260. Epub 2017 Jan 10.
    Shanghai Children's Medical Center, Medical Institute, Shanghai Jiaotong University, Shanghai, China.
    The aim of this study was to investigate the pathological classifications, clinical features, and natural history of pediatric cardiac tumors to provide a basis for the selection of an appropriate therapeutic method. The medical records of in- or outpatients with cardiac tumors at four hospitals were classified to analyze various types of tumor growth locations, clinical manifestations, surgical indications, and long-term follow-up results. There were 166 patients, including 158 with primary cardiac tumors, six with metastatic cardiac tumors, and two with unclassified cardiac tumors. Read More

    Pericardial Effusions: Causes, Diagnosis, and Management.
    Prog Cardiovasc Dis 2017 Jan - Feb;59(4):380-388. Epub 2017 Jan 4.
    Department of Cardiovascular Imaging, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address:
    The presentation of a patient with a pericardial effusion can range from an incidental finding to a life-threatening emergency. Accordingly, the causes of pericardial effusions are numerous and can generally be divided into inflammatory and non-inflammatory etiologies. For all patients with a suspected pericardial effusion, echocardiography is essential to define the location and size of an effusion. Read More

    Constrictive Pericarditis: A Practical Clinical Approach.
    Prog Cardiovasc Dis 2017 Jan - Feb;59(4):369-379. Epub 2017 Jan 4.
    Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA. Electronic address:
    Constrictive pericarditis (CP) represents a form of severe diastolic heart failure (HF), secondary to a noncompliant pericardium. The true prevalence of CP is unknown but it is observed in 0.2-0. Read More

    Pericardial Masses, Cysts and Diverticula: A Comprehensive Review Using Multimodality Imaging.
    Prog Cardiovasc Dis 2017 Jan - Feb;59(4):389-397. Epub 2017 Jan 4.
    Heart and Vascular Institute, Cleveland Clinic. Electronic address:
    Pericardial masses/tumors, cysts, and diverticula are quite rare. Presentation is variable and often patients may be asymptomatic with pericardial involvement initially only detected at time of autopsy. When patients do present with symptoms they are often non-specific and often mimic other conditions of the pericardium such as pericarditis, pericardial effusion, constriction or tamponade. Read More

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