13,710 results match your criteria Pericardial Effusion


Anti-inflammatory therapies for pericardial diseases in the COVID-19 pandemic: safety and potentiality.

J Cardiovasc Med (Hagerstown) 2020 Jul 10. Epub 2020 Jul 10.

College of Law and Business, Ramat Gan, Israel, Sackler Faculty of Medicine, Tel Aviv University, Mayanei Hayeshua Medical Center, Bnei Brak, Israel.

: The COVID-19 pandemic is challenging our cardiovascular care of patients with heart diseases. In the setting of pericardial diseases, there are two possible different scenarios to consider: the patient being treated for pericarditis who subsequently becomes infected with SARS-CoV-2, and the patient with COVID-19 who develops pericarditis or pericardial effusion. In both conditions, clinicians may be doubtful regarding the safety of nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, colchicine, and biological agents, such as anti-IL1 agents (e. Read More

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http://dx.doi.org/10.2459/JCM.0000000000001059DOI Listing

Clinical outcomes of leadless pacemaker: a systematic review.

Minerva Cardioangiol 2020 Jul 10. Epub 2020 Jul 10.

Faculdade de Medicina da Universidade do Porto, Porto, Portugal.

Introduction: Transvenous pacemakers are associated with a significant amount of complications. Leadless pacemakers (LP) are emerging as an alternative to conventional devices. This article provides a systematic review of patient eligibility, safety and clinical outcomes of the LP devices. Read More

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http://dx.doi.org/10.23736/S0026-4725.20.05244-5DOI Listing

Expecting the unexpected: Echo laboratory preparedness in the time of COVID-19.

Echocardiography 2020 Jul 13. Epub 2020 Jul 13.

Rush University Medical Center, Chicago, Illinois, USA.

COVID-19 poses a unique set of challenges to the healthcare system due to its rapid spread, intensive resource utilization, and relatively high morbidity and mortality. Healthcare workers are at especially high risk of exposure given the viruses spread through close contact. Reported cardiac complications of COVID-19 include myocarditis, acute coronary syndrome, cardiomyopathy, pericardial effusion, arrhythmia, and shock. Read More

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http://dx.doi.org/10.1111/echo.14763DOI Listing

Meta-Analysis Comparing Watchman and Amplatzer Devices for Stroke Prevention in Atrial Fibrillation.

Front Cardiovasc Med 2020 22;7:89. Epub 2020 Jun 22.

Baylor College of Medicine, Houston, TX, United States.

For patients with atrial fibrillation who are at high risk for bleeding or who cannot tolerate oral anticoagulation, left atrial appendage (LAA) closure represents an alternative therapy for reducing risk for thromboembolic events. To compare the efficacy and safety of the Amplatzer and Watchman LAA closure devices. A meta-analysis was performed of studies comparing the safety and efficacy outcomes of the two devices. Read More

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http://dx.doi.org/10.3389/fcvm.2020.00089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322993PMC

Acute Effusive Pericarditis: A Late Complication of COVID-19.

Cureus 2020 Jul 8;12(7):e9074. Epub 2020 Jul 8.

Internal Medicine, OhioHealth Riverside Methodist Hospital, Columbus, USA.

As the COVID-19 pandemic evolves, the medical community continues to discover novel clinical manifestations of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus. Often, extrapulmonary manifestations occur simultaneously with pulmonary disease. However, there is a paucity of literature describing the cardiac manifestations of COVID-19 in the absence of pulmonary findings. Read More

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http://dx.doi.org/10.7759/cureus.9074DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7348211PMC

Feasibility of a 5G-based robot-assisted remote ultrasound system for cardiopulmonary assessment of COVID-19 patients.

Chest 2020 Jul 9. Epub 2020 Jul 9.

Medical aiding team for COVID-19 in Hubei, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, 310014, China. Electronic address:

Background: Traditional methods for cardiopulmonary assessment of Coronavirus Disease 2019 (COVID-19) patients pose risks to, both, patients and examiners. This necessitates a remote examination of such patients without sacrificing information quality.

Research Question: Assess the feasibility of a 5G-based robot-assisted remote ultrasound system in examining COVID-19 patients and establish an examination protocol for telerobotic ultrasound scanning. Read More

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http://dx.doi.org/10.1016/j.chest.2020.06.068DOI Listing

Current trends in the management of acute type A aortic intramural hematoma.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.

Within the spectrum of acute aortic syndromes, intramural hematoma (IMH) is a distinct lesion that is characterized by crescentic or circumferential thickening of the aortic wall in the absence of an intimal defect. The reported incidence of IMH among all type A acute aortic syndromes ranges from 3.5% to 28. Read More

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http://dx.doi.org/10.1111/jocs.14819DOI Listing

Spontaneous contained rupture of the nonaneurysmal ascending aorta: Diagnostic importance of pericardial effusion.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Division of Cardiovascular Surgery, Peter Munk Cardiac Centre, Toronto General Hospital, University Health Networkx, University of Toronto, Toronto, Canada.

A 58-year-old man with a history of hypertension, dyslipidemia, and an obtuse marginal branch coronary stent developed the sudden onset of chest pain. A contrast computed tomography demonstrated a penetrating ulcer of nondilating ascending aorta and a small pericardial effusion. Coronary angiography showed three-vessel disease. Read More

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http://dx.doi.org/10.1111/jocs.14801DOI Listing

Renal medullary carcinoma involving serous cavity fluids: a cytomorphologic study of 12 cases.

J Am Soc Cytopathol 2020 Jun 9. Epub 2020 Jun 9.

Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Radiology, The Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address:

Introduction: Renal medullary carcinoma (RMC) is a highly lethal adenocarcinoma with a propensity for widespread metastatic disease in young patients. It is strongly associated with sickle cell trait and shows the loss of SMARCB1 (also known as INI1 or BAF47) protein expression. In the present study, we reviewed a series of 12 patients for whom the cytology specimens played a significant role in patient treatment. Read More

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http://dx.doi.org/10.1016/j.jasc.2020.05.016DOI Listing

Isolated Right Atrial Rupture From Blunt Chest Trauma in Motor Vehicle Collisions: Mechanisms of Injury and Outcomes.

Am J Forensic Med Pathol 2020 Jul 2. Epub 2020 Jul 2.

From the Department of Experimental Medicine, University of Campania "Luigi Vanvitelli," Naples, Italy.

Isolated right atrial rupture after nonpenetrating blunt chest trauma is rare, and very few cases have been reported in the literature. Isolated right atrial rupture is a diagnostic challenge in these patients, who are mostly victims of motor vehicle collisions. The clinical presentation is heterogeneous and can vary depending on rupture location and size. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000591DOI Listing

Hemodynamic monitoring using trans esophageal echocardiography in patients with shock.

Ann Transl Med 2020 Jun;8(12):791

AP-HP, Hôpital Henri Mondor, Service de Médecine Intensive Réanimation, F-94010, Créteil, France.

Circulatory shock is a life-threatening condition responsible for inadequate tissue perfusion. The objectives of hemodynamic monitoring in this setting are multiple: identifying the mechanisms of shock (hypovolemic, distributive, cardiogenic, obstructive); choosing the adequate therapeutic intervention, and evaluating the patient's response. Echocardiography is proposed as a first line tool for this assessment in the intensive care unit. Read More

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http://dx.doi.org/10.21037/atm-2020-hdm-23DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7333117PMC

Initiation of Cardiopulmonary Bypass in a High-Risk Patient Under Regional Anesthesia: A Case Report.

A A Pract 2020 Jun;14(8):e01246

From the Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas.

A 34-year-old man presented with a large right ventricular (RV) intracardiac mass obstructing RV inflow and outflow as well as a concomitant pericardial effusion displaying physiological signs of tamponade. The patient underwent awake femorofemoral cannulation for cardiopulmonary bypass (CPB) under regional anesthesia with initiation of CPB before induction of general anesthesia. This unconventional approach avoided hemodynamic perturbations in this high-risk patient. Read More

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http://dx.doi.org/10.1213/XAA.0000000000001246DOI Listing

Image-guided catheter drainage in loculated pleural space collections, effectiveness, and complications.

Lung India 2020 Jul-Aug;37(4):316-322

Department of Radiodiagnosis and Imaging, Government Medical College, Srinagar, Jammu and Kashmir, India.

Introduction: Image-guided drainage is an established technique with a multitude of applications. The indications, techniques, and management of image-guided catheter drainage, however, continue to evolve. Image-guided drainage alone is sometimes sufficient for the treatment of a collection, but it can also act as an adjunct or temporizing measure before definitive surgical treatment. Read More

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http://dx.doi.org/10.4103/lungindia.lungindia_385_19DOI Listing

Left atrial cardiac Tamponade complicating radical nephrectomy - case report.

J Cardiothorac Surg 2020 Jul 8;15(1):165. Epub 2020 Jul 8.

Morriston Hospital, Swansea, United Kingdom.

Background: We present an unusual case of pericardial tamponade occurring subsequent to a radical right nephrectomy performed entirely through a laparotomy.

Case Presentation: A 43 year old gentleman who presented with large loculated posterior pericardial effusion compressing the left atrium, following a radical nephrectomy performed entirely through a laparotomy. He required an emergency sternotomy, pericardial and pleural drainage. Read More

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http://dx.doi.org/10.1186/s13019-020-01190-3DOI Listing

Myopericarditis, Rhabdomyolysis, and Acute Hepatic Injury: Sole Expression of a SARS-CoV-2 Infection.

Circ Cardiovasc Imaging 2020 07 8;13(7):e010907. Epub 2020 Jul 8.

Department of Cardiology, Simone Veil hospital, Eaubonne, France (F.L., N.G.).

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http://dx.doi.org/10.1161/CIRCIMAGING.120.010907DOI Listing

A staged surgical strategy for cardiogenic shock and iatrogenic ventricular septal perforation due to a malpositioned catheter.

Gen Thorac Cardiovasc Surg 2020 Jul 6. Epub 2020 Jul 6.

Department of Cardiovascular Surgery, Kyushu University Hospital, 3-1-1 Maidashi, Higashiku, Fukuoka, 812-8582, Japan.

A 59-year-old woman fell into cardiogenic shock due to acute myocardial infarction with total occlusion of the left anterior descending artery. Although intra-aortic balloon pump was inserted and a coronary stent was placed, she went into cardiopulmonary arrest and percutaneous veno-arterial extracorporeal membrane oxygenation (ECMO) was initiated. She was transferred to our hospital after drainage for pericardial effusion. Read More

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http://dx.doi.org/10.1007/s11748-020-01425-zDOI Listing

Effect of combination antiretroviral therapy on the clinical manifestations, radiological characteristics, and disease severity of HIV-associated infection.

Int J STD AIDS 2020 Jul;31(8):747-752

Department of Radiology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.

The objective of this study was to evaluate whether combination antiretroviral therapy (cART) has an effect on the clinical manifestations, radiological characteristics, and disease severity of human immunodeficiency virus (HIV)-associated infection. The clinical manifestations, chest computed tomography (CT) images, and disease severity were compared between 14 patients with culture-confirmed infections who received cART and 38 patients who did not receive cART. Clinical manifestations included high fever (>38°C), cough, shortness of breath, chills, and skin rash. Read More

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http://dx.doi.org/10.1177/0956462420925248DOI Listing

Characteristics and Prognostic Associations of Echocardiographic Pulmonary Hypertension With Normal Left Ventricular Systolic Function in Patients ≥90 Years of Age.

Am J Cardiol 2020 May 26. Epub 2020 May 26.

Smidt Heart Institute, Cedars-Sinai Medical Center, 127 South San Vicente Boulevard A 3411, Los Angeles, California, 90048. Electronic address:

The high prevalence of pulmonary hypertension (PH) in elderly patients is well known. However, much remains unknown about those population. We sought to find the clinical characteristics of echocardiographic PH and the prognostic factors in patients ≥90 years of age. Read More

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http://dx.doi.org/10.1016/j.amjcard.2020.05.031DOI Listing

Novel Oral Anticoagulants Compared to Warfarin for Postoperative Atrial Fibrillation After Isolated Coronary Artery Bypass Grafting.

Heart Lung Circ 2020 Jun 14. Epub 2020 Jun 14.

Cardiothoracic Surgical Department, Royal Prince Alfred Hospital, Sydney, NSW, Australia; Baird Institute of Applied Heart and Lung Research, Sydney, NSW, Australia.

Background: Postoperative atrial fibrillation (POAF) is common after cardiac surgery and contributes to short- and long-term morbidity, particularly thromboembolism. Anticoagulation for sustained or recurrent POAF is suggested to reduce thromboembolism. Novel oral anticoagulants may present a safe alternative to warfarin with further benefits including shorter hospital length of stay and better patient convenience. Read More

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http://dx.doi.org/10.1016/j.hlc.2020.04.018DOI Listing

Hiccups as the Presenting Manifestation of Cardiac Tamponade: A Case Report.

J Emerg Med 2020 Jul 1. Epub 2020 Jul 1.

Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan.

Background: Cardiac tamponade is a life-threatening disease with a high mortality rate. Its clinical manifestations depend on the length of time over which pericardial effusion accumulates. Among those, hiccups are rarely reported. Read More

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http://dx.doi.org/10.1016/j.jemermed.2020.05.018DOI Listing

Emperipolesis of lymphocytes by mesothelial cells in pleural effusion involved by T-lymphoblastic lymphoma.

Diagn Cytopathol 2020 Jul 4. Epub 2020 Jul 4.

Pathology Section, Rashid Hospital, Dubai, United Arab Emirates.

Emperipolesis is a physiologic or pathologic phenomenon characterized by the presence of intact viable cells within the cytoplasm of another cell. It has been described in normal tissues and in a variety of inflammatory and neoplastic lesions such as Rosai-Dorfman disease, tumors, hematopoietic disorders and rarely lymphomas. Emperipolesis by mesothelial cells is rare. Read More

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http://dx.doi.org/10.1002/dc.24543DOI Listing

The international system for reporting serous fluid cytopathology-diagnostic categories and clinical management.

J Am Soc Cytopathol 2020 Jun 9. Epub 2020 Jun 9.

Instituto de Patologia e Imunologia Molecular da Universidade do Porto, Porto, Portugal; Faculdade de Medicina da Universidade do Porto, Porto, Portugal. Electronic address:

Introduction: Effusions can develop inside serous cavities in several pathologic states, both neoplastic and non-neoplastic. They are easy to drain and can provide useful diagnostic information. However, the reported diagnostic efficacy of these specimens has not been uniform across different laboratories. Read More

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http://dx.doi.org/10.1016/j.jasc.2020.05.015DOI Listing

Postcardiac injury syndrome, peripheral hematoma of ascending aorta, and cerebral infarction after PCI: a case report.

BMC Cardiovasc Disord 2020 Jul 3;20(1):317. Epub 2020 Jul 3.

Department of Cardiology, Yijishan Hospital of Wannan Medical College, Wuhu, China.

Background: Postcardiac injury syndrome (PCIS) is an inflammatory response syndrome characterized by pericardial effusion with or without pleural effusion; however, serious PCIS with peripheral hematoma of the ascending aorta and acute cerebral infarction after percutaneous coronary intervention (PCI) have not been reported.

Case Presentation: This article reports a very rare case of a 40-year-old patient who developed acute pericardial and pleural effusions (both bloody), acute respiratory distress, peripheral hematoma of the ascending aorta, and acute cerebral infarction after PCI. The patient's ECG showed bow-back downward ST elevation in leads I, II, III, and V4-V6. Read More

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http://dx.doi.org/10.1186/s12872-020-01608-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7333298PMC

Aortic root rupture during balloon-expandable transcatheter aortic valve replacement in a patient without recognized risk factors for aortic root rupture: a case report.

Eur Heart J Case Rep 2020 Jun 26;4(3):1-4. Epub 2020 May 26.

Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita 565-0871, Japan.

Background: Aortic root rupture is a severe complication of balloon-expandable transcatheter aortic valve replacement (TAVR). Although previous studies have revealed several risk factors for this complication, predicting this complication is occasionally difficult.

Case Summary: A 78-year-old male patient underwent TAVR via a transfemoral approach using a 29-mm balloon-expandable valve. Read More

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http://dx.doi.org/10.1093/ehjcr/ytaa073DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319835PMC

Cardiac tamponade due to primary hypothyroidism: acute management and approach to prevent recurrence-a case report.

Eur Heart J Case Rep 2020 Jun 3;4(3):1-5. Epub 2020 May 3.

Department of Cardiology, Osmania General Hospital, Hyderabad, Telangana, India.

Background: Hypothyroidism is a common endocrine disorder resulting from deficiency of thyroid hormone, with iodine deficiency remains the foremost cause. It is more common in women with increasing incidence in the elderly. The manifestations of hypothyroidism results from the hypometabolism in the body at cellular level and affects all organs. Read More

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http://dx.doi.org/10.1093/ehjcr/ytaa071DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319808PMC

Bronchogenic Cyst Presenting as Acute Pericarditis.

Cureus 2020 Jun 28;12(6):e8874. Epub 2020 Jun 28.

Cardiology, Mercy Catholic Medical Center, Darby, USA.

Bronchogenic cysts are speculated to arise from abnormal budding of the foregut tissue during embryogenesis. Around 90% of mediastinal bronchogenic cysts are asymptomatic, and a small percentage of them present with chest pain and dyspnea. Pericardial effusion is one of the manifestations described; however, pericarditis has not been widely reported. Read More

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http://dx.doi.org/10.7759/cureus.8874DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325378PMC

Immediate Postoperative Results in the Surgical Treatment of Neoplastic Pericarditis - 76 Consecutive Cases.

Chirurgia (Bucur) 2020 May-Jun;115(3):341-347

Pericardial effusion, accumulation of fluid in the pericardial sac, may develop in any type of cancer. It was revealed in up to 20% of oncological patients. Method: We made a retrospective study of patients with pericardial efusion presented in our clinic between 2010 and 2015. Read More

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http://dx.doi.org/10.21614/chirurgia.115.3.341DOI Listing

Delayed pericardial tamponade following central venous recanalization.

J Vasc Access 2020 Jul 2:1129729820938177. Epub 2020 Jul 2.

Department of Interventional Radiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

A patient with central venous occlusion at the junction of the superior vena cava and right atrium underwent endovascular revascularization. The leakage of contrast agents was detected during sharp recanalization that was then managed with covered stent deployment. The initial symptom of facial swelling disappeared and the vital signs were stable after treatment. Read More

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http://dx.doi.org/10.1177/1129729820938177DOI Listing

Unilateral pleural effusion with capillary haemangioma.

Respirol Case Rep 2020 Aug 25;8(6):e00613. Epub 2020 Jun 25.

Department of Pulmonary Medicine, Thoracic Center St. Luke's International Hospital Tokyo 104-8560 Japan.

Here, we report a case of haemangioma on middle mediastinum accompanied by unilateral pleural effusion, which was initially suspected to be lung cancer and pleurisy. During annual check-up, chest radiography of a 30-year-old female showed homogeneous opacity in the left lower pulmonary field. Excision was performed, and the mass was pathologically diagnosed as benign mediastinal vascular tumour with exudative pleural effusion. Read More

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http://dx.doi.org/10.1002/rcr2.613DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317172PMC

Acute Myopericarditis with Pericardial Effusion and Cardiac Tamponade in a Patient with COVID-19.

Am J Case Rep 2020 Jul 1;21:e925554. Epub 2020 Jul 1.

Department of Cardiology, MedStar Heart and Vascular Institute at Franklin Square Medical Center, Baltimore, MD, USA.

BACKGROUND Coronavirus disease 2019 (COVID-19) is primarily a respiratory illness. However, with rising numbers of cases, multiple reports of cardiovascular manifestations have emerged. We present a case of COVID-19 infection complicated by myopericarditis and tamponade requiring drainage. Read More

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http://dx.doi.org/10.12659/AJCR.925554DOI Listing

Rate, Causes, and Predictors of 30-day Readmission Following Hospitalization for Acute Pericarditis.

Am J Med 2020 Jun 26. Epub 2020 Jun 26.

Department of Cardiology, Westchester Medical Center and New York Medical College, Valhalla, NY.

Background: Acute pericarditis is a frequent cause of hospitalization in the United States. Although recurrence of this condition is common, few studies have investigated hospital readmissions in this patient population.

Methods: We queried the National Readmission Database for the years 2016 and 2017 to identify adult admissions for acute pericarditis, and analyzed the data for 30-day readmission. Read More

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http://dx.doi.org/10.1016/j.amjmed.2020.05.027DOI Listing

Acute and mid-term outcome of ethanol infusion of vein of Marshall for the treatment of perimitral flutter.

Europace 2020 Jun 29. Epub 2020 Jun 29.

Bordeaux University Hospital (CHU), Cardiac Electrophysiology and Cardiac Stimulation Team, CHU Bordeaux, IHU Lyric, Université de Bordeaux, Avenue de Magellan, 33604 Bordeaux, France.

Aims : We hypothesized that an epicardial approach using ethanol infusion in the vein of Marshall (EIVOM) may improve the result of ablation for perimitral flutter (PMF).

Methods And Results : We studied 103 consecutive patients with PMF undergoing high-resolution mapping. The first 71 were treated with radiofrequency (RF) ablation alone (RF-group), and the next 32 underwent EIVOM followed by RF on the endocardial and epicardial mitral isthmus (EIVOM/RF-group). Read More

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http://dx.doi.org/10.1093/europace/euaa137DOI Listing
June 2020
3.050 Impact Factor

Chest CT Imaging Signature of COVID-19 Infection: In Pursuit of the Scientific Evidence.

Chest 2020 Jun 25. Epub 2020 Jun 25.

Department of Radiology, Zuyderland Medical Center, Heerlen/Sittard/Geleen, The Netherlands; Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD.

Background: Chest CT may be used for the diagnosis of Coronavirus disease 2019 (COVID-19), but clear scientific evidence is lacking. Therefore, we systematically reviewed and meta-analyzed the chest CT imaging signature of COVID-19.

Research Question: ••••. Read More

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http://dx.doi.org/10.1016/j.chest.2020.06.025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314684PMC

Post-mortem Diagnosis of Heme Oxygenase-1 Deficiency by Whole Exome Sequencing in an Iranian Child.

Int J Mol Cell Med 2019 ;8(4):300-307

Department of Pediatrics, Tehran University of Medical Sciences,Tehran, Iran.

Heme oxygenase-1 (HO-1) is an inducible enzyme involved in the catalysis of heme conversion into biliverdin. We describe a patient with a novel stop-gain mutation in the coding sequence resulting in HO-1 deficiency. A 17-month-old female with fever, tachypnea, and signs of respiratory distress was referred to our center. Read More

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http://dx.doi.org/10.22088/IJMCM.BUMS.8.4.300DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305464PMC
January 2019

Infection Of Permanent Pacemaker's Pocket, What Do We Do?

J Ayub Med Coll Abbottabad 2020 Apr- Jun;32(2):165-168

Cardiology, Hayat Abad Medical Complex Peshawar, Pakistan.

Background: With increased rate of permanent pacemaker's (PPM) implantation, the rate of complication also increased many folds. Infection in pacemakers is one of the dreaded complications which need a multidisciplinary approach in its management.

Methods: All patients with permanent pacemakers, who presented with infection of device, were admitted in our unit. Read More

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Pericardial Effusion Associated with Diazoxide Treatment for Congenital Hyperinsulinism.

Horm Res Paediatr 2020 Jun 24:1-6. Epub 2020 Jun 24.

Department of Endocrinology, Sydney Children's Hospital, Randwick, New South Wales, Australia,

Background: Diazoxide is widely used to manage congenital hyperinsulinism and is generally well tolerated. Pericardial effusion is not a recognized side effect of diazoxide, apart from 2 single case reports.

Case Description: Three patients with congenital hyperinsulinism developed pericardial effusion at the ages of 7 weeks, 8 months, and 17 years. Read More

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http://dx.doi.org/10.1159/000507624DOI Listing

Case report of large malignant pericardial effusion in a post-surgical setting of endometrial mixed carcinoma: A description of unique cytological, histological, and immunohistochemical findings.

SAGE Open Med Case Rep 2020 10;8:2050313X20930919. Epub 2020 Jun 10.

Department of Pathology, Kanazawa Medical University Hospital, Ishikawa, Japan.

Appearance of endometrial carcinoma in pericardial effusion is extremely rare. Its major etiological factors include lung cancer, breast cancer, lymphoma, and leukemia. We herein report a case of a large malignant pericardial effusion 7 years after surgery for endometrial carcinoma. Read More

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http://dx.doi.org/10.1177/2050313X20930919DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290248PMC

Urgent Surgical Treatment of Blunt Chest Trauma Followed by Cardiac and Pericardial Injuries.

Med Arch 2020 Apr;74(2):115-118

Private Clinic "Karabeg" Sarajevo, Bosnia and Herzegovina.

Introduction: Widespread opinion that penetrating chest injuries are more urgent, in terms of treatment and care, contributed to underestimation of the urgency of blunt chest trauma, which in most cases is treated conservatively. It remains an open question frequency when the injuries of the heart and pericardium are not timely diagnosed and surgically treated.

Aim: To demonstrate the importance of well-timed surgical treatment of blunt chest trauma, when coupled with cardiac and pericardial injuries. Read More

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http://dx.doi.org/10.5455/medarh.2020.74.115-118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296422PMC

Echo-Guided Pericardiocentesis: When and How Should It Be Performed?

Curr Cardiol Rep 2020 Jun 22;22(8):71. Epub 2020 Jun 22.

Smidt Heart Institute, Cedars-Sinai Medical Center, 127 S. San Vicente, AHSP, Los Angeles, CA, 90048, USA.

Purpose Of Review: Abnormal accumulation of pericardial fluid is a common cardiac condition with different etiologies. Draining of the pericardial fluid (pericardiocentesis) is often indicated for diagnostic and therapeutic purposes and is performed in an elective or emergent setting. Echocardiography is the primary imaging method for diagnosing, localizing, and quantifying pericardial effusion as well as evaluating its hemodynamic effects, including the presence of cardiac tamponade. Read More

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http://dx.doi.org/10.1007/s11886-020-01320-2DOI Listing

Fetal aortic valvuloplasty: first report of two cases from Saudi Arabia.

J Cardiothorac Surg 2020 Jun 22;15(1):150. Epub 2020 Jun 22.

Pediatric Cardiology Department, Prince Sultan Cardiac Center, Prince Sultan Military Medical City, As Sulimaniyah, Riyadh, 12233, Saudi Arabia.

Background: Fetal aortic stenosis may progress to hypoplastic left heart syndrome (HLHS), which carries a poor prognosis. We report two infants with fetal aortic stenosis successfully treated with fetal aortic valvuloplasty (FAV) using balloon dilatation.

Case Presentation: Of five fetuses with aortic stenosis fulfilling the FAV criteria of severe aortic stenosis with a left ventricular length Z-score of ≥ - 2, retrograde flow in the transverse aortic arch, left-to-right flow across the foramen ovale, monophasic mitral inflow, and significant left ventricular dysfunction, we obtained permission for FAV in two fetuses. Read More

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http://dx.doi.org/10.1186/s13019-020-01195-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310221PMC
June 2020
1.018 Impact Factor

Isolated Exercise-Induced Pulmonary Hypertension Associates with Higher Cardiovascular Risk in Scleroderma Patients.

J Clin Med 2020 Jun 18;9(6). Epub 2020 Jun 18.

Institute of Cardiology, University of Pisa, 56124 Pisa, Italy.

Background And Aim: Isolated exercise-induced pulmonary hypertension (ExPH) associates with cardiovascular (CV) events in patients with left heart disease. We investigated its prognostic significance in scleroderma patients at risk for pulmonary arterial hypertension (PAH).

Methods: In 26 consecutive scleroderma female patients with either low ( = 13) or intermediate probability ( = 13) of pulmonary hypertension (PH) at rest, we evaluated, both at time 0 and 1 year, prognostic determinants of CV risk: onset or progression of heart failure/syncope; worsening of functional class; functional performance at the 6-minute walking test and at cardiopulmonary exercise test; right atrial area; and pericardial effusion. Read More

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http://dx.doi.org/10.3390/jcm9061910DOI Listing

Unique Findings and Novel Treatment Strategy of a Giant Coronary Artery Aneurysm Associated with a Significant Pericardial Effusion.

Case Rep Cardiol 2020 9;2020:8890806. Epub 2020 Jun 9.

Vital Heart & Vein, HCA Houston Healthcare, Kingwood, USA.

Giant coronary artery aneurysms are a rare, asymptomatic occurrence. Presently, there is a lack of substantial research performed in the U.S. Read More

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http://dx.doi.org/10.1155/2020/8890806DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303761PMC

Percutaneous Balloon Pericardiotomy (PBP) Revisited: A Case Report and Review of Literature.

Case Rep Cardiol 2020 31;2020:8121763. Epub 2020 May 31.

Al-Ahli Hospital, Hebron, State of Palestine.

Background: A Percutaneous Balloon Pericardiotomy (PBP) procedure is a reemerging nonsurgical technique that helps in preventing the reaccumulation of pericardial effusion. It is done percutaneously without general anaesthesia. It has been proved to be effective in alleviating and preventing recurrent pericardial effusion. Read More

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http://dx.doi.org/10.1155/2020/8121763DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7284951PMC

A Case of Profound Hypothyroidism Presenting with Hypertensive Emergency and Large Amount of Pericardial Effusion.

Authors:
Ji-Won Hwang

Am J Case Rep 2020 Jun 22;21:e923299. Epub 2020 Jun 22.

Division of Cardiology, Department of Medicine, Ilsan Paik Hospital, Inje University School of Medicine, Goyang, South Korea.

BACKGROUND Thyroid function is closely related to the cardiovascular system. Pericardial effusion is a well-known complication of hypothyroidism. It is common for massive pericardial effusion to progress to tamponed heart with hypotension, but not high blood pressure. Read More

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http://dx.doi.org/10.12659/AJCR.923299DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7327733PMC

Massive pericardial effusion causing cardiac tamponade accompanied by elevated CA-125 and thoracic lymphadenopathy in sarcoidosis: a case report.

Int J Surg Case Rep 2020 Jun 13;72:355-360. Epub 2020 Jun 13.

Scientific Research Institute of Heart Surgery and Organ Transplantation, Bishkek, Kyrgyzstan.

Introduction: Pericardial effusion and cardiac tamponade are rare manifestations of cardiac sarcoidosis. This is a first case report that describes a patient with severe pericardial effusion and signs of cardiac tamponade with elevated carbohydrate antigen 125 (CA-125) levels, enlarged pericardial (PLN) and mediastinal lymph nodes (MLN), histologically confirmed as sarcoidosis.

Presentation Of Case: A 51-year-old female patient was admitted with complaints of sickness, shortness of breath on minimal exertion, swelling in lower extremities, and heaviness in right upper abdomen. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.06.037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306529PMC

Diagnostic Accuracy of Cardiac Computed Tomography and F-Fluorodeoxyglucose With Positron Emission Tomography in Cardiac Masses.

JACC Cardiovasc Imaging 2020 Jun 17. Epub 2020 Jun 17.

Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy.

Objectives: This study sought to assess the diagnostic accuracy of cardiac computed tomography (CT) and F-fluorodeoxyglucose (F-FDG) with positron emission tomography/computed tomography (PET/CT) in defining the nature of cardiac masses.

Background: The diagnostic accuracy of cardiac CT and F-FDG PET/CT in identifying the nature of cardiac masses has been analyzed to date only in small samples.

Methods: Of 223 patients with echocardiographically diagnosed cardiac masses, a cohort of 60 cases who underwent cardiac CT and F-FDG PET/CT was selected. Read More

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http://dx.doi.org/10.1016/j.jcmg.2020.03.021DOI Listing

Cardiovascular manifestations in severe and critical patients with COVID-19.

Clin Cardiol 2020 Jun 20. Epub 2020 Jun 20.

Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China.

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) could cause virulent infection leading to Corona Virus Disease 2019 (COVID-19)-related pneumonia as well as multiple organ injuries.

Hypothesis: COVID-19 infection may result in cardiovascular manifestations leading to worse clinical outcome.

Methods: Fifty four severe and critical patients with confirmed COVID-19 were enrolled. Read More

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http://dx.doi.org/10.1002/clc.23384DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323347PMC

Overview of Optimal Techniques for Pericardiocentesis in Contemporary Practice.

Curr Cardiol Rep 2020 Jun 19;22(8):60. Epub 2020 Jun 19.

Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

Purpose Of Review: This review summarizes the optimal techniques for the performance of pericardiocentesis in contemporary practice, highlighting the indications, contraindications, and techniques used. Routine pericardial catheter management and the diagnostic role of pericardial fluid analysis are described.

Recent Findings: Echocardiographic-guided pericardiocentesis should be considered the therapy of choice in current clinical practice and may be performed safely despite the presence of coagulopathy and thrombocytopenia in the hands of expert operators. Read More

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http://dx.doi.org/10.1007/s11886-020-01324-yDOI Listing

CT imaging features of COVID-19 pneumonia: initial experience from Turkey.

Diagn Interv Radiol 2020 Jun 19. Epub 2020 Jun 19.

Department of Radiology, Ege University Faculty of Medicine, Izmir, Turkey.

Purpose: We aimed to demonstrate the computed tomography (CT) findings observed at the initial presentation of coronavirus disease 2019 (COVID-19) pneumonia and reveal the most frequent infiltration and distribution patterns of the disease.

Methods: One hundred and eighty-five patients (87 men, 98 women; mean age, 48.7 years), who underwent RT-PCR sampling and high-resolution CT examination in our hospital between March 15, 2020, and April 15, 2020, and got a definitive diagnosis of COVID-19 disease via initial or follow-up RT-PCR test, were included in the study. Read More

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http://dx.doi.org/10.5152/dir.2020.20307DOI Listing