3,042 results match your criteria Pericarditis Acute


Acute pericarditis or a systemic disease with pleuropulmonary involvement?

Intern Emerg Med 2019 Feb 21. Epub 2019 Feb 21.

Department of Biomedical and Clinical Sciences "Luigi Sacco", ASST Fatebenefratelli-Sacco, University of Milan, Milan, Italy.

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http://dx.doi.org/10.1007/s11739-019-02057-9DOI Listing
February 2019

Coronary stent infection: Interesting cases with varied presentation.

J Cardiol Cases 2019 Jan 12;19(1):5-8. Epub 2018 Sep 12.

Department of Clinical and Interventional Cardiology, Lilavati Hospital & Research Centre, Bandra (W), Mumbai, India.

Stent infection after drug-eluting stent implantation is uncommon but is a critical event. In this study, we describe two such cases of coronary stent infection but with varied presentation. The first patient presented with recurrent stent thrombosis and acute coronary syndrome while the second patient was erroneously diagnosed as having tubercular pericarditis and was started on anti-tubercular therapy. Read More

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http://dx.doi.org/10.1016/j.jccase.2018.08.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342613PMC
January 2019
1 Read

Graftmaster savior: Injury to a patent LIMA during pericardiectomy, when a covered stent came to the rescue.

Catheter Cardiovasc Interv 2019 Jan 28. Epub 2019 Jan 28.

Penn State Heart and Vascular Institute, Penn State Milton S. Hershey Medical Center, Cardiothoracic Surgery, Hershey, Pennsylvania.

A 71-year-old male with multivessel coronary artery disease who underwent bypass with saphenous vein grafts to a Marginal branch and distal RCA and LIMA to LAD in 1988, DM II, atrial fibrillation on Coumadin, TIA, obstructive sleep apnea and pulmonary hypertension was referred to our institution after extensive dyspnea evaluation with a diagnosis of constrictive pericarditis for pericardiectomy. He had normal left ventricular function, moderate mitral and tricuspid regurgitation. Coronary angiography revealed ostial LAD CTO, patent LIMA to mid LAD, second Marginal branch CTO with left-to-left collaterals and mid RCA CTO with left-to-right collaterals. Read More

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http://dx.doi.org/10.1002/ccd.28100DOI Listing
January 2019
3 Reads

Colchicine Administered in the First Episode of Acute Idiopathic Pericarditis: A Randomized Multicenter Open-label Study.

Rev Esp Cardiol (Engl Ed) 2019 Jan 22. Epub 2019 Jan 22.

Servei de Cardiologia, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca, Universitat Autònoma de Barcelona, Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Barcelona, Spain. Electronic address:

Introduction And Objectives: There is a paucity of information about the real benefit of colchicine administration in the first episode of acute idiopathic pericarditis (AIP). The main objective of the present study was to assess the real efficacy of colchicine in patients with AIP who did not receive corticosteroids.

Methods: Randomized multicenter open-label study. Read More

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http://dx.doi.org/10.1016/j.rec.2018.11.016DOI Listing
January 2019
2 Reads

[Troponins as biomarkers for myocardial injury and myocardial infarction].

Herz 2019 Feb;44(1):4-9

Medizinische Klinik II, Klinikum Rüsselsheim, August-Bebel-Str. 59, 65428, Rüsselsheim, Deutschland.

Elevation of cardiac troponins above the 99th percentile of a healthy reference population is established as a marker for myocardial cell damage and is crucial for the diagnosis of myocardial infarction. In addition, corresponding clinical evidence of acute myocardial ischemia i.e. Read More

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http://dx.doi.org/10.1007/s00059-019-4783-xDOI Listing
February 2019
2 Reads

Influenza B virus infection complicated by life-threatening pericarditis: a unique case-report and literature review.

BMC Infect Dis 2019 Jan 10;19(1):40. Epub 2019 Jan 10.

Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Via Alvaro del Portillo, 200, Rome, Italy.

Background: Acute pericarditis may occur frequently after viral infections. To our knowledge, influenza B virus infection complicated by pericarditis without myocardial involvement has never been reported. We report the first case of life-threatening pericarditis caused by influenza B virus infection. Read More

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https://bmcinfectdis.biomedcentral.com/articles/10.1186/s128
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http://dx.doi.org/10.1186/s12879-018-3606-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327550PMC
January 2019
7 Reads

Grisel syndrome presenting as hemiplegia in a patient with multifocal sepsis.

Malawi Med J 2018 06;30(2):127-131

Consultant Trauma and Orthopaedic Surgeon; Dean of Faculty of Medicine, College of Medicine, University of Malawi.

Introduction: Grisel syndrome is a non-traumatic rotary subluxation of C1 on C2 (atlantoaxial subluxation). It is a rare condition predominantly described in paediatric population with previous history of upper respiratory infections orotolaryngeal procedures. The diagnosis is established by the association of clinical and radiologic findings4,6. Read More

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http://dx.doi.org/10.4314/mmj.v30i2.13DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307069PMC
June 2018
2 Reads

Acute Myocarditis and Pericarditis in Children.

Pediatr Rev 2019 Jan;40(1):14-25

Department of Pediatrics, Division of Pediatric Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX.

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http://pedsinreview.aappublications.org/lookup/doi/10.1542/p
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http://dx.doi.org/10.1542/pir.2018-0044DOI Listing
January 2019
13 Reads

Epipericardial Fat Pad Necrosis-A Rare Cause of Chest Pain in an Adolescent.

Pediatr Emerg Care 2018 Dec 21. Epub 2018 Dec 21.

From the Division of Pediatric Cardiology and.

Epipericardial fat necrosis is a rare cause of acute pleuritic chest pain reported in approximately 40 cases. This diagnosis mimics a myocardial infarction, pulmonary embolism, or pericarditis; however, the cardiac enzymes and electrocardiogram are usually normal. We present the first reported case of epipericardial fat necrosis in an adolescent. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001716DOI Listing
December 2018
1 Read

An Unusual Complication of Pericarditis.

Thorac Cardiovasc Surg Rep 2018 Jan 12;7(1):e50-e52. Epub 2018 Dec 12.

Department of Cardiac Surgery, AK St. Georg, Hamburg, Germany.

 According to current guidelines, acute pericarditis is an inflammatory pericardial syndrome with or without pericardial effusion.  We report on a patient who was treated for purulent pericarditis and developed a fistula from the ascending aorta to the right ventricle (RV), leading to cardiac decompensation. Operative closure of the aortic and RV perforation solved the problem. Read More

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http://dx.doi.org/10.1055/s-0038-1676034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6291378PMC
January 2018
2 Reads

Cardiac tamponade caused by acute coxsackievirus infection related pericarditis complicated by aortic stenosis in a hemodialysis patient: a case report.

Surg Case Rep 2018 Dec 6;4(1):141. Epub 2018 Dec 6.

Second Department of Surgery, Yamagata University Faculty of Medicine, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan.

Background: Pericardial effusion is observed in the majority of viral pericarditis cases; however, viral pericarditis accompanied by a large effusion resulting in cardiac tamponade is rare.

Case Presentation: Here, we report the case of a 75-year-old hemodialysis patient with acute viral pericarditis complicated by aortic stenosis. The patient was referred with a diagnosis of aortic stenosis and pericardial effusion. Read More

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http://dx.doi.org/10.1186/s40792-018-0550-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283806PMC
December 2018
1 Read

Impact of systemic immune-mediated diseases on clinical features and prognosis of patients with biopsy-proved myocarditis.

Int J Cardiol 2019 Apr 22;280:110-116. Epub 2018 Nov 22.

Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Hospital and University, Milan, Italy.

Introduction: Myocarditis has been described in association with many systemic immune-mediated diseases (SIDs). However, the role of SIDs in influencing clinical presentation and outcome of patients with a new diagnosis of biopsy-proved myocarditis, has never been investigated so far.

Methods: We enrolled 25 consecutive cases with biopsy-proved myocarditis in the context of SIDs, and controls with isolated myocarditis, matched 1:1 by age, gender, ethnicity and clinical presentation. Read More

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http://dx.doi.org/10.1016/j.ijcard.2018.11.104DOI Listing
April 2019
3 Reads

Infectious and Noninfectious Acute Pericarditis in Children: An 11-Year Experience.

Int J Pediatr 2018 8;2018:5450697. Epub 2018 Nov 8.

Division of Infectious Diseases, Children's Hospital of Michigan, Detroit, MI, USA.

Objective: The study was undertaken to determine the etiology, review management, and outcome in children diagnosed with acute pericarditis during 11 years at tertiary pediatric institution.

Methods: Retrospective chart review of children diagnosed between 2004 and 2014. Patients with postsurgical pericardial effusions were excluded. Read More

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https://www.hindawi.com/journals/ijpedi/2018/5450697/
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http://dx.doi.org/10.1155/2018/5450697DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250032PMC
November 2018
15 Reads

A possible still role for colchicine in children with idiopathic recurrent acute pericarditis?

Intern Emerg Med 2018 Dec 5. Epub 2018 Dec 5.

Institute of Pediatrics, Università Cattolica Sacro Cuore, Rome, Italy.

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http://link.springer.com/10.1007/s11739-018-1997-5
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http://dx.doi.org/10.1007/s11739-018-1997-5DOI Listing
December 2018
5 Reads

Uremic Pericarditis: Distinguishing Features in a Now-Uncommon Clinical Syndrome.

South Med J 2018 Dec;111(12):754-757

From the Hospital Medicine Unit and the Core Educator Faculty and Renal Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, the Heart and Vascular Center, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.

We present the case of a 47-year-old man with a history of diabetes mellitus and diabetic nephropathy who was admitted to our hospital with acute uremic myopericarditis. Echocardiography demonstrated a fibrinous pericardial effusion. The patient was initiated on hemodialysis for hyperkalemia, metabolic acidosis, and uremia. Read More

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http://sma.org/southern-medical-journal/article/uremic-peric
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http://dx.doi.org/10.14423/SMJ.0000000000000899DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6281170PMC
December 2018
20 Reads

Type 1 Brugada phenocopy in a patient with acute pericarditis.

J Electrocardiol 2018 Nov - Dec;51(6):1121-1123. Epub 2018 Oct 9.

Department of Cardiovasology, Changhai Hospital, Second Military Medical University, Shanghai, China. Electronic address:

We herein describe a case of an acute pericarditis, in which type 1 Brugada phenocopy (BrP) was documented. The patient was referred to our hospital due to severe chest pain. The twelve-lead electrocardiogram (ECG) on admission showed type 1 Brugada ECG pattern (coved-type) in the precordial leads. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00220736183055
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http://dx.doi.org/10.1016/j.jelectrocard.2018.10.087DOI Listing
October 2018
14 Reads

Successful Inflammation Imaging of Non-Human Primate Hearts Using an Antibody Specific for Tenascin-C.

Int Heart J 2019 Jan 20;60(1):151-158. Epub 2018 Nov 20.

Mie University Research Center for Matrix Biology.

Inflammation after myocardial infarction (MI) may be a major factor influencing ventricular remodeling, leading to congestive heart failure and arrhythmia. Therefore, inflammation in the heart needs to be monitored. Tenascin-C (TNC) is an extracellular matrix molecule not normally expressed, but it is strongly upregulated when associated with active inflammation. Read More

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http://dx.doi.org/10.1536/ihj.17-734DOI Listing
January 2019
8 Reads

Cellular fraction analysis of pericardial effusion helps the diagnosis of eosinophilic myocarditis.

Cardiol Young 2019 Feb 20;29(2):140-145. Epub 2018 Nov 20.

2Department of Pathology,National Cerebral and Cardiovascular Center,Osaka,Japan.

Eosinophilic myocarditis is rare in children, and consequently, it is difficult to diagnose eosinophilic myocarditis rapidly. We report the clinical course of acute eosinophilic myocarditis with pericarditis in two adolescent boys and their associated electrocardiograms. The two patients, 13- and 14-year-old boys, developed cardiomegaly and chest pain with vomiting. Read More

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http://dx.doi.org/10.1017/S1047951118001956DOI Listing
February 2019
11 Reads

Inflammation and pericarditis: Are neutrophils actors behind the scenes?

J Cell Physiol 2019 May 11;234(5):5390-5398. Epub 2018 Nov 11.

Department of Internal Medicine, First Clinic of Internal Medicine, University of Genoa, Genoa, Italy.

The morbidity of acute pericarditis is increasing over time impacting on patient quality of life. Recent clinical trials focused especially on clinical aspects, with a modest interest in pathophysiological mechanisms. This narrative review, based on papers in English language obtained via PubMed up to April 2018, aims at focusing on the role of the innate immunity in pericarditis and discussing future potential therapeutic strategies impacting on disease pathophysiology. Read More

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http://dx.doi.org/10.1002/jcp.27436DOI Listing
May 2019
2 Reads

Acute Pericarditis and Cancer Risk: A Matched Cohort Study Using Linked UK Primary and Secondary Care Data.

J Am Heart Assoc 2018 Aug;7(16):e009428

1 Non-Communicable Diseases Epidemiology London School of Hygiene and Tropical Medicine London United Kingdom.

Background We aimed to examine whether acute pericarditis is an indicator of undetected cancer and identify patient-level factors associated with high cancer risk among patients presenting with pericarditis. Methods and Results A population-based matched cohort study was conducted using primary care data from the UK Clinical Practice Research Datalink linked to Hospital Episode Statistics. Patients with acute pericarditis (n=6530) were matched to a comparison cohort (n=26 111) on age, sex, calendar time, and general practice. Read More

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https://www.ahajournals.org/doi/10.1161/JAHA.118.009428
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http://dx.doi.org/10.1161/JAHA.118.009428DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6201410PMC
August 2018
5 Reads

PR deviation as a risk marker for cardiac events in patients with Takotsubo syndrome.

Pacing Clin Electrophysiol 2018 12 8;41(12):1652-1659. Epub 2018 Nov 8.

Kanto Gakuin University, Yokohama, Japan.

Background: PR segment deviation (PRD: defined as PR elevation in aVR and PR depression in lead II/III) on electrocardiography is frequently observed in patients with acute pericarditis; however, there have been few studies that explore the occurrence of PRD in patients with Takotsubo syndrome (TTS). The clinical significance of PRD in TTS is not clearly elucidated.

Methods & Results: A total of 52 consecutive patients with TTS in sinus rhythm (73. Read More

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http://dx.doi.org/10.1111/pace.13530DOI Listing
December 2018
2 Reads

Acute pericarditis following treatment of a metastatic liver tumor with radiofrequency ablation: a case report.

BMC Cardiovasc Disord 2018 Oct 22;18(1):200. Epub 2018 Oct 22.

Division of Cardiology, Department of Internal Medicine, Ditmanson Medical Foundation Chiayi Christian Hospital, 539 Jhongsiao Road, Chia-Yi, 60002, Taiwan.

Background: Radiofrequency ablation is a common and minimally invasive procedure used to treat liver tumors. However, the potential threat of heat injury to adjacent structures if the hepatic lesion is near the diaphragm is often overlooked and misunderstood. Rare cardiovascular complications have been reported. Read More

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https://bmccardiovascdisord.biomedcentral.com/articles/10.11
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http://dx.doi.org/10.1186/s12872-018-0937-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198527PMC
October 2018
11 Reads

The diagnostic value of the serum irisin level in patients with acute pericarditis and acute myopericarditis.

Bratisl Lek Listy 2018 ;119(10):655-659

Objective: This preliminary study aims to examine a change in the blood levels of irisin in patients with acute pericarditis (AP) and acute myopericarditis (AMP) and examine the diagnostic value of the serum irisin level in AP and AMP.

Methods: 10 patients, who applied to the emergency service and cardiology clinic with chest pain and who were diagnosed with AP and 5 patients, who were diagnosed with AMP as a result of routine examinations, were included in the study. The basal laboratory parameters, echocardiography findings and serum irisin levels of the patients and during check one month later were examined. Read More

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http://www.elis.sk/index.php?page=shop.product_details&f
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http://dx.doi.org/10.4149/BLL_2018_117DOI Listing
January 2018
8 Reads

Regional and seasonal variations in the US emergency department visits for acute pericarditis.

Am J Emerg Med 2018 Oct 13. Epub 2018 Oct 13.

Department of Cardiology, Lehigh Valley Hospital Network, Allentown, PA, United States of America.

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http://dx.doi.org/10.1016/j.ajem.2018.10.005DOI Listing
October 2018
2 Reads

Metropolitan W135 meningococcal compressive pericarditis treated with intrapericardial fibrinolysis.

BMJ Case Rep 2018 Oct 16;2018. Epub 2018 Oct 16.

Department of Intensive Care, Centre Hospitalier Victor Jousselin, Dreux, France.

Meningococcal pericarditis is a rare but severe form of acute purulent pericarditis. It is a classic complication of , usually occurring in pilgrims to Mecca and their household contacts. This severe form of meningococcaemia is difficult to diagnose and evolves frequently and gradually towards a tamponade, requiring emergency drainage. Read More

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http://dx.doi.org/10.1136/bcr-2018-225080DOI Listing
October 2018
4 Reads

Child-onset systemic lupus erythematosus is associated with a higher incidence of myopericardial manifestations compared to adult-onset disease.

Lupus 2018 Nov 14;27(13):2146-2154. Epub 2018 Oct 14.

2 Division of Pediatric Rheumatology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Objectives: There are no population-based estimates of the incidence or risk factors for acute cardiac manifestations in children with systemic lupus erythematosus (SLE) to guide screening and diagnostic imaging practices. We estimated the incidence and prevalence of acute cardiac manifestations of child-onset SLE compared to adult-onset SLE and identified factors associated with cardiac diagnoses.

Methods: We identified children (5-17 years) and adults (18-64 years) with incident SLE (≥3 International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9 CM) code 710. Read More

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http://journals.sagepub.com/doi/10.1177/0961203318804889
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http://dx.doi.org/10.1177/0961203318804889DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207474PMC
November 2018
3 Reads

[Management of pericarditis and pericardial effusion, constrictive and effusive-constrictive pericarditis].

Authors:
B Maisch

Herz 2018 Nov;43(7):663-678

Herz- und Gefäßzentrum (HGZ), Erlenring 19, 35037, Marburg, Deutschland.

This CME review takes stock of the progress in the etiology, pathophysiology, diagnostics and treatment of pericarditis and pericardial effusion brought about by the publication of the 2nd European Society of Cardiology (ESC) guidelines on the management of pericardial diseases in 2015. It also emphasizes special forms, which have received less attention in the past, such as therapy-refractory (incessant), effusive-constrictive and constrictive pericarditis and the treatment of acute and recurrent pericarditis with colchicine. After the diagnosis of pericarditis with or without effusion has been made, the first step is to clarify its etiology, which affects the clinical symptoms, course, treatment and the prognosis. Read More

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http://link.springer.com/10.1007/s00059-018-4744-9
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http://dx.doi.org/10.1007/s00059-018-4744-9DOI Listing
November 2018
6 Reads

Nonrheumatoid Fibrinous Pericarditis: A Medical Examiner Algorithm for the Diagnosis of Viral Myocarditis and Use of Molecular Diagnostic Techniques.

Am J Forensic Med Pathol 2019 Mar;40(1):77-80

Department of Pathology, University of Michigan, Ann Arbor, MI.

Classic "bread-and-butter" appearance of fibrinous pericarditis had been described in rheumatic disease and other immunologic diseases such as systemic lupus erythematosus, post-myocardial infarct, uremia, tuberculosis, radiation effects, bacterial, and viral etiology. In most of the described cases, pericarditis occurs as a delayed complication. We present a case of a 21-year-old white woman who was seen in the emergency department to rule out pulmonary embolism for shortness of breath, chest pain, and lightheadedness. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000434DOI Listing
March 2019
4 Reads

Ultrasonography as a diagnostic tool in Egyptian buffaloes () with traumatic pericarditis.

Int J Vet Sci Med 2017 Dec 4;5(2):159-167. Epub 2017 Oct 4.

Division of Clinical Laboratory Diagnosis, Department of Animal Medicine, Faculty of Veterinary Medicine, Assiut University, Assiut 71526, Egypt.

Traumatic pericarditis (TP) remains a serious problem facing bovine producers; particularly in the developing countries; causing severe economic losses. This study was carried out on 47 buffaloes including; control buffaloes (n = 20) and buffaloes with TP (n = 27) at Assiut governorate, Egypt. All animals were subjected to thorough clinical examination, whole blood profiling, blood serum biochemical assays, and radiographic and ultrasonographic examinations. Read More

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http://dx.doi.org/10.1016/j.ijvsm.2017.09.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137839PMC
December 2017
2 Reads

Focal Myopericarditis Presenting as Acute ST-Elevation Myocardial Infarction.

Kans J Med 2018 Aug 30;11(3):83-85. Epub 2018 Aug 30.

Heartland Cardiology, Wichita, KS.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122879PMC
August 2018
22 Reads

Induced Acute Necrotizing and Exudative Pericarditis with Abscess Formation.

Case Rep Infect Dis 2018 15;2018:6437928. Epub 2018 Aug 15.

Division of Pulmonary, Critical Care & Sleep Medicine, Health Science Center, Texas A&M University, Corpus Christi, TX, USA.

We present the case of a 55-year-old gentleman, with bilateral pulmonary embolism and a large pericardial effusion that lead to a pericardial window with evacuation of creamy pus. Gram stains were negative, with culture growing . Pathology revealed acute necrotizing and exudative changes, including frank abscess formation. Read More

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http://dx.doi.org/10.1155/2018/6437928DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6114227PMC
August 2018
3 Reads

Criteria for ECG detection of acute myocardial ischemia: Sensitivity versus specificity.

J Electrocardiol 2018 Nov - Dec;51(6S):S12-S17. Epub 2018 Aug 13.

Dalhousie University, Halifax, NS, Canada.

Background: Criteria for electrocardiographic detection of acute myocardial ischemia recommended by the Consensus Document of ESC/ACCF/AHA/WHF consist of two parts: The ST elevation myocardial infarction (STEMI) criteria based on ST elevation (ST↑) in 10 pairs of contiguous leads and the other on ST depression (ST↓) in the same 10 contiguous pairs. Our aim was to assess sensitivity (SE) and specificity (SP) of these criteria-and to seek their possible improvements-in three databases of 12‑lead ECGs.

Methods: We used (1) STAFF III data of controlled ischemic episodes recorded from 99 patients (pts) during percutaneous coronary intervention (PCI) involving either left anterior descending (LAD) coronary artery, right coronary artery (RCA), or left circumflex (LCx) coronary artery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00220736183033
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http://dx.doi.org/10.1016/j.jelectrocard.2018.08.018DOI Listing
August 2018
11 Reads

Left ventricular strain is associated with acute postoperative refractory hypotension in patients with constrictive pericarditis and preserved ejection fraction.

J Thorac Dis 2018 Jul;10(7):4147-4155

Department of Cardiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.

Background: Pericardiectomy is an effective treatment for constrictive pericarditis (CP). Early postoperative complications such as refractory hypotension and congestive heart failure occur in these patients and are associated with increased morbidity and mortality. We hypothesized that left ventricular (LV) myocardial strain measured by two-dimensional speckle tracking echocardiography (2DSTE) could identify early cardiac dysfunction and relate to acute postoperative adverse events in CP patients. Read More

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http://dx.doi.org/10.21037/jtd.2018.06.124DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6105971PMC
July 2018
12 Reads

Pericardium: The Forgotten Space During Acute Myocardial Infarction.

J Emerg Med 2018 10 24;55(4):e85-e91. Epub 2018 Aug 24.

Department of Cardiology, Albert Einstein Medical Center, Philadelphia, Pennsylvania.

Background: Acute pericardial pathologies, such as pericardial effusion, pericarditis, and cardiac tamponade, have been reported rarely in patients presenting as ST-elevation myocardial infarction (STEMI). We present a series of 3 patients with STEMI, where an undiagnosed pericardial effusion led to pericardial tamponade and subsequent cardiocirculatory collapse.

Case Reports: This is a case series of 3 patients, all women, aged 72, 64, and 54 years who presented to the emergency department with chest pain or syncope and were found to have STEMI with hemodynamic instability. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.07.013DOI Listing
October 2018
25 Reads

Adult-onset Still's disease with haemorrhagic pericarditis and tamponade preceded by acute Lyme disease.

BMJ Case Rep 2018 Aug 16;2018. Epub 2018 Aug 16.

Internal Medicine, Division of Infectious Diseases, Albany Medical College, Albany, New York, USA.

A 61-year-old Caucasian man presented with a fever of unknown origin, a transient erythematous rash on his right upper extremity and chest pressure after being treated for erythema migrans (Lyme disease). Echocardiogram demonstrated a large pericardial effusion with tamponade. He underwent pericardiostomy with tube placement. Read More

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http://dx.doi.org/10.1136/bcr-2018-225517DOI Listing
August 2018
20 Reads

[Ten questions about cardiac tamponade].

Authors:
Massimo Imazio

G Ital Cardiol (Rome) 2018 Sep;19(9):471-478

Cardiologia, AOU Città della Salute e della Scienza di Torino, Torino.

Cardiac tamponade is a pericardial syndrome characterized by diastolic impairment due to the accumulation of pericardial fluid under pressure. It may be an acute life-threatening condition if not recognized and treated (e.g. Read More

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http://dx.doi.org/10.1714/2951.29665DOI Listing
September 2018
16 Reads

Incidence and Management of Hemopericardium: Impact of Changing Trends in Invasive Cardiology.

Mayo Clin Proc 2018 Aug;93(8):1086-1095

Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN. Electronic address:

Objective: As invasive cardiovascular care has become increasingly complex, cardiac perforation leading to hemopericardium is a progressively prevalent complication. We sought to assess the frequency, etiology, and outcomes of hemorrhagic pericardial effusions managed through a nonsurgical echo-guided percutaneous strategy.

Patients And Methods: Over a 10-year period (January 1, 2007, to December 31, 2016), 1097 unique patients required pericardiocentesis for clinically important pericardial effusions. Read More

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http://dx.doi.org/10.1016/j.mayocp.2018.01.023DOI Listing
August 2018
2 Reads

Cardiac memory: an under-recognised cause of deep T wave inversion in a patient presenting with chest pain.

BMJ Case Rep 2018 Jul 30;2018. Epub 2018 Jul 30.

Department of Cardiology, Austin Heath, Heidelberg, Australia.

T wave inversion (TWI) has many differential diagnoses with acute myocardial ischaemia being the highest on the list of potential causes. Cardiac T wave memory is a benign, under-recognised and clinically important phenomenon seen after periods of altered ventricular conduction. After normal ventricular conduction is restored, the T wave 'remembers' and mirrors the direction of the wide QRS complex. Read More

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http://dx.doi.org/10.1136/bcr-2018-225476DOI Listing
July 2018
2 Reads

Myocardial involvement in patients with acute idiopathic pericarditis: Back to basics.

Authors:
Antonio Brucato

Int J Cardiol 2018 11 25;270:200-201. Epub 2018 Jul 25.

Internal Medicine, Ospedale Papa Giovanni XXIII, Bergamo, Italy. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S01675273183362
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http://dx.doi.org/10.1016/j.ijcard.2018.07.102DOI Listing
November 2018
6 Reads

Unexpected Cardiac MRI Findings in Patients Presenting to the Emergency Department for Possible Acute Coronary Syndrome.

Crit Pathw Cardiol 2018 09;17(3):167-171

Division of Emergency Medicine, Department of Surgery, Duke University Medical Center, Durham, NC.

Background: Stress cardiac magnetic resonance imaging (CMR) has become increasingly used in patients presenting to the emergency department (ED) with symptoms concerning for acute coronary syndrome (ACS). We hypothesized that CMR detects a number of alternative diagnoses (diagnoses other than ACS that could explain symptoms) and incidental findings in patients presenting to the ED for potential ACS.

Methods: We prospectively enrolled adult patients who presented to an academic ED from 2011 to 2015 for possible ACS and subsequently had an adenosine stress perfusion CMR as part of their diagnostic evaluation. Read More

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http://dx.doi.org/10.1097/HPC.0000000000000148DOI Listing
September 2018
12 Reads

Recurrent pericarditis: still idiopathic? The pros and cons of a well-honoured term.

Intern Emerg Med 2018 Sep 18;13(6):839-844. Epub 2018 Jul 18.

Department of Cardiovascular Imaging, Center for the Diagnosis and Treatment of Pericardial Disease, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.

In developed countries, more than 80% of cases of acute pericarditis remain without an established diagnosis after a conventional and standard diagnostic approach. These cases are generally labelled as 'idiopathic', i.e. Read More

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http://link.springer.com/10.1007/s11739-018-1907-x
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http://dx.doi.org/10.1007/s11739-018-1907-xDOI Listing
September 2018
10 Reads

Cardiovascular effects of radiation therapy.

Curr Probl Cancer 2018 Jul 12;42(4):433-442. Epub 2018 Jun 12.

Division of Cardiovascular Medicine, University of South Florida, Tampa, FL 33606; Cardio-Oncology Program, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL 33612. Electronic address:

Radiation therapy (RT) plays a prominent role in the treatment of many cancers. With increasing use of RT and high overall survival rates, the risks associated with RT must be carefully considered. Of these risks, the cardiovascular and autonomic toxicities have been of significant concern. Read More

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http://dx.doi.org/10.1016/j.currproblcancer.2018.05.008DOI Listing
July 2018
21 Reads

Anticoagulation in Behçet related intrathoracic vasculitis.

Respir Med Case Rep 2018 22;25:52-54. Epub 2018 Jun 22.

Division of Rheumatology, Mayo Clinic, Phoenix, AZ, United States.

Behçet disease is a rare multisystem condition associated with HLA-B51 positivity that commonly afflicts individuals of Turkish or Middle Eastern descent, less than 10% of whom have pulmonary involvement. Behçet-related pulmonary vasculitis is an uncommon and heterogeneous group of conditions, often with associated pulmonary artery thrombus formation. These microthrombi can result in a misdiagnosis of acute pulmonary embolism. Read More

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http://dx.doi.org/10.1016/j.rmcr.2018.06.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039755PMC
June 2018
5 Reads

Acquired Cardiac Disease in the Pediatric Intensive Care Unit.

Pediatr Ann 2018 Jul;47(7):e280-e285

This review focuses on the identification, evaluation, management, and stabilization of a variety of acquired cardiac conditions, such as cardiomyopathies, inflammatory cardiac disease, and Kawasaki disease, which commonly require care in the pediatric intensive care unit (PICU). Pediatric cardiomyopathies comprise a spectrum of acquired or congenital myocardial diseases in which there are abnormalities of cardiac size and ventricular wall thickness, along with ventricular performance. The inflammatory diseases of the heart include acute myocarditis and pericarditis. Read More

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http://dx.doi.org/10.3928/19382359-20180620-01DOI Listing
July 2018
17 Reads

[Ten questions about constrictive pericarditis].

Authors:
Massimo Imazio

G Ital Cardiol (Rome) 2018 Jul-Aug;19(7):412-419

Cardiologia, AOU Città della Salute e della Scienza di Torino, Torino.

Constrictive pericarditis is one of the most feared complications of patients with pericarditis, especially if recurrent. The common perception is that the higher the number of recurrences, the higher the risk of constriction. However, the risk of constriction is related to the etiology and not to the number of recurrences. Read More

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http://dx.doi.org/10.1714/2938.29537DOI Listing
July 2018
10 Reads

Epithelioid angiosarcoma: A rare cause of pericarditis and pleural effusion.

Respir Med Case Rep 2018 20;24:77-80. Epub 2018 Apr 20.

Department of Cardiovascular Diseases, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA.

Angiosarcomas are rare cancers accounting for less than 2% of all soft tissue sarcomas. We report the case of an unusual presentation of pleural epithelioid angiosarcoma in a patient with constrictive pericarditis and recurrent pleural effusion. A 62 year old smoker presented with acute chest pain. Read More

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http://dx.doi.org/10.1016/j.rmcr.2018.04.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6010620PMC
April 2018
12 Reads

ST elevation: Differential diagnosis and caveats. A comprehensive review to help distinguish ST elevation myocardial infarction from nonischemic etiologies of ST elevation.

Turk J Emerg Med 2018 Mar 17;18(1):1-10. Epub 2018 Feb 17.

Jessa Hospital/Heart Centre Hasselt, Hasselt, Belgium.

Prompt diagnosis of acute ST segment elevation myocardial infarction (STEMI) by the initial ECG is important in order to perform an urgent coronary angiography as soon as possible and achieve successful revascularization, therewith improving mortality and morbidity. Several diseases and conditions can mimic an acute myocardial infarction (AMI) but may not benefit from a (percutaneous) revascularization strategy. This narrative clinical review will discuss the ECG features of some of the causes of non-ischemic ST segment elevation to facilitate early recognition, prevent wrongful diagnosis and improve treatment outcomes. Read More

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http://dx.doi.org/10.1016/j.tjem.2018.01.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6009807PMC
March 2018
16 Reads