3,061 results match your criteria Pericarditis Acute


Multimodality Imaging for the Assessment of Pericardial Diseases.

Curr Cardiol Rep 2019 Apr 16;21(5):41. Epub 2019 Apr 16.

Heart and Vascular Institute, Center for the Diagnosis and Treatment of Pericardial Disease, Cleveland Clinic, Cleveland, OH, USA.

Purpose Of Review: The diagnosis of pericardial syndromes, while occasionally straightforward, includes a wide range of pathologies and is often a well-recognized clinical challenge. The aim of this review is to highlight the key role of the various imaging modalities for the diagnosis and management of the spectrum of pericardial diseases.

Recent Findings: Cardiac imaging has become an integral part of the diagnostic process often beginning with echocardiography and supported by advanced imaging modalities including computed tomography, magnetic resonance imaging, and positive emission tomography. Read More

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http://link.springer.com/10.1007/s11886-019-1115-y
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http://dx.doi.org/10.1007/s11886-019-1115-yDOI Listing
April 2019
2 Reads

Molecular, serological, pathological, immunohistochemical and microbiological investigation of Brucella spp. in marine mammals of Brazil reveals new cetacean hosts.

Transbound Emerg Dis 2019 Apr 13. Epub 2019 Apr 13.

Laboratory of Wildlife Comparative Pathology Department of Pathology, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, Brazil.

Brucella-exposure and infection is increasingly recognized in marine mammals worldwide. To better understand the epidemiology and health impacts of Brucella spp. in marine mammals of Brazil, molecular (conventional PCR and/or real-time PCR), serological (Rose Bengal Test [RBT], Competitive [c]ELISA, Serum Agglutination Test [SAT]), pathologic, immunohistochemical (IHC) and/or microbiological investigations were conducted in samples of 129 stranded or by-caught marine mammals (orders Cetartiodactyla [n= 124], Carnivora [n= 4] and Sirenia [n= 1]). Read More

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http://dx.doi.org/10.1111/tbed.13203DOI Listing
April 2019
2 Reads

A Case Report of Congenitally Absent Pericardium Masquerading as Recurrent Pericarditis.

Hawaii J Med Public Health 2019 Apr;78(4):137-140

Division of Cardiology, Department of Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI.

A 24-year-old female with a history of Swyer-James-MacLeod syndrome presented with acute onset of pleuritic chest pain and was initially diagnosed with acute pericarditis. The 12-lead electrocardiogram demonstrated typical diffuse ST-segment elevation and PR-segment depression. Symptoms resolved rapidly with anti-inflammatory therapy consisting of ibuprofen and colchicine. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452018PMC
April 2019
4 Reads

Liver involvement in the drug reaction, eosinophilia, and systemic symptoms syndrome.

World J Clin Cases 2019 Mar;7(6):705-716

Department of Medicine, Division of Gastroenterology, University of Calgary, Calgary, Alberta T2N 4Z6, Canada.

First described in 1996, the drug reaction, eosinophilia, and systemic symptoms syndrome (DReSS) is considered, along with Stevens-Johnson syndrome and toxic epidermal necrolysis, a severe cutaneous drug reaction. It is characterized by the presence of a maculopapular erythematous skin eruption, fever, lymphadenopathy, influenza-like symptoms, eosinophilia, and visceral involvement such as hepatitis, pneumonitis, myocarditis, pericarditis, nephritis, and colitis. The prognosis of patients with DReSS is related to the severity of visceral involvement. Read More

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http://dx.doi.org/10.12998/wjcc.v7.i6.705DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448072PMC
March 2019
2 Reads

Corticosteroids and immunosuppressive agents for idiopathic recurrent pericarditis.

Autoimmun Rev 2019 Apr 5. Epub 2019 Apr 5.

Sorbonne Universités, UPMC Univ Paris 06, UMR 7211, and Inflammation-Immunopathology-Biotherapy Department (DHU i2B), F-75005 Paris, France; INSERM, UMR_S 959, F-75013 Paris, France; CNRS, FRE3632, F-75005 Paris, France; AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Department of Internal Medicine and Clinical Immunology, F-75013 Paris, France. Electronic address:

Recurrent pericarditis is a frequent and troublesome complication of acute pericarditis. Aspirin or non-steroidal anti-inflammatory drugs (NSAIDs) and colchicine are the mainstay of therapy but few data is available on second-line treatment. We retrospectively analyzed 13 patients, 7 females (54%), median age 40 years, with a median of 4 (IQR 1-6) recurrences per patient despite a well conducted first-line treatment and a median follow-up of 59 months (IQR 38-70). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15689972193009
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http://dx.doi.org/10.1016/j.autrev.2019.04.001DOI Listing
April 2019
2 Reads

Pericardial diseases in patients with hypothyroidism.

Heart 2019 Apr 4. Epub 2019 Apr 4.

Center for the Diagnosis and Treatment of Pericardial Diseases, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Hypothyroidism is a well-known cause of pericardial effusion (with an incidence of 3%-37%) and can cause cardiac tamponade in severe cases. In this review, we present the current knowledge on the epidemiology of hypothyroid-induced pericardial diseases, the mechanism through which low thyroid hormone levels affect the pericardium, the associated clinical manifestations, diagnostic tests and management options. Hypothyroidism causes pericardial effusion through increased permeability of the epicardial vessels and decreased lymphatic drainage of albumin, resulting in accumulation of fluid in the pericardial space. Read More

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http://dx.doi.org/10.1136/heartjnl-2018-314528DOI Listing
April 2019
4 Reads

Is It Time for a "Reverse Paradigm Shift" in the Treatment of Acute Idiopathic Pericarditis?

Rev Esp Cardiol (Engl Ed) 2019 Apr 1. Epub 2019 Apr 1.

Department of Medicine, Saint Vincent Hospital, Worcester, MA, United States.

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http://dx.doi.org/10.1016/j.rec.2019.02.011DOI Listing
April 2019
1 Read

Falciparum malaria mimicking acute myocardial infarction.

J Family Med Prim Care 2019 Jan;8(1):308-310

Department of Cardiology, AIIMS, Bhopal, Madhya Pradesh, India.

Severe malaria is a concerning problem in developing country and is mostly due to Plasmodium Falciparum. Common organs involved are liver, central nervous system, lungs, kidneys, and vasculature. Cardiac involvement is very rare and is mostly underestimated. Read More

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http://dx.doi.org/10.4103/jfmpc.jfmpc_229_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396591PMC
January 2019
2 Reads

Left ventricular pseudoaneurysm associated with systemic lupus erythematosus.

Lupus 2019 Mar 24:961203319837359. Epub 2019 Mar 24.

1 Division of Rheumatology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.

Systemic lupus erythematosus (SLE) is associated with several cardiac manifestations but, to our knowledge, there have been no previously published reports on left ventricular (LV) pseudoaneurysm in this disease. We describe a case of a 30-year-old woman with SLE who presented with a disease flare (acute and subacute cutaneous lupus, pericarditis, fever, leukopenia) associated with heart failure syndrome. The patient was diagnosed with a large LV pseudoaneurysm and a bovine pericardium patch closure was performed. Read More

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http://dx.doi.org/10.1177/0961203319837359DOI Listing
March 2019
2 Reads

Pericarditis - Clinical presentation and characteristics of a pediatric population.

Rev Port Cardiol 2019 Feb 12;38(2):97-101. Epub 2019 Mar 12.

Serviço de Cardiologia Pediátrica, Hospital de Santa Marta, Centro Hospitalar de Lisboa Central, EPE, Lisboa, Portugal.

Introduction: Pericarditis is an inflammation of the pericardium. It may be infectious or secondary to a systemic disease. The aim of this study was to analyze the clinical findings, course, treatment and follow-up of children diagnosed with pericarditis at our center. Read More

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http://dx.doi.org/10.1016/j.repc.2018.05.017DOI Listing
February 2019
2 Reads

Clinical significance of pleural effusions and association with outcome in patients hospitalized with a first episode of acute pericarditis.

Intern Emerg Med 2019 Mar 13. Epub 2019 Mar 13.

First Cardiology Department, Hippokration General Hospital, National and Kapodistrian University of Athens, Vas. Sofias 114, 11528, Athens, Greece.

The clinical significance of pleural effusions (PLEs) in the setting of acute pericarditis remains poorly investigated. We sought to identify predictive factors for PLEs and their association with the short- and long-term prognosis of patients with acute pericarditis. We enrolled 177 patients hospitalized with a first episode of acute pericarditis. Read More

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http://dx.doi.org/10.1007/s11739-019-02041-3DOI Listing
March 2019
3 Reads

Idiopathic Pericarditis-an Autoinflammatory Disease?

Curr Rheumatol Rep 2019 Mar 9;21(5):18. Epub 2019 Mar 9.

Department of Medicine V, Amyloidosis Center and Division of Haematology, Oncology and Rheumatology, University of Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany.

Purpose Of The Review: Idiopathic acute and recurrent pericarditis are rare diseases of unknown origin. Here, we review trigger factors, pathomechanism, and treatment options for acute and recurrent pericarditis.

Recent Findings: Acute pericarditis can be triggered by viral infections, myocardial ischemia, heart catheter interventions, cardiac surgery or seem to occur without any trigger. Read More

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http://dx.doi.org/10.1007/s11926-019-0820-2DOI Listing
March 2019
1 Read

Autoimmune Heparin-Induced Thrombocytopenia: Treatment Obstacles and Challenging Length of Stay.

Am J Case Rep 2019 Mar 9;20:310-313. Epub 2019 Mar 9.

Division of Hematology and Medical Oncology, Brookdale University Hospital, Brooklyn, NY, USA.

BACKGROUND Autoimmune heparin-induced thrombocytopenia (aHIT) refers to a condition, in which antiplatelet factor-4 (PF4) antibodies activate platelets even in the absence of heparin (heparin independent platelet activation). This is a severe hypercoagulable state triggering massive thrombin storm needing additional therapies and aggressive anticoagulation apart from stopping heparin. Thrombocytopenia in these cases seems to be very severe and prolonged compared to classic HIT and poses additional clinical challenges in terms of anticoagulation management. Read More

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http://dx.doi.org/10.12659/AJCR.914575DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419528PMC
March 2019
3 Reads

Acute pericarditis: a review of current diagnostic and management guidelines.

Future Cardiol 2019 03 8;15(2):119-126. Epub 2019 Mar 8.

Cardiology Department, University Hospital Limerick, Dooradoyle, Limerick, Ireland.

This review examined the relevance of chest pain, pericardial friction rub, pericardial effusion and ECG changes in regard to the diagnosis of acute pericarditis. It also assessed the evidence for the management and therapeutic guidelines, specifically nonsteroidal anti-inflammatory drugs (NSAIDs), colchicine and corticosteroids. Overall, there appears to be a lack of research into pericarditis. Read More

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http://dx.doi.org/10.2217/fca-2017-0102DOI Listing
March 2019
1 Read

PRECORDIAL PAIN, LEUKOCYTOSIS AND BICYTOPENIA IN A TEENAGER WITH SYSTEMIC JUVENILE IDIOPATHIC ARTHRITIS UNDER IMMUNOSUPPRESSIVE THERAPY.

Rev Paul Pediatr 2019 Feb 25. Epub 2019 Feb 25.

Pontifícia Universidade Católica de Campinas, Campinas, SP, Brazil.

Objective: To highlight the importance of the new classification criteria for the macrophage activation syndrome (MAS) in systemic juvenile idiopathic arthritis in order to reduce morbidity and mortality outcome related to this disease.

Case Description: A 12-year-old female patient with diagnosis of systemic juvenile idiopathic arthritis under immunosuppression therapy for two years developed cough, acute precordial chest pain, tachypnea, tachycardia and hypoxemia for two days. Chest tomography showed bilateral laminar pleural effusion with bibasilar consolidation. Read More

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http://dx.doi.org/10.1590/1984-0462/;2019;37;2;00004DOI Listing
February 2019
1 Read

Midterm outcomes of catheter ablation for atrial fibrillation in patients with cardiac tamponade.

J Arrhythm 2019 Feb 24;35(1):109-120. Epub 2018 Oct 24.

Cardiovascular Division Faculty of Medicine University of Tsukuba Tsukuba Japan.

Background: Cardiac tamponade is a serious complication of catheter ablation for atrial fibrillation (AF). However, the outcomes of catheter ablation in patients of cardiac tamponade are unknown.

Methods: We performed catheter ablation in 2467 sessions of AF or a recurrence of AF between January 2007 and January 2016. Read More

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http://dx.doi.org/10.1002/joa3.12127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373639PMC
February 2019
1 Read

Clinical Overlap Between Myopericarditis and Stress Induced Cardiomyopathy: A Diagnostic and Therapeutic Challenge.

Am J Case Rep 2019 Feb 26;20:252-257. Epub 2019 Feb 26.

Department of Cardiovascular Disease, University of Connecticut, Hartford, CT, USA.

BACKGROUND Stress induced cardiomyopathy (SIC) is characterized by non-obstructive coronary arteries and characteristic ventricular apical ballooning. The exact pathogenesis of SIC is not well recognized. We present an unusual case of SIC that mimicked acute myopericarditis and discuss the effect of this masquerading presentation of SIC in recognizing pathophysiological association between myopericarditis and SIC and limitations of current diagnostic criteria. Read More

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http://dx.doi.org/10.12659/AJCR.912169DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402271PMC
February 2019
2 Reads

PR depression with multi‑lead ST elevation and ST depression in aVR: Is it always acute pericarditis?

J Electrocardiol 2019 Jan 24;54:13-17. Epub 2019 Jan 24.

Heart Center, Tampere University Hospital and Faculty of Medicine and Life Sciences, University of Tampere, Finland.

The classic electrocardiographic (ECG) manifestation of stage I of acute pericarditis is diffuse ST elevation and PR depression with ST depression in lead aVR. One of the most common conditions, that is often confused with acute pericarditis, is the benign diffuse ST elevation, termed "early repolarization with ST elevation" (ERSTE). ERSTE often presents with diffuse ST elevation in the inferior and anterolateral leads, with or without terminal QRS notching or slurring. Read More

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http://dx.doi.org/10.1016/j.jelectrocard.2019.01.085DOI Listing
January 2019
2 Reads

Acute purulent pericarditis due co-infection with and as first manifestation of HIV infection.

Oxf Med Case Reports 2019 Feb 16;2019(2):omy127. Epub 2019 Feb 16.

Department of Cardiology, Hospital 13 de Maio, Sorriso, Brazil.

Background: Purulent pericarditis is an unusual first manifestation of HIV-infected patients. Co-infections in this scenario are possible and challenging. is a frequent agent in purulent pericarditis related to HIV infection but co-infection with is rarely reported. Read More

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http://dx.doi.org/10.1093/omcr/omy127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380535PMC
February 2019
1 Read

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
3 Reads

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
7 Reads

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
4 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
4 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
3 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
Publisher Site
http://dx.doi.org/10.1186/s12879-018-3606-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327550PMC
January 2019
11 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
6 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
26 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
3 Reads

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
3 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
2 Reads

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
8 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
23 Reads

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

Intern Emerg Med 2019 Mar 5;14(2):331-332. 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
March 2019
11 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
23 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
20 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
16 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
13 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
6 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 10 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
16 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
9 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
3 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
8 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
5 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
7 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
7 Reads