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    [Angina Pectoris in a Young Woman with Lupus Erythematosus].
    Dtsch Med Wochenschr 2017 Sep 22;142(19):1449-1452. Epub 2017 Sep 22.
    Klinik III für Innere Medizin, Herzzentrum, Universität zu Köln, Köln.
    History and clinical findings We present a 31-year old woman with a 6-year history of cutaneous lupus erythematosus (CLE) who presented to the emergency room with typical chest pain. ECG and transthoracic echocardiography were normal. Her working diagnosis of pericarditis was made due to systemic progression of her lupus erythematosus (LE). Read More

    Diagnosis of systemic inflammatory diseases among patients admitted for acute pericarditis with pericardial effusion.
    J Cardiovasc Med (Hagerstown) 2017 Sep 20. Epub 2017 Sep 20.
    aDépartement de Médecine Interne bDépartement d'Epidémiologie et Recherche Clinique cDépartement d'Information Médicale dDépartement de Cardiologie, Hôpital Bichat, Université Paris Diderot, PRES Sorbonne Paris Cité, Assistance Publique Hôpitaux de Paris eINSERM U1149 fDépartement Hospitalo-Universitaire FIRE (Fibrosis, Inflammation and Remodelling in Renal and Respiratory Diseases), Paris, France.
    Aims: Acute pericarditis may be the heralding manifestation of various systemic inflammatory diseases (SIDs). The aim of this study was to identify clinical indicators for SIDs in patients admitted for acute pericarditis with pericardial effusion.

    Methods: All consecutive adult patients hospitalized in a Department of Internal Medicine over a 10-year period for acute pericarditis with pericardial effusion were retrospectively reviewed. Read More

    Acute Pericarditis: Descriptive Study and Etiology Determination in a Predominantly African American Population.
    Cureus 2017 Jul 6;9(7):e1431. Epub 2017 Jul 6.
    Department of Internal Medicine, Howard University Hospital.
    INTRODUCTION ---Acute pericarditis is the most commonly encountered manifestation of pericardial disease (incidence: 0.2 percent to 0.5 percent in hospitalized patients). Read More

    Incidence and Significance of Adhesions Encountered during Epicardial Mapping and Ablation of Ventricular Tachycardia in Patients with no History of Prior Cardiac Surgery or Pericarditis.
    Heart Rhythm 2017 Sep 13. Epub 2017 Sep 13.
    UCLA Cardiac Arrhythmia Center, David Geffen School of Medicine at UCLA, Los Angeles, CA. Electronic address:
    Background: Pericardial adhesions can prevent epicardial access and restrict catheter movement during mapping and ablation of ventricular tachycardia (VT) . The incidence of adhesions in patients without prior cardiac surgery or clinically evident pericarditis is not known.

    Objective: To describe the incidence of pericardial adhesions in patients without prior cardiac surgery or pericarditis and explore their impact. Read More

    Seasonal patterns of acute and recurrent idiopathic pericarditis.
    Clin Cardiol 2017 Sep 15. Epub 2017 Sep 15.
    Department of Cardiology, Rabin Medical Center-Beilinson Hospital, Petach Tikva, Israel.
    Background: Idiopathic pericarditis is presumed to result from viral infection. The incidence rates of some viral infections have typical seasonal patterns. The data in the literature on a possible seasonal pattern of acute pericarditis are very limited. Read More

    Granulomatosis with Polyangiitis with Myocarditis and Ventricular Tachycardia.
    Case Rep Med 2017 20;2017:6501738. Epub 2017 Aug 20.
    Surgical Consultative Nephrology, UCLA Stone Center, Los Angeles, CA, USA.
    Granulomatosis with polyangiitis (GPA), previously known as Wegener's granulomatosis, is a pulmonary-renal syndrome affecting small and medium sized blood vessels. The disease has a prevalence in studies ranging from 3 to 15.7 cases per 100,000, with a noted increasing incidence and prevalence in more recent studies. Read More

    Isolation and characterization of pathogenic Vibrio alginolyticus from sea cage cultured cobia (Rachycentron canadum (Linnaeus 1766)) in India.
    Lett Appl Microbiol 2017 Sep 12. Epub 2017 Sep 12.
    Mandapam Regional Centre, Central Marine Fisheries Research Institute, Mandapam Camp, Tamil Nadu, India, 623 520.
    Mass mortalities of cobia Rachycentron canadum sub-adults occurred during August 2013 in cage culture at the Gulf of Mannar, Mandapam Tamil Nadu, India. The epizootic of disease was started with typical classical clinical signs followed by the acute mortality. Grossly, severe haemorrhage and congestion was observed in the gastric mucosa. Read More

    Emergency medicine evaluation and management of the end stage renal disease patient.
    Am J Emerg Med 2017 Sep 5. Epub 2017 Sep 5.
    Joint Base Elmendorf Richardson Medical Center, Department of Emergency Medicine, 5955 Zeamer Ave, JBER, AK, 99506, United States.
    Background: End stage renal disease (ESRD) is increasing in the U.S., and these patients demonstrate greater all-cause mortality, cardiovascular events, and hospitalization rates when compared to those with normal renal function. Read More

    Thoracic Radiation Normal Tissue Injury.
    Semin Radiat Oncol 2017 Oct;27(4):370-377
    Department of Radiation Oncology, University of Maryland Medical Center, Baltimore, MD. Electronic address:
    Thoracic malignancies are often a difficult group of tumors to treat definitively as the radiation doses needed to achieve a high probability for tumor control are often associated with high rates of radiation-induced toxicities. The lungs are particularly radiosensitive and are susceptible to radiation pneumonitis in the acute and subacute settings and pulmonary fibrosis in the late setting. Acute esophagitis is common and affects patient quality of life. Read More

    Cardiac Auscultation for Noncardiologists: Application in Cardiac Rehabilitation Programs: PART I: PATIENTS AFTER ACUTE CORONARY SYNDROMES AND HEART FAILURE.
    J Cardiopulm Rehabil Prev 2017 Sep;37(5):315-321
    Preventive Cardiology and Rehabilitation, Istituto Codivilla-Putti, Cortina d'Ampezzo (BL), Italy (Drs Compostella, Compostella, Russo, Setzu, and Bellotto); Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padova, Italy (Drs Compostella, Russo, Iliceto, and Bellotto); and Department of Medicine, School of Emergency Medicine, University of Padua, Padova, Italy (Dr Compostella).
    During outpatient cardiac rehabilitation after an acute coronary syndrome or after an episode of congestive heart failure, a careful, periodic evaluation of patients' clinical and hemodynamic status is essential. Simple and traditional cardiac auscultation could play a role in providing useful prognostic information.Reduced intensity of the first heart sound (S1), especially when associated with prolonged apical impulse and the appearance of added sounds, may help identify left ventricular (LV) dysfunction or conduction disturbances, sometimes associated with transient myocardial ischemia. Read More

    Cardiac Auscultation for Noncardiologists: Application in Cardiac Rehabilitation Programs: PART II: ADULT PATIENTS AFTER HEART SURGERY.
    J Cardiopulm Rehabil Prev 2017 Aug 4. Epub 2017 Aug 4.
    Preventive Cardiology and Rehabilitation, Istituto Codivilla-Putti, Cortina d'Ampezzo, Italy (Drs Compostella, Russo, Compostella, Setzu, and Bellotto); Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padova, Italy (Drs Compostella, Russo, Iliceto, and Bellotto); and Department of Medicine, School of Emergency Medicine, University of Padua, Padova, Italy (Dr Compostella).
    This clinical skills review describes the most common cardiac auscultatory findings in adults after heart surgery and correlates them with prognostic indicators. It was written for noncardiologist health care providers who work in outpatient cardiac rehabilitation programs.Mechanical prosthetic valves produce typical closing and opening clicks. Read More

    [Acute pericarditis, complicated by pericardial effusion in a pediatric patient: case report].
    Arch Argent Pediatr 2017 Aug;115(4):e237-e242
    Hospital Infantil Miguel Servet, Zaragoza, Unidad de Cardiología Pediátrica.
    Acute pericarditis is the most common disease of the pericardium encountered in clinical practice. It is diagnosed in 0.1% of all admissions and 5% of emergency room admissions for chest pain. Read More

    A Case of Primary Bacterial Pericarditis with Recurrent Cardiac Tamponade.
    J Nippon Med Sch 2017 ;84(3):133-138
    Department of Cardiology, Nippon Medical School.
    Cardiac tamponade is an important and potentially lethal complication of acute pericarditis. However, recurrence of cardiac tamponade is rare when it is treated appropriately. We present a 49-year-old man with bacterial pericarditis and recurrent cardiac tamponade, which was caused by the rupture of an upper part of the left atrium (LA). Read More

    Bilateral idiopathic retinal vasculitis following coxsackievirus A4 infection: a case report.
    BMC Ophthalmol 2017 Jul 19;17(1):128. Epub 2017 Jul 19.
    Department of Ophthalmology, National Defense Medical College, 3-2 Namiki, Tokorozawa City, Saitama, 359-8513, Japan.
    Background: Coxsackieviruses are members of a group of viruses called the enteroviruses, which may cause respiratory and gastrointestinal symptoms, erythema, meningoencephalitis, myocarditis, pericarditis, and myositis. Unilateral acute idiopathic maculopathy caused by coxsackievirus A16 has been associated with hand, foot, and mouth disease, but only a few reports describe retinitis associated with coxsackievirus serotype B3 or B4. We report a case of bilateral multifocal obstructive retinal vasculitis that developed after coxsackievirus A4 infection. Read More

    Pericarditis Associated With Acute Zika Virus Infection in a Returning Traveler.
    Open Forum Infect Dis 2017 18;4(2):ofx103. Epub 2017 May 18.
    Divisions of Infectious Diseases and.
    Despite the widespread outbreak, few cases of Zika virus associated with cardiac manifestations have been described. We present a case of pericarditis in the setting of an acute, symptomatic Zika virus infection in a traveler returning from St. Thomas. Read More

    Cytopathology of pericardial effusions : Experience from a tertiary center of cardiology.
    Herz 2017 Jul 10. Epub 2017 Jul 10.
    Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, 34846, Istanbul, Turkey.
    Background: Pericardial effusion (PE) is a common clinical condition that can develop as a result of systemic or cardiac diseases. Here, we report the results of cytology for patients who underwent pericardiocentesis for PE.

    Methods: The study comprised 283 patients who underwent primary percutaneous pericardiocentesis between 2007 and 2016. Read More

    Cardiovascular and Pulmonary Manifestations of Systemic Lupus Erythematosus.
    Curr Rheumatol Rev 2017 Jul 4. Epub 2017 Jul 4.
    University Health Network, Toronto, Ontario. Canada.
    Background: Systemic lupus erythematosus (SLE) is characterized by various clinical manifestations and immunologic abnormalities. Among clinical manifestations, cardiovascular and respiratory system involvement is increasingly recognized as critical for patients' prognosis.

    Objective: Heart involvement, most commonly presents with pericarditis. Read More

    Pericarditis as a Marker of Occult Cancer and a Prognostic Factor for Cancer Mortality.
    Circulation 2017 Sep 29;136(11):996-1006. Epub 2017 Jun 29.
    From Department of Clinical Epidemiology, Institute of Clinical Medicine, Aarhus University Hospital, Denmark (K.K.S., D.K.F., V.E., H.T.S.); Non-Communicable Diseases Epidemiology, London School of Hygiene and Tropical Medicine, United Kingdom (K.B.) Department of Cardiology, Aarhus University Hospital, Skejby, Denmark (H.E.B.); and Department of Health Research and Policy (Epidemiology), Stanford University, CA (H.T.S.).
    Background: Pericarditis may be a serious complication of malignancy. Its significance as a first symptom of occult cancer and as a prognostic factor for cancer survival is unknown.

    Methods: Using Danish medical databases, we conducted a nationwide cohort study of all patients with a first-time diagnosis of pericarditis during 1994 to 2013. Read More

    The Therapeutic Role of Interleukin-1 Inhibition in Idiopathic Recurrent Pericarditis: Current Evidence and Future Challenges.
    Front Med (Lausanne) 2017 12;4:78. Epub 2017 Jun 12.
    Joint Rheumatology Program, Clinical Immunology-Rheumatology Unit, 2nd Department of Medicine and Laboratory, School of Medicine, National and Kapodistrian University of Athens, Hippokration General Hospital, Athens, Greece.
    Recurrent pericarditis is a common complication of acute pericarditis (15-30%) for which, in most cases, no underlying etiology is found [idiopathic recurrent pericarditis (IRP)]. IRP is currently viewed as an autoinflammatory disease with characteristic recurrent episodes of sterile inflammation. According to the most recent Guidelines, the initial treatment regimen consists of a combination of aspirin or non-steroidal anti-inflammatory drugs with colchicine followed by the addition of corticosteroids in resistant or intolerant cases. Read More

    A Rare Case of Pneumopericardium in the Setting of Tuberculous Constrictive Pericarditis.
    Case Rep Cardiol 2017 28;2017:4257452. Epub 2017 May 28.
    Division of Thoracocardiovascular Surgery, Department of Surgery, University of the Philippines, Philippine General Hospital, Manila, Philippines.
    A 28-year-old Filipino male was admitted due to high-grade fevers and dyspnea on a background of chronic cough and weight loss. Due to clinical and echocardiographic signs of cardiac tamponade, emergency pericardiocentesis was performed on his first hospital day. Five days after, chest radiographs showed new pockets of radiolucency within the cardiac shadow, indicative of pneumopericardium. Read More

    Interleukin-1 Blockade for the Treatment of Pericarditis.
    Eur Heart J Cardiovasc Pharmacother 2017 Jun 19. Epub 2017 Jun 19.
    Pericarditis is a debilitating condition that results from profound inflammation of the pericardial tissue. Between 10-15% of first episodes of acute pericarditis will be followed by several episodes refractory to conventional treatment. Current standard of care for pericarditis treatment includes high-dose non-steroidal anti-inflammatory drugs, colchicine and systemic corticosteroids, each associated with potentially severe toxicities and nominal efficacy. Read More

    Citrobacter freundii as a cause of acute suppurative thyroiditis in an immunocompetent adult female.
    Indian J Pathol Microbiol 2017 Apr-Jun;60(2):282-284
    Department of Otorhinolaryngology, Government Medical College Hospital, Chandigarh, India.
    Acute suppurative thyroiditis (AST) is an uncommon condition, in the patients with preexisting thyroid disease or immunosuppression. The most common cause of AST is bacterial, and the most common bacteria are Staphylococcus aureus, Staphylococcus epidermidis, Escherichia coli, and Klebsiella species. Due to various complications such as septicemia, septic thrombophlebitis, necrotizing mediastinitis, or pericarditis, prompt diagnosis and treatment are the keys to reduce mortality and morbidity. Read More

    Invasive Hemodynamics of Pericardial Disease.
    Interv Cardiol Clin 2017 Jul;6(3):309-317
    Valve Science Center, Minneapolis Heart Institute Foundation, 800 East 28th Street, Minneapolis, MN 55407, USA; Center for Valve and Structural Heart Disease, Minneapolis Heart Institute, Abbott Northwestern Hospital, 800 East 28th Street, Minneapolis, MN 55407, USA. Electronic address:
    Pericardial diseases can be classified broadly as 3 entities: acute pericarditis, cardiac tamponade, and constrictive pericarditis. These disorders can be diagnosed and managed with noninvasive studies following a comprehensive history and physical examination, without the need for cardiac catheterization in most patients. Despite the advances in noninvasive cardiac imaging, there are limitations to their diagnostic accuracy. Read More

    External Compression of Epicardial Coronary Arteries with Partial Calcific Pericarditis.
    Heart Views 2017 Jan-Mar;18(1):26-29
    Department of Cardiovascular Diseases, Cooper University Hospital, Camden, NJ, USA.
    Calcific pericarditis (CP) is a rare disease which results from long-standing pericardial inflammation. Pericardial calcification may completely or partially encase the ventricles, resulting in impaired diastolic filling. We present a case of a 53-year-old male who was incidentally found to have annular CP resulting in external compression of a large territory diagonal branch (D1) reaching the apex with likely chronically occluded left anterior descending artery with collateral circulation from the right coronary artery with hemodynamic compromise on coronary angiography. Read More

    Harefuah 2017 Feb;156(2):84-85
    Kaplan Medical Center, Cardiology Department, Rehovot, Israel affiliated to Hadassah Medical School. Hebrew University.
    Introduction: Patients with suspected dissection of the thoracic aorta require immediate diagnostic evaluation so that urgent therapeutic interventions can begin. We present a case of aortic dissection with an atypical initial presentation mimicking acute pericarditis, in which the correct diagnosis was made on the basis of the suprasternal view of transthoracic echocardiography. Read More

    The role of the persistent enterovirus infection in development of acute stroke.
    Wiad Lek 2017;70(2):187-191
    Introduction: The role of enteroviruses in development of dilated cardiomyopathy, myocardial infarction, myocarditis, pericarditis is known.

    The Aim: To examine the role of chronic enterovirus infections in development of acute stroke.

    Material And Methods: Blood samples from 72 patients with acute stroke (study group) and 35 patients without vascular disease (control group) were investigated by reverse transcription polymerase chain reaction for the presence of enterovirus RNA, by using virological method to detect enteroviruses, by ELISA for the levels of IgM and IgG antibodies to enteroviruses. Read More

    Case Report and Review of Management of Penetrating Trauma and Cardiac Pericarditis.
    J Trauma Nurs 2017 May/Jun;24(3):174-181
    Department of Cardiology (Ms Thomas), Department of Trauma (Ms Golden and Dr Moran) SSM Health Saint Louis University Hospital, St. Louis, Missouri.
    Acute pericarditis is the most common form of pericardial disease worldwide and it has many potential etiologies. This case study examines a patient admitted for multiple gunshot wounds who developed acute pericarditis postpericardial drain removal. The initial penetrating abdominal trauma, along with facial injuries and a suspected myocardial infarction, led to confusion in which the initial etiology of pericarditis was missed, creating a delay in overall patient care and extended length of stay. Read More

    Intelligent use of advanced capabilities of diagnostic ECG algorithms in a monitoring environment.
    J Electrocardiol 2017 Sep - Oct;50(5):615-619. Epub 2017 Apr 25.
    Advanced Algorithm Research Center, Philips Healthcare, Andover, MA, USA.
    A large number of ST-elevation notifications are generated by cardiac monitoring systems, but only a fraction of them is related to the critical condition known as ST-segment elevation myocardial infarction (STEMI) in which the blockage of coronary artery causes ST-segment elevation. Confounders such as acute pericarditis and benign early repolarization create electrocardiographic patterns mimicking STEMI but usually do not benefit from a real-time notification. A STEMI screening algorithm able to recognize those confounders utilizing capabilities of diagnostic ECG algorithms in variation analysis of ST segments helps to avoid triggering a non-actionable ST-elevation notification. Read More

    Cardiac tamponade secondary to purulent pericarditis diagnosed with the aid of emergency department ultrasound.
    Am J Emerg Med 2017 Aug 27;35(8):1212.e1-1212.e3. Epub 2017 Apr 27.
    Wright State University Department of Emergency Medicine, 3525 Southern Blvd, Kettering, OH 45429, United States.
    Purulent pericarditis is a rare but devastating disease process and even when treated, carries a poor prognosis. Cardiac tamponade is the most severe complication of purulent pericarditis and without acute surgical intervention, is often fatal. Diagnosis requires pericardiocentesis; however, early consideration of the disease and its complications in the emergency department (ED) can be life-saving. Read More

    Pleural effusions in acute idiopathic pericarditis and postcardiac injury syndrome.
    Curr Opin Pulm Med 2017 Jul;23(4):346-350
    Pleural Medicine Unit, Department of Internal Medicine, Arnau de Vilanova University Hospital, Institute for Biomedical Research Dr Pifarre Foundation, IRBLLEIDA, Lleida, Spain.
    Purpose Of Review: Pleural effusions are frequent in the context of acute idiopathic pericarditis and following pericardiotomy, but they have seldom been characterized. This review summarizes their most relevant clinical features.

    Recent Findings: In acute idiopathic pericarditis, pleural effusions tend to be left-sided and, if bilateral, they are usually larger on the left. Read More

    Purulent Pericarditis: An Uncommon Presentation of a Common Organism.
    Am J Case Rep 2017 Apr 6;18:355-360. Epub 2017 Apr 6.
    Division of Pulmonary and Critical Care Medicine, Department of Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, NY, USA.
    BACKGROUND In the modern antibiotic era, Streptococcus agalactiae infection of the endocardium and pericardial space is a rare occurrence. However, once the disease spreads it can lead to life-threatening illness despite advances in diagnostic and treatment modalities, partly because the symptoms and signs associated with pericarditis are frequently missing, and due to the rarity of the disease, diagnosis is often overlooked. We report an extremely rare case of purulent pericarditis caused by Streptococcus agalactiae. Read More

    Recurrent constrictive pericarditis associated with seropositive rheumatoid arthritis: A case report.
    Int J Surg Case Rep 2017 21;34:93-95. Epub 2017 Mar 21.
    Wessex Cardiothoracic Centre, University Hospital Southampton, UK.
    Introduction: Constrictive pericarditis is an uncommon disease characterized by impaired diastolic filling of the ventricles, encased in a fibrotic pericardium resulting from an inflammatory process. Rheumatoid arthritis is a rare cause of constrictive pericarditis, usually due to a concomitant acute or chronic serositis.

    Presentation Of Case: This paper presents a unique case of recurrent constrictive pericarditis associated with seropositive rheumatoid arthritis, requiring pericardiectomy and complicated three years later by recurrent fibrosis, demanding a second pericardiectomy. Read More

    Acute-Onset Chest Pain in a 17-Year-Old Female Adolescent With Systemic Lupus Erythematosus.
    Pediatr Emerg Care 2017 May;33(5):346-349
    From the Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD.
    We report the case of a 17-year-old adolescent girl with systemic lupus erythematosus with disseminated pneumococcal infection leading to purulent pericarditis with cardiac tamponade. Although pericarditis is not an uncommon entity in autoimmune diseases such as systemic lupus erythematosus, purulent pericarditis is a rare cause (<1%) of this presentation. Read More

    Tuberculosis and Guillain-Barre syndrome: A chance association?
    Intractable Rare Dis Res 2017 Feb;6(1):55-57
    Department of Infectious Disease, All India Institute of Medical Sciences, New Delhi, India.
    An 18-year-old boy presented with acute-onset quadriparesis that had developed 4 weeks prior. He had an intermittent fever and significant weight loss during this period. After extensive investigations, the patient was diagnosed with an acute motor and sensory axonal neuropathy (AMSAN) variant of Guillain-Barre syndrome (GBS) and disseminated tuberculosis with mediastinal lymphadenopathy, pericarditis, and pleural effusion. Read More

    Myocarditis in Mediterranean spotted fever: a case report and a review of the literature.
    JMM Case Rep 2016 Aug 30;3(4):e005039. Epub 2016 Aug 30.
    Dipartimento di Scienze per la promozione della salute e materno-infantile, Università di Palermo , Italy.
    Introduction: Mediterranean spotted fever (MSF) is a tick-borne acute febrile disease caused by Rickettsia conorii. Most cases follow a benign course, with a case fatality rate of 3-7 % among hospitalized patients. Complications are described mainly in adult patients and include hepatic, renal, neurological and cardiac impairment. Read More

    Quantitative Pericardial Delayed Hyperenhancement Informs Clinical Course in Recurrent Pericarditis.
    JACC Cardiovasc Imaging 2017 Mar 10. Epub 2017 Mar 10.
    Heart and Vascular Institute, Center for the Diagnosis and Treatment of Pericardial Diseases, Cleveland Clinic, Cleveland, Ohio. Electronic address:
    Objectives: The aim of this study was to evaluate the prognostic value of quantitative assessment of pericardial delayed hyperenhancement (DHE) among patients with recurrent pericarditis (RP).

    Background: Pericardial DHE on cardiac magnetic resonance may persist beyond the acute phase of pericarditis, suggesting continued pericardial inflammation.

    Methods: This is a retrospective cohort study of 159 patients with RP who underwent DHE imaging and had a follow-up period of more than 6 months. Read More

    Aspergillus Pericarditis with Tamponade in a Renal Transplant Patient.
    Case Rep Cardiol 2017 20;2017:7134586. Epub 2017 Feb 20.
    Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141, USA.
    Aspergillus pericarditis is a rare and life-threatening infection in immunosuppressed patients. It has nonspecific clinical manifestations that often mimic other disease entities especially in patients who have extensive comorbidities. Diagnosis is oftentimes delayed and rarely done antemortem. Read More

    Cardiac manifestations of parasitic diseases.
    Heart 2017 May 11;103(9):651-658. Epub 2017 Mar 11.
    Hospital das Clinicas, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
    The heart may be affected directly or indirectly by a variety of protozoa and helminths. This involvement may manifest in different ways, but the syndromes resulting from impairment of the myocardium and pericardium are the most frequent. The myocardium may be invaded by parasites that trigger local inflammatory response with subsequent myocarditis or cardiomyopathy, as occurs in Chagas disease, African trypanosomiasis, toxoplasmosis, trichinellosis and infection with free-living amoebae. Read More

    Prinzmetals Angina Masquerading as Acute Pericarditis.
    J Clin Diagn Res 2017 Jan 1;11(1):OD08-OD09. Epub 2017 Jan 1.
    Assistant Professor, Department of Cardiology, KMC Manipal , Manipal, Karnataka, India .
    Coronary artery spasm is an intense vasoconstriction of the coronary arteries and may be responsible for the myocardial ischemia, myocardial infarction as well as sudden deaths. Coronary angiography is generally needed to identify the cause. Coronary artery spasm is a multifactorial disease with underlying mechanism still poorly understood. Read More

    Clinical predictors of length of stay in adults with congenital heart disease.
    Heart 2017 Aug 25;103(16):1258-1263. Epub 2017 Feb 25.
    Department of Cardiology, Washington University School of Medicine, St Louis, Missouri, USA.
    Objective: Length of stay (LOS) is a major driver of inpatient care costs. To date, few studies have investigated risk factors associated with increased LOS in patients with adult congenital heart disease (ACHD). In the present work, we sought to address this knowledge gap. Read More

    Surgical treatment of left ventricular wall rupture, regarded as a consequence of Takotsubo cardiomyopathy.
    SAGE Open Med Case Rep 2017 18;5:2050313X16689210. Epub 2017 Jan 18.
    Scientific Research Institute of Heart Surgery and Organ Transplantation, Bishkek, Kyrgyzstan.
    Objective: We present the case of possible reverse type of TCM in a female patient presented with progressive left ventricular dysfunction and its rupture in pericardium.

    Methods: The detailed history, physical examination, laboratory tests, electrocardiography, serial echocardiography, coronary angiography with left ventriculography were performed to diagnose possible Takotsubo cardiomyopathy in 63-year old woman admitted to our center with complaints of dyspnea, lightheadedness, weakness and signs of hypotension and history of inferior myocardial infarction, acute left ventricular aneurysm, and effusive pericarditis and pleuritis, developed after emotional stress 5 months ago.

    Results: Clinical evaluation revealed unremarkable laboratory tests, normal troponin values, signs of old inferior myocardial infarction on electrocardiogram, and left ventricular (LV) dilatation and dysfunction, akinesia of LV infero-lateral wall with thinning and its rupture and blood shunting in pericardium. Read More

    Transthoracic Echocardiography: Pitfalls and Limitations as Delineated at Cardiac CT and MR Imaging.
    Radiographics 2017 Mar-Apr;37(2):383-406. Epub 2017 Feb 17.
    From the Department of Diagnostic Imaging, Kaiser Permanente Los Angeles Medical Center, 1505 N Edgemont Ave, Basement, Los Angeles, CA 90027.
    Transthoracic echocardiography ( TTE transthoracic echocardiography ) is a critical tool in the field of clinical cardiology. It often serves as one of the first-line imaging modalities in the evaluation of cardiac disease owing to its low cost, portability, widespread availability, lack of ionizing radiation, and ability to evaluate both anatomy and function of the heart. Consequently, a large majority of patients undergoing a cardiac computed tomography (CT) or magnetic resonance (MR) imaging examination will have a TTE transthoracic echocardiography available for review. Read More

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

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

    Contemporary management of pericardial effusion: practical aspects for clinical practice.
    Postgrad Med 2017 Mar 9;129(2):178-186. Epub 2017 Feb 9.
    a Department of Medical Sciences , University Cardiology, AOU Città della Salute e della Scienza di Torino, and University of Torino , Torino , Italy.
    A pericardial effusion (PE) is a relatively common finding in clinical practice. It may be either isolated or associated with pericarditis with or without an underlying disease. The aetiology is varied and may be either infectious (especially tuberculosis as the most common cause in developing countries) or non-infectious (cancer, systemic inflammatory diseases). Read More

    Fulminant Pneumococcal Pericarditis in a Previously Healthy Patient.
    Can J Cardiol 2017 Apr 17;33(4):556.e1-556.e3. Epub 2016 Nov 17.
    Division of Cardiology, University of Alberta and Mazankowski Alberta Heart Institute, Edmonton, Canada. Electronic address:
    Purulent pericarditis is a rare acutely life-threatening condition. Initial symptoms, signs, and investigations can be nonspecific. Echocardiography is invaluable for establishing the diagnosis and initial management. Read More

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