3,179 results match your criteria Pericarditis Acute


Stork leg sign in acute pericarditis.

Pol Arch Intern Med 2020 Jun 3. Epub 2020 Jun 3.

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http://dx.doi.org/10.20452/pamw.15412DOI Listing

Novel Coronavirus-Induced Right Ventricular Failure and Point of Care Echocardiography: A Case Report.

Cardiology 2020 May 25:1-6. Epub 2020 May 25.

Division of Cardiology, Department of Internal Medicine, Brooklyn Campus, Veterans Affairs New York Harbor Healthcare System, Brooklyn, New York, USA,

Various cardiovascular complications have been reported in patients with coronavirus disease 2019. Common complications include acute myocardial injury, myocarditis, arrhythmia, pericarditis, heart failure, and shock. We present a case of cor pulmonale diagnosed with serial point of care ultrasound. Read More

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http://dx.doi.org/10.1159/000508527DOI Listing

Acute Aortic Dissection Masquerading as Acute Pericarditis: A Case Series.

Intern Med 2020 May 23. Epub 2020 May 23.

Cardiovascular Surgery, Okinawa Chubu Hospital, Japan.

We herein report 3 cases of acute aortic dissection (AAD) in which the initial 12-lead electrocardiogram showed typical ST elevation consistent with acute pericarditis. All patients exhibited small pericardial effusion but did not suffer from rupture into the pericardium or clinical tamponade. Slow leakage or exudate stemming from the dissecting hematoma appeared to have caused inflammation, resulting in pericarditis. Read More

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http://dx.doi.org/10.2169/internalmedicine.4430-20DOI Listing

Acute pericarditis due to COVID-19 infection: An underdiagnosed disease?

Authors:
Yale Tung-Chen

Med Clin (Barc) 2020 May 4. Epub 2020 May 4.

Servicio de Urgencias, Hospital Universitario La Paz, Paseo de la Castellana, 261, 28046 Madrid, Spain. Electronic address:

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http://dx.doi.org/10.1016/j.medcli.2020.04.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198204PMC

The emerging spectrum of cardiopulmonary pathology of the coronavirus disease 2019 (COVID-19): Report of 3 autopsies from Houston, Texas, and review of autopsy findings from other United States cities.

Cardiovasc Pathol 2020 May 7;48:107233. Epub 2020 May 7.

Internal Medicine, McGovern Medical School, The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas, USA; Center for Advanced Cardiopulmonary Therapies and Transplantation, McGovern Medical School and Memorial Hermann Hospital-Texas Medical Center, Houston, Texas, USA.

This paper collates the pathological findings from initial published autopsy reports on 23 patients with coronavirus disease 2019 (COVID-19) from 5 centers in the United States of America, including 3 cases from Houston, Texas. Findings confirm that COVID-19 is a systemic disease with major involvement of the lungs and heart. Acute COVID-19 pneumonia has features of a distinctive acute interstitial pneumonia with a diffuse alveolar damage component, coupled with microvascular involvement with intra- and extravascular fibrin deposition and intravascular trapping of neutrophils, and, frequently, with formation of microthombi in arterioles. Read More

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http://dx.doi.org/10.1016/j.carpath.2020.107233DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204762PMC
May 2020
2.336 Impact Factor

COVID-19 (SARS-Cov-2) and the heart - An ominous association.

Cardiovasc Revasc Med 2020 May 15. Epub 2020 May 15.

Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America. Electronic address:

Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Cardiovascular manifestations of COVID-19 are diverse and complex and include acute coronary syndrome, myocarditis masquerading as ST-segment elevation myocardial infarction, pericarditis and pericardial effusion. We present 2 cases of COVID-19 infection with myocardial involvement with distinct mechanistic pathways and outcomes. Read More

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http://dx.doi.org/10.1016/j.carrev.2020.05.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7227608PMC

Usefulness of Interleukin-1 Receptor Antagonists in Patients With Recurrent Pericarditis.

Am J Cardiol 2020 Apr 8. Epub 2020 Apr 8.

Center for the Diagnosis and Treatment of Pericardial Diseases, Heart and Vascular Institute, Imaging Institute, Cardiovascular Section, Cleveland Clinic, Cleveland, Ohio. Electronic address:

Nonsteroidal anti-inflammatory drugs and colchicine remain the standard of care as the initial treatment of acute pericarditis. Corticosteroids and traditional immunosuppressive medications are often added if patients develop recurrent symptoms and remain medically refractory. There has been growing interest in the use of interleukin-1 receptor antagonists (IL-1RAs) in managing pericarditis, especially, in medically refractory cases. Read More

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http://dx.doi.org/10.1016/j.amjcard.2020.03.041DOI Listing

Continuing versus suspending angiotensin-converting enzyme inhibitors and angiotensin receptor blockers: Impact on adverse outcomes in hospitalized patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

Am Heart J 2020 May 13. Epub 2020 May 13.

D'Or Institute for Research and Education (IDOR), Rio de Janeiro, Brazil.

Background: Angiotensin-converting enzyme-2 (ACE2) may increase due to upregulation in patients using angiotensin-converting enzyme inhibitors (ACEI) and angiotensin receptor blockers (ARB). Because renin-angiotensin system blockers increase levels of ACE2, a protein that facilitates coronavirus entry into cells, there is concern that these drugs could increase the risk of developing a severe and fatal form of COVID-19. The impact of discontinuing ACEI and ARBs in patients with COVID-19 remains uncertain. Read More

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http://dx.doi.org/10.1016/j.ahj.2020.05.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219415PMC

ACUTE EFFECTS OF INTERLEUKIN-1 BLOCKADE USING ANAKINRA IN PATIENTS WITH ACUTE PERICARDITIS.

J Cardiovasc Pharmacol 2020 Apr 16. Epub 2020 Apr 16.

VCU Pauley Heart Center, Virginia Commonwealth University, Richmond, VA, USA.

Interleukin-1 (IL-1) receptor antagonist (anakinra) has been shown to be effective in steroid-dependent recurrent pericarditis resistant to non-steroidal anti-inflammatory drugs (NSAIDs) and colchicine. We sought to evaluate the acute efficacy of anakinra given early in patients with acute pericarditis. We enrolled patients within 24 hours of presentation of a first or recurrent episode of acute pericarditis who were experiencing severe pain (≥6 in 11-point Likert scale) despite treatment with at least one dose of NSAIDs and of colchicine. Read More

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http://dx.doi.org/10.1097/FJC.0000000000000847DOI Listing

Acute pericarditis secondary to COVID-19.

Emergencias 2020 06;32(3):221-222

Departamento de Cardiología, Hospital Universitario Central de la Defensa "Gómez Ulla", Madrid, España.

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The autoinflammatory side of recurrent pericarditis: Enlightening the pathogenesis for a more rational treatment.

Trends Cardiovasc Med 2020 May 3. Epub 2020 May 3.

Department of Emergency and Organ Transplantation, Rheumatology Unit, University of Bari, Piazza G. Cesare 11, Bari 70124, Italy.

Recurrent pericarditis (RP) is a troublesome and debilitating complication of acute pericarditis. Although the etiopathogenesis of this condition remains unknown, an intricate overlap of autoimmune and autoinflammatory pathways has been hypothesized to explain its beginning and recurrence over time. The majority of cases are defined as "idiopathic", reflecting our awkwardness to unravel the intimate mechanisms of RP. Read More

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http://dx.doi.org/10.1016/j.tcm.2020.04.006DOI Listing

[Safety and efficiency of interventional electrophysiology utilizing the German "Belegarztsystem"].

Herzschrittmacherther Elektrophysiol 2020 May 5. Epub 2020 May 5.

Herz- & Gefäßzentrum am Krankenhaus Neu Bethlehem, Humboldtallee 6, 37073, Göttingen, Deutschland.

Introduction: Electrophysiology study (EPS) and catheter ablation (abl.), in particular for atrial fibrillation, are increasingly performed in Germany. Therefore, measures and steps to ensure quality assurance are indicated. Read More

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http://dx.doi.org/10.1007/s00399-020-00687-7DOI Listing

Occult primary cardiac lymphomas causing unexpected/sudden death or acute heart failure.

Virchows Arch 2020 May 5. Epub 2020 May 5.

Department of Histopathology, Pisa University Hospital, Pisa, Italy.

Three cases of unexpected/sudden death (N = 2) or acute heart failure (N = 1) were investigated in our centre. The first patient died unexpectedly after surgery for cardiac tamponade and constrictive pericarditis; at autopsy, gross features mimicked a pericardial mesothelioma. The second patient died suddenly after recovering from a respiratory insufficiency episode; autopsy revealed an epicardial mass encircling the right coronary artery. Read More

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http://dx.doi.org/10.1007/s00428-020-02819-3DOI Listing

COVID-19 myopericarditis: It should be kept in mind in today's conditions.

Am J Emerg Med 2020 Apr 28. Epub 2020 Apr 28.

University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center, Training and Research Hospital, Department of Cardiology, Istanbul, Turkey; Department of Cardiology, Istanbul University-Cerrahpasa Cardiology Institute, Istanbul, Turkey.

A 78-year-old patient with acute respiratory distress was transferred to our hospital with ST segment elevation on electrocardiography. Coronary angiography revealed normal coronary arteries. Thorax computerized tomography showed ground glass opacification with consolidation in the lungs and mild pericardial effusion demonstrating myopericarditis associated with COVID-19. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.04.080DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187845PMC

Graft-versus-host disease: a case report of a rare but reversible cause of constrictive pericarditis.

Eur Heart J Case Rep 2020 Apr 4;4(2):1-5. Epub 2020 Mar 4.

Barts Heart Centre, Barts Health NHS Trust, West Smithfield, London EC1A 7BE, UK.

Background : Constrictive pericarditis (CP), although an uncommon cause of heart failure, requires specialist multidisciplinary input and multi-modality imaging to identify the underlying aetiology and treat potentially reversible causes.

Case Summary : We report the case of a 74-year-old gentleman referred for assessment of progressive exertional dyspnoea and peripheral oedema, 30 months following treatment of acute myeloid leukaemia with high-dose chemotherapy and allogeneic stem cell transplantation. Clinical examination and cardiac imaging revealed a small pericardial effusion and pericardial thickening with constrictive physiology; however, no aetiology was identified despite diagnostic pericardiocentesis. Read More

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http://dx.doi.org/10.1093/ehjcr/ytaa009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180538PMC

Spontaneous Pneumomediastinum – a Rare Asthma Complication.

Folia Med (Plovdiv) 2019 09;61(3):472-477

State University of Medicine and Pharmacy Nicolae Testemitanu in Chisinau, Chisinau, Moldova.

Asthma is the most common chronic respiratory disease worldwide and its prevalence is increasing. Acute asthma complications are often the reason for admission to emergency healthcare service. In our article we present a case of a rare asthma complication – spontaneous pneumomediastinum with a short review of its incidence, etiology, diagnosis and management. Read More

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http://dx.doi.org/10.3897/folmed.61.e39419DOI Listing
September 2019

Acute Myeloid Leukemia Presenting as Effusive Constrictive Pericarditis.

CASE (Phila) 2020 Apr 15;4(2):97-102. Epub 2019 Oct 15.

Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

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http://dx.doi.org/10.1016/j.case.2019.09.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7175754PMC

Interleukin-1 and the Inflammasome as Therapeutic Targets in Cardiovascular Disease.

Circ Res 2020 Apr 23;126(9):1260-1280. Epub 2020 Apr 23.

Department of Pharmacotherapy and Outcome Sciences, School of Pharmacy, Richmond, VA (C.M., C.A.D.).

The intracellular sensing protein termed NLRP3 (for NACHT, LRR, and PYD domains-containing protein 3) forms a macromolecular structure called the NLRP3 inflammasome. The NLRP3 inflammasome plays a major role in inflammation, particularly in the production of IL (interleukin)-1β. IL-1β is the most studied of the IL-1 family of cytokines, including 11 members, among which are IL-1α and IL-18. Read More

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http://dx.doi.org/10.1161/CIRCRESAHA.120.315937DOI Listing

Pulmonary Involvement in Acute Rheumatic Fever: A Case Report and Literature Review.

Cureus 2020 Mar 16;12(3):e7295. Epub 2020 Mar 16.

Department of Pediatric Rheumatology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, USA.

Rheumatic pneumonia is a pulmonary complication of rheumatic fever, often with grave outcomes. It has been described sporadically in literature, most recently a decade ago. Here, we describe a case of a 12-year-old Native American girl presenting with chest pain, gastrointestinal complaints, and frequent nosebleeds. Read More

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http://dx.doi.org/10.7759/cureus.7295DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7163343PMC

Cardiac involvement in COVID-19 patients: Risk factors, predictors, and complications: A review.

J Card Surg 2020 Apr 19. Epub 2020 Apr 19.

Warren Alpert Medical School of Brown University, Providence, Rhode Island.

Background: Respiratory complications have been well remarked in the novel coronavirus disease (SARS-CoV-2/COVID-19), yet an emerging body of research indicates that cardiac involvement may be implicated in poor outcomes for these patients.

Aims: This review seeks to gather and distill the existing body of literature that describes the cardiac implications of COVID-19.

Materials And Methods: The English literature was reviewed for papers dealing with the cardiac effects of COVID-19. Read More

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http://dx.doi.org/10.1111/jocs.14538DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264604PMC

Chest and Back Pain.

Am J Cardiol 2020 Jun 14;125(12):1929-1930. Epub 2020 Mar 14.

Section of Cardiology, Department of Medicine, Louisiana State University Health Sciences Center, New Orleans, Louisiana. Electronic address:

A man with an acute anterolateral myocardial infarct had electrocardiographic features suggesting triple vessel coronary arterial disease and infarct-related regional pericarditis. Read More

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http://dx.doi.org/10.1016/j.amjcard.2020.02.037DOI Listing
June 2020
3.276 Impact Factor

[A perimyocarditis revealing eosinophilic granulomatosis with polyangiitis].

Ann Cardiol Angeiol (Paris) 2020 May 4;69(3):148-150. Epub 2020 Apr 4.

Service de médecine interne, hôpital Habib Thameur, 8, rue Ali Ben Ayed, 1008 Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis El Manar, Tunis, Tunisie.

Churg-Strauss syndrome (CSS) or eosinophilic granulomatosis with polyangiitis is a systemic vasculitis characterized by necrotizing arteritis, eosinophilic infiltration and extravascular granuloma; that may involve several organs. Cardiac involvement is the first cause of death in this vasculitis. These include myocarditis, pericarditis, coronary heart disease, dysrhythmias, and rarely valvular involvement. Read More

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http://dx.doi.org/10.1016/j.ancard.2019.09.014DOI Listing

Hypercalcemia-Induced ST-Segment Elevation Mimicking Acute Myocardial Injury: A Case Report and Review of the Literature.

Case Rep Emerg Med 2020 16;2020:4159526. Epub 2020 Mar 16.

Advocate Illinois Masonic Medical Center, Chicago, IL, USA.

ST-segment elevation in absence of acute coronary syndrome can be seen in multiple conditions, including acute pericarditis and coronary vasospasm, but it is rarely seen with severe hypercalcemia. The authors present a case of an 81-year-old female with a history of stage 4 squamous cell cancer of the lung, who presented to the emergency room with profound fatigue, weakness, anorexia, and drowsiness two weeks after her first chemotherapy cycle. Additionally, she had complaints of right-sided chest pain associated with worsening shortness of breath, as well as right arm numbness. Read More

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http://dx.doi.org/10.1155/2020/4159526DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102466PMC

[Point-of-care ultrasound in the evaluation of acute pericarditis].

Semergen 2020 Apr 2. Epub 2020 Apr 2.

Servicio de Urgencias, Hospital Universitario La Paz, Madrid, España.

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http://dx.doi.org/10.1016/j.semerg.2020.02.005DOI Listing

Coronary Artery Disease: From Mechanism to Clinical Practice.

Adv Exp Med Biol 2020 ;1177:1-36

Department of Cardiology, Fu Wai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, 167 Beilishi Road, Beijing, 100037, China.

In most developed countries, coronary artery disease (CAD), mostly caused by atherosclerosis of coronary arteries, is one of the primary causes of death. From 1990s to 2000s, mortality caused by acute MI declined up to 50%. The incidence of CAD is related with age, gender, economic, etc. Read More

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http://dx.doi.org/10.1007/978-981-15-2517-9_1DOI Listing

Acute recurrent pericarditis: from pathophysiology towards new treatment strategy.

Heart 2020 Apr 1. Epub 2020 Apr 1.

Department of Internal Medicine and Clinial Immunology, AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Department of Internal Medicine, Paris, France.

Acute idiopathic or so-called viral pericarditis is a frequent and usually benign disease, although recurrences are frequent. Data strongly suggest the presence of underlying autoinflammatory and/or autoimmune disorders. It has been reported that there is an inflammatory response of the innate immune system typical of 'autoinflammatory diseases', predominantly mediated by interleukin-1 (IL-1). Read More

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http://dx.doi.org/10.1136/heartjnl-2019-316481DOI Listing

An unusual suspect for heart failure.

Acute Med 2020 ;19(1):52-55

Department of Cardiology, The Alfred Hospital, Australia.

Constrictive pericarditis though an uncommon diagnosis is a potentially reversible form of heart failure (with surgical pericardiectomy) and hence is imperative to diagnose. Diagnosis is dependent on a high index of clinical suspicion and further testing with appropriate cardiac investigations including cardiac imaging with invasive cardiac catheterisation as the gold standard. Read More

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January 2020

The Treatment of Acute Rheumatic Fever: Novel Use of Hydroxychloroquine.

Pediatr Infect Dis J 2020 Mar 20. Epub 2020 Mar 20.

School of Medical Sciences and Maurice Wilkins Centre, The University of Auckland, Auckland New Zealand.

Hydroxychloroquine (HCQ) suppresses an interleukin-1β-granulocyte-macrophage colony-stimulating factor cytokine axis, reported to be dysregulated in peripheral blood mononuclear cells of acute rheumatic fever patients ex vivo. We describe HCQ treatment for 2 patients with rheumatic carditis and a protracted inflammatory course. HCQ was associated with control of inflammatory markers, control of pericarditis in first patient and stabilization of progressive carditis in the second patient. Read More

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http://dx.doi.org/10.1097/INF.0000000000002647DOI Listing

Multimodality imaging in patients with post-cardiac injury syndrome.

Heart 2020 May 11;106(9):639-646. Epub 2020 Mar 11.

Center for the Diagnosis and Treatment of Pericardial Diseases, Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, United States

This review article is focused on the role of echocardiography, cardiac CT and cardiac magnetic resonance (CMR) imaging in diagnosing and managing patients with post-cardiac injury syndrome (PCIS). Clinically, the spectrum of pericardial diseases under PCIS varies not only in form and severity of presentation but also in the timing varying from weeks to months, thus making it difficult to diagnose. Pericarditis developing after recent or remote myocardial infarction, cardiac surgery or ablation if left untreated or under-treated could worsen into complicated pericarditis which can lead to decreased quality of life and increased morbidity. Read More

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http://dx.doi.org/10.1136/heartjnl-2019-316050DOI Listing
May 2020
5.595 Impact Factor

Efficacy of anakinra for idiopathic and non-idiopathic pericarditis refractory or intolerant to conventional therapy.

Eur Heart J Acute Cardiovasc Care 2020 Mar 11:2048872619886309. Epub 2020 Mar 11.

Department of Rheumatology, Albany Medical College, USA.

Background: Anakinra, a recombinant interleukin-1 receptor antagonist is effective in treatment of idiopathic recurrent pericarditis. However, its efficacy in non-idiopathic pericarditis (secondary to a diagnosed inflammatory condition, or other known etiology) is unclear. We evaluated the efficacy of anakinra in patients with non-idiopathic (secondary to a diagnosed inflammatory condition, or other known etiology) and idiopathic pericarditis, who were intolerant or refractory to conventional therapy (colchicine and corticosteroids). Read More

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http://dx.doi.org/10.1177/2048872619886309DOI Listing

Acute Coronary Syndrome: Common Complications and Conditions That Mimic ACS.

FP Essent 2020 Mar;490:29-34

Womack Army Medical Center Cardiology, Bldg 4-2817 2817 Reilly Road, Fort Bragg, NC 28310.

Complications after acute myocardial infarction (MI) can be serious and potentially life-threatening. Coronary reperfusion therapy and revascularization can reduce the risk of these complications, but they still occur. Arrhythmias and conduction abnormalities are among the most common complications, and occur most often in hemodynamically unstable patients. Read More

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Clinical features of pericarditis with and without myocardial involvement diagnosed in the emergency department and factors associated with need for hospitalization.

Emergencias 2020 Abr;32(2):97-104

Área de Urgencias, Hospital Clínic, Universitat de Barcelona, Barcelona, España. The GREAT (Global Research on Acute Conditions Team) network, Roma, Italia.

Objectives: To analyze the clinical features of acute pericarditis diagnosed in the emergency department according to patient age and myocardial involvement (myopericarditis) and to determine factors associated with hospitalization.

Material And Methods: Retrospective, descriptive, observational, single-center study of consecutive patients. We analyzed all cases of pericarditis diagnosed in the emergency department over a period of 10 years (2008-2017), reviewing clinical, electrocardiographic, and laboratory findings as well as ultrasound imaging for myocardial involvement. Read More

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Complete reversal of constriction physiology with antitubercular treatment without steroid: a case report.

Eur Heart J Case Rep 2019 Dec 30;3(4):1-5. Epub 2019 Oct 30.

Department of Cardiology, Max Super Speciality Hospital, 1 & 2, Press Enclave Marg Saket District Centre, Saket Institutional Area Saket, New Delhi, Delhi 110017, India.

Background: Constrictive pericarditis is a chronic inflammation of the pericardium leading to the thickening of the pericardium that restricts cardiac filling. Globally tuberculosis is the commonest aetiology of constrictive pericarditis. Though normally considered to be an irreversible pathology; which requires surgical pericardiectomy, in early stage of the disease antitubercular therapy (ATT) along with steroids and other anti-inflammatory therapy can reverse the pathology. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz193DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7042141PMC
December 2019

Idiopathic Purulent Pericarditis: A Rare Diagnosis.

Am J Case Rep 2020 Feb 28;21:e921633. Epub 2020 Feb 28.

Department of Electrophysiology, MedStar Heart and Vascular Institute at MedStar Union Memorial Hospital, Baltimore, MD, USA.

BACKGROUND Acute bacterial pericarditis is rare, and the incidence numbers have been declining in the modern antibiotic era. Purulent bacterial pericarditis is a fatal disease in which mortality rates can reach 100% if left untreated. CASE REPORT We present a case of primary purulent bacterial pericarditis with polymicrobial growth including Micromonas micro, Prevotella intermedia and Fusobacterium species, all of which are anaerobic flora of the oral cavity. Read More

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http://dx.doi.org/10.12659/AJCR.921633DOI Listing
February 2020

[Peri-myocarditis during urinary tract infection by Escherichia coli].

G Ital Cardiol (Rome) 2020 Mar;21(3):224-227

S.C. Cardiologia, Ospedale Santa Maria della Misericordia, Perugia.

We report a case of acute myocarditis associated with pericarditis in a patient hospitalized for urinary tract infection due to Escherichia coli. To the best of our knowledge, there are no prior descriptions of acute myocarditis associated with pericarditis during Escherichia coli infections in the absence of sepsis. In our patient, myocardial damage has been accurately documented by electrocardiography, echocardiography and magnetic resonance imaging. Read More

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http://dx.doi.org/10.1714/3306.32771DOI Listing

Acute inflammatory pericarditis secondary to cardiac sarcoidosis evaluated by 18F-fluorodeoxyglucose PET/CT imaging.

J Nucl Cardiol 2020 Feb 24. Epub 2020 Feb 24.

Division of Cardiology, University of Toronto, Toronto, Canada.

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http://dx.doi.org/10.1007/s12350-019-01880-zDOI Listing
February 2020

PR depression with multilead ST elevation and ST depression in aVR by left circumflex artery occlusion: How to differentiate from acute pericarditis.

Ann Noninvasive Electrocardiol 2020 Feb 21:e12752. Epub 2020 Feb 21.

The Section of Cardiology, Baylor College of Medicine and Texas Heart Institute, Luke Medical Center, Houston, TX, USA.

PR-segment depression with multilead ST-segment elevation and ST-segment depression in lead aVR are classic ECG manifestation of acute pericarditis. We present a patient, where the etiology of these ECG features was acute ST-elevation myocardial infarction due to left circumflex artery occlusion. To avoid misdiagnosis, unnecessary examinations, and inappropriate therapeutic decisions, the possibility of ST-segment elevation myocardial infarction should be kept in mind even when ECG changes typical for pericarditis are encountered in chest pain patients. Read More

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http://dx.doi.org/10.1111/anec.12752DOI Listing
February 2020

Initial Precipitants and Recurrence of Atrial Fibrillation.

Circ Arrhythm Electrophysiol 2020 Mar 12;13(3):e007716. Epub 2020 Feb 12.

Division of Cardiology (S.K., S.A.L.), Cardiac Arrhythmia Service, Massachusetts General Hospital, Boston.

Background: Atrial fibrillation (AF) may occur after an acute precipitant and subsequently resolve. Management guidelines for AF in these settings are unclear as the risk of recurrent AF and related morbidity is poorly understood. We examined the relations between acute precipitants of AF and long-term recurrence of AF in a clinical setting. Read More

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http://dx.doi.org/10.1161/CIRCEP.119.007716DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141776PMC

Cardiotoxicity in Hematopoietic Stem Cell Transplant: Keeping the Beat.

Clin Lymphoma Myeloma Leuk 2020 Apr 18;20(4):244-251.e4. Epub 2020 Jan 18.

Department of Biostatistics, Yale University School of Public Health, New Haven, CT.

Introduction: The number of hematopoietic stem cell transplants (HSCTs) performed in the United States and worldwide is increasing. Cardiac events have been well described in HSCT, and the incidence and type of cardiac events have not changed over recent decades.

Patients And Methods: This study adds to the body of evidence in describing the incidence and type of cardiac events experienced by an allogeneic and autologous HSCT population at a single institution from 2012 to 2017. Read More

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http://dx.doi.org/10.1016/j.clml.2019.12.027DOI Listing

Autoinflammatory diseases in childhood, part 2: polygenic syndromes.

Pediatr Radiol 2020 03 17;50(3):431-444. Epub 2020 Feb 17.

Department of Medical Imaging, University of Toronto, Toronto, ON, Canada.

Autoinflammatory diseases are a family of disorders characterized by aberrant stimulation of inflammatory pathways without involvement of antigen-directed autoimmunity. They can be further divided in monogenic and polygenic types. Those without an identified genetic mutation are known as polygenic and include systemic-onset juvenile idiopathic arthritis, idiopathic recurrent acute pericarditis, Behçet syndrome, chronic recurrent multifocal osteomyelitis and inflammatory bowel disease among others. Read More

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http://dx.doi.org/10.1007/s00247-019-04544-9DOI Listing

Autoinflammatory diseases in childhood, part 1: monogenic syndromes.

Pediatr Radiol 2020 03 17;50(3):415-430. Epub 2020 Feb 17.

Department of Medical Imaging, University of Toronto, Toronto, ON, Canada.

Autoinflammatory diseases constitute a family of disorders defined by aberrant stimulation of inflammatory pathways without involving antigen-directed autoimmunity. They may be divided into monogenic and polygenic types. Monogenic autoinflammatory syndromes are those with identified genetic mutations, such as familial Mediterranean fever, tumor necrosis factor receptor-associated periodic fever syndrome (TRAPS), mevalonate kinase deficiency or hyperimmunoglobulin D syndrome, cryopyrin-associated periodic fever syndromes (CAPS), pyogenic arthritis pyoderma gangrenosum and acne (PAPA) syndrome, interleukin-10 and interleukin-10 receptor deficiencies, adenosine deaminase 2 deficiency and pediatric sarcoidosis. Read More

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http://dx.doi.org/10.1007/s00247-019-04536-9DOI Listing

Breaking hearts and taking names: A case of sarcoidosis related effusive-constrictive pericarditis.

Respir Med 2020 Mar 23;163:105879. Epub 2020 Jan 23.

Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Florida, Gainesville, FL, USA. Electronic address:

Introduction: Pericardial involvement of sarcoidosis is a rare cause for acute heart failure, and usually occurs as a result of the development of a pericardial effusion leading to cardiac tamponade. Even rarer still, is the manifestation of constrictive pericarditis. We report a case of sarcoidosis with lung, pleural, and pericardial involvement with effusive-constrictive pericarditis leading to cardiac tamponade. Read More

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http://dx.doi.org/10.1016/j.rmed.2020.105879DOI Listing

Acute haemorrhagic pericarditis: an unusual presentation of pneumonia infection.

Paediatr Int Child Health 2020 Feb 13:1-4. Epub 2020 Feb 13.

Departments of Paediatrics, Dr Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.

, a common cause of respiratory tract infections, rarely leads to serious conditions. A 13-year-old boy with serologically confirmed infection presented with pneumonia complicated by pericardial and bilateral pleural effusions. He had a large haemorrhagic pericardial effusion from which 1000 ml of fluid was aspirated over 10 days and a right haemorrhagic pleural effusion which required a chest drain and the removal of 700 ml over 5 days. Read More

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http://dx.doi.org/10.1080/20469047.2020.1728163DOI Listing
February 2020

Comprehensive review of pericardial diseases using different imaging modalities.

Int J Cardiovasc Imaging 2020 May 11;36(5):947-969. Epub 2020 Feb 11.

Department of Radiology, University of Washington Medical Center, Seattle, WA, USA.

Pericardial abnormalities are common cardiovascular disease entity, which are encountered in various clinical settings. Imaging plays an integral role in evaluation of pericardial abnormalities. The appropriate use of multiple imaging modalities is crucial to initiate the diagnosis and guide the referring providers to establish a management plan. Read More

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http://dx.doi.org/10.1007/s10554-020-01784-xDOI Listing

Pathology of radiation induced heart disease.

Authors:
Ivo Šteiner

Rep Pract Oncol Radiother 2020 Mar-Apr;25(2):178-181. Epub 2019 Dec 17.

The Fingerland Department of Pathology, Charles University Faculty of Medicine and Faculty Hospital, Sokolska 581, 500 05 Hradec Kralove, Czech Republic.

The aim of this paper is dual - to review the relevant literature on pathology of radiation induced heart disease (RIHD), and to present an illustrative case of our own. Therapeutic ionizing radiation, such as that used in the treatment of Hodgkin´s lymphoma and cancers of left breast, lungs, esophagus, and thymus, can cause cardiac damage that may take several years to manifest. The spectrum of RIHD is broad and includes [1] pericarditis and pericardial effusion; [2] endocardial fibrosis and valvular dysfunction; [3] nonischemic myocardial fibrosis; [4] obstructive coronary artery disease with resultant myocardial ischemia; [5] damage to the great vessels; and [6] conduction system dysfunction. Read More

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http://dx.doi.org/10.1016/j.rpor.2019.12.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6994278PMC
December 2019

Management of Acute Idiopathic (Viral) Pericarditis in the Emergency Department: A Review for the Nursing Professional.

Adv Emerg Nurs J 2020 Jan/Mar;42(1):17-29

Department of Pharmacy, Clinical and Administrative Sciences, College of Pharmacy, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma (Drs Schwier and Skrepnek); and INTEGRIS Baptist Medical Center, Oklahoma City, Oklahoma (Dr Cannedy).

Acute pericarditis is an inflammatory disorder that contributes to chest pain admissions in the emergency department (ED). Nursing professionals can play a vital role in the differential, triage and management of acute pericarditis in the ED. First-line pharmacotherapy to specifically treat acute pericarditis of viral or idiopathic origin is paramount in improving patients' quality of life and reducing the risk of further recurrences of pericarditis and consists of combination therapy with aspirin (acetylsalicylic acid [ASA]) or a nonsteroidal anti-inflammatory drug (NSAID), in combination with colchicine. Read More

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http://dx.doi.org/10.1097/TME.0000000000000284DOI Listing
January 2020

Heart failure enigma in young man: the acute onset of a frequently encountered condition with an unexpected cause.

BMJ Case Rep 2020 Jan 19;13(1). Epub 2020 Jan 19.

Department of Cardiology (Transplant & Heart Failure, Interventional), University of Miami Health System, Miami, Florida, USA.

An 18-year-old male patient presented to the emergency department complaining of new onset chest pain, fever and orthopnoea. Initial workup was remarkable for elevated troponin, diffuse ST-segment elevation on ECG and chest X-ray with enlarged cardiac silhouette. Transthoracic echocardiogram (TTE) demonstrates severe biventricular concentric hypertrophy and pericardial effusion. Read More

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http://dx.doi.org/10.1136/bcr-2019-233190DOI Listing
January 2020

Acute pericarditis: Update on diagnosis and management.

Authors:
Tevfik F Ismail

Clin Med (Lond) 2020 Jan;20(1):48-51

King's College London and Guy's and St Thomas' NHS Foundation Trust, London, UK

Acute pericarditis accounts for ∼5% of presentations with acute chest pain. Tuberculosis is an important cause in the developing world, however, in the UK and other developed settings, most cases are idiopathic/viral in origin. Non-steroidal anti-inflammatory drugs (NSAIDs) remain the cornerstone of treatment. Read More

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http://dx.doi.org/10.7861/clinmed.cme.20.1.4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6964178PMC
January 2020

Corticosteroids for Acute and Recurrent Idiopathic Pericarditis: Unexpected Evidences.

Cardiol Res Pract 2019 16;2019:1348364. Epub 2019 Dec 16.

Interdisciplinary Department of Medicine, Internal Medicine Unit "Cesare Frugoni", School of Medicine, University of Bari, Piazza G. Cesare 11, 70100 Bari, Italy.

Pericarditis is a common disease, often postviral or "idiopathic," diagnosed in about 5% of emergency room visits for non-ischemic chest pain. Although pericarditis often occurs as a benign and self-limiting disease, it may present recurrences. The first-line therapy includes aspirin/nonsteroidal anti-inflammatory drugs (ASA/NSAIDs) colchicine. Read More

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http://dx.doi.org/10.1155/2019/1348364DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942830PMC
December 2019