1,734 results match your criteria Pericarditis and Cardiac Tamponade


Large Pericardial Effusion-Diagnostic and Therapeutic Options, with a Special Attention to the Role of Prolonged Pericardial Fluid Drainage.

Diagnostics (Basel) 2022 Jun 13;12(6). Epub 2022 Jun 13.

I Department of Lung Diseases, National Tuberculosis and Lung Diseases Research Institute, 01-138 Warsaw, Poland.

Background: Large pericardial effusion (LPE) is associated with high mortality. In patients with cardiac tamponade or with suspected bacterial etiology of pericardial effusion, urgent pericardial decompression is necessary.

Aim: The aim of the present retrospective study was to assess the short-term results of pericardial decompression combined with prolonged drainage in LPE. Read More

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purulent pericarditis with cardiac tamponade presenting as a complication of postobstructive pneumonia.

BMJ Case Rep 2022 Jun 22;15(6). Epub 2022 Jun 22.

Department of Cardiovascular Disease, Michigan State University, East Lansing, Michigan, USA.

A man in his 60s with stage 3 squamous cell carcinoma of the left lung status postchemotherapy and radiation therapy presented with mixed septic and obstructive shock with multiorgan dysfunction. Initial electrocardiogram showed sinus tachycardia and diffuse concaved ST elevation. Transthoracic echocardiogram revealed pericardial effusion with tamponade physiology. Read More

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Hemodialysis-Related Pericarditis With Cardiac Tamponade.

Cureus 2022 May 5;14(5):e24748. Epub 2022 May 5.

Community Care, Unnan City Hospital, Unnan, JPN.

Pericarditis can cause chest symptoms in dialysis patients. Moreover, it tends to present with various symptoms other than chest pain in patients with end-stage renal disease (ESRD) than in non-ESRD patients. Here, we present the case of an 86-year-old man on maintenance dialysis who was admitted to the hospital with chest discomfort and dyspnea, which led to cardiac tamponade due to unexplained pericardial effusion. Read More

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[What's new in pericardial disease?]

Dtsch Med Wochenschr 2022 Jun 30;147(11):704-710. Epub 2022 May 30.

Klinik für Kardiologie, Angiologie und Internistische Intensivmedizin, Phillips-Universität Marburg, Universitätsklinik Gießen und Marburg, Campus Marburg.

Pericardial disease represents a large diversity of inflammation related injury of the pericardium. Multifactorial causes may contribute to acute and recurrent pericarditis, pericardial effusion without major hemodynamic compromise, cardiac tamponade or constrictive pericarditis. Currently, inflammatory pericardial pathologies are observed in cases of SARS-CoV-2-infection or after vaccination. Read More

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Pericardial Manifestations of Thyroid Diseases.

Curr Cardiol Rep 2022 May 30. Epub 2022 May 30.

Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH, 44195, USA.

Purpose Of Review: Thyroid disorders, especially hypothyroidism, are known to be associated with pericardial diseases. The aim of this paper is to review the current knowledge of the pericardial manifestations of hypothyroidism and hyperthyroidism.

Recent Findings: Many reports have described associations between dysthyroidism, which encompasses hypothyroidism and hyperthyroidism, and several pericardial diseases, including acute pericarditis, constrictive pericarditis, pericardial effusion, and tamponade. Read More

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Cardiovascular sequelae of dengue fever: a systematic review.

Expert Rev Cardiovasc Ther 2022 Jun 2:1-15. Epub 2022 Jun 2.

Department of Medicine, Universita degli studi di Milano, Milan, Italy.

Introduction: Dengue is one of the most important viral diseases globally and a majority of symptomatic infections result in a benign course. However, a small number of patients develop severe manifestations, including the cardiovascular (CV) manifestations, including myocardial impairment, arrhythmias, and fulminant myocarditis.

Areas Covered: Electronic databases, including PubMed/MEDLINE, EMBASE, Scopus, and CINAHL were searched for articles incorporating CV manifestations of dengue fever (DF). Read More

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Cardiac tamponade - an unexpected "long COVID-19" complication.

Germs 2022 Mar 31;12(1):112-117. Epub 2022 Mar 31.

MD, PhD, Department of Anaesthesiology and Intensive Care, Clinical Emergency Hospital of Bucharest, Calea Floreasca 8, Bucharest, 014461, Romania, Department of Anaesthesiology and Intensive Care II, Carol Davila University of Medicine and Pharmacy, Bulevardul Eroii Sanitari 8, Bucharest, 050474, Romania.

Introduction: Year 2020 has been a cornerstone in medical research due to the COVID-19 pandemic outbreak. The process of understanding the condition brought to light certain organ involvement like pulmonary or kidney damage or endocrine disbalances, while connection to other types of organ impairment remain unclear. SARS-CoV-2 has previously been incriminated in cardiac involvement, ranging from mild symptoms to more severe occurrences such as myocarditis, arrythmias or heart failure, thus complicating the acute-phase management and worsening patients' prognosis. Read More

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A case of an elderly female who developed subacute pleuropericarditis following BNT162b2 mRNA COVID-19 vaccination.

J Cardiol Cases 2022 May 17. Epub 2022 May 17.

Department of Cardiology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.

Despite the established safety of BNT162b2 coronavirus disease 2019 (COVID-19) vaccine, some rare but serious complications have been previously reported. Here, we report a rare case of an elderly female who developed subacute pleuropericarditis after the vaccination. An 88-year-old female experienced weight gain and dyspnea three days after the second dose of BNT162b2 vaccination, and one month later, presented to our hospital due to the exacerbation of the symptoms. Read More

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Chronic pericardial effusion: current concepts and emerging trends.

Expert Rev Cardiovasc Ther 2022 May 15;20(5):363-376. Epub 2022 May 15.

First Department of Cardiology, "Hippokration" Hospital, University of Athens Medical School, Athens, Greece.

Introduction: Pericardial effusion (PEF) is a common and challenging pericardial syndrome with a variety of clinical manifestations ranging from asymptomatic, incidentally uncovered small PEFs, to life-threatening cardiac tamponade.

Areas Covered: This review focuses on the pathophysiology, epidemiology, aetiology, classification, clinical findings, diagnostic work-up, management, and outcome of PEFs. Particular emphasis has been given on the most recent evidence concerning the contribution of imaging for the detection, differential diagnosis, and evaluation of the haemodynamic impact of PEFs on the diastolic filling of the heart. Read More

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Campylobacter jejuni Pericarditis: A Case Report.

Acta Med Port 2022 Apr 28. Epub 2022 Apr 28.

Serviço de Medicina Intensiva e Polivalente. Centro Hospitalar Vila Nova de Gaia/Espinho. Gaia. Portugal.

Campylobacter jejuni is one of the most common causes of enteritis. In rare cases, extraintestinal infection can occur, with a handful of cases of cardiac involvement, of which the pathophysiological mechanism is unclear. We report a case of pericarditis in a patient with X-linked agammaglobulinemia presenting with chronic diarrhea and chest pain who evolved to cardiac tamponade, requiring a pericardial window and a long course of broad-spectrum antibiotics. Read More

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Emerging role of cardiac MRI in acute pericarditis.

Int J Cardiol 2022 Jul 15;359:122-123. Epub 2022 Apr 15.

From the Department of Medicine, Division of Cardiovascular Medicine, University of Florida, Gainesville, FL, USA. Electronic address:

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Candida Cardiac Tamponade Secondary to Oesophageal-Pericardial Fistula: A Rare Presentation of Oesophageal Squamous Cell Carcinoma.

Eur J Case Rep Intern Med 2022 8;9(3):003200. Epub 2022 Mar 8.

Department of internal Medicine, King Faisal Specialist Hospital & Research Center, Jeddah, Saudi Arabia.

is a rare cause of purulent pericarditis. Oesophago-pericardial fistula is an uncommon and potentially life-threatening complication of both benign and malignant oesophageal tumours. Here we report the case of 40-year-old woman who presented with symptoms and signs suggestive of acute pericarditis complicated by cardiac tamponade which required acute management with paracentesis. Read More

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Case Report: Cardiac Tamponade in Association With Cytokine Release Syndrome Following CAR-T Cell Therapy.

Front Cardiovasc Med 2022 21;9:848091. Epub 2022 Mar 21.

Department of Hematology, Oncology and Cardiovascular Medicine, Kyushu University Hospital, Fukuoka, Japan.

Chimeric antigen receptor T (CAR-T) cell therapy has been shown to have substantial efficacy against refractory hematopoietic malignancies. However, it frequently causes cytokine release syndrome (CRS) as a treatment-specific adverse event. Although cardiovascular events associated with CAR-T cell therapy have been increasingly reported recently, pericardial disease is a rare complication and its clinical course is not well characterized. Read More

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Management of Recurrent Pregnancy-Related Pericarditis.

Case Rep Cardiol 2022 22;2022:5791307. Epub 2022 Mar 22.

Boston University Medical Center, Boston, MA, USA.

The evidence on recurrent pregnancy-related pericarditis is limited, and management strategies are based on case reports and expert opinion. We describe a patient with myopericarditis complicated by cardiac tamponade presenting shortly after her first pregnancy, which was then complicated by refractory recurrent pericarditis. She was treated with standard first line therapies, such as NSAIDs, corticosteroids, and colchicine, and eventually initiated on the purine analog, azathioprine. Read More

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Tuberculous Pericarditis-Own Experiences and Recent Recommendations.

Diagnostics (Basel) 2022 Mar 2;12(3). Epub 2022 Mar 2.

Department of Lung Diseases, National Tuberculosis and Lung Diseases Research Institute, 01-138 Warsaw, Poland.

Tuberculous pericarditis (TBP) accounts for 1% of all forms of tuberculosis and for 1-2% of extrapulmonary tuberculosis. In endemic regions, TBP accounts for 50-90% of effusive pericarditis; in non-endemic, it only accounts for 4%. In the absence of prompt and effective treatment, TBP can lead to very serious sequelae, such as cardiac tamponade, constrictive pericarditis, and death. Read More

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Post-cardiac Injury Syndrome Following Permanent Dual-Chamber Pacemaker Implantation.

Cureus 2022 Jan 30;14(1):e21737. Epub 2022 Jan 30.

Interventional Cardiology, Christ Hospital, Jersey City, USA.

Post-cardiac injury syndrome is a heterogeneous group of conditions that result from autoimmune-mediated inflammation of the pericardium, epicardium, and myocardium. Interventions such as pacemaker lead insertions, percutaneous coronary interventions, radiofrequency ablations, cardiac surgeries, and Swan-Ganz catheterizations can cause myocardial injury leading to post-traumatic pericarditis. This phenomenon can lead to chest pain, recurrent effusions, and fever along with possible complications of heart failure, arrhythmias, conduction abnormalities as well as cardiac tamponade. Read More

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January 2022

Pericardial Involvement in Sarcoidosis.

Am J Cardiol 2022 May 25;170:100-104. Epub 2022 Feb 25.

Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular, and Thoracic Institute. Electronic address:

Pericardial disease secondary to sarcoidosis is a rare clinical entity with no observational studies in previous research. Therefore, we evaluated reported cases of pericarditis because of sarcoidosis to further understand its diagnosis and management. We performed a systematic review of previous research until December 16, 2020 in MEDLINE, Embase, Scopus, Cochrane Central Register of Controlled Trials, and Web of Science. Read More

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Heart of Gold: A Scintillating Pericardial Effusion.

Circulation 2022 03 28;145(9):713-717. Epub 2022 Feb 28.

Harborview Medical Center (K.N., M.C.), University of Washington Division of Cardiology, Seattle.

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Pericarditis With Cardiac Tamponade Mimicking Yellow Nail Syndrome in a Patient With Rheumatoid Arthritis and a Paucity of Joint Symptoms.

Cureus 2022 Jan 23;14(1):e21523. Epub 2022 Jan 23.

Community Medicine Management, Shimane University Faculty of Medicine, Izumo, JPN.

Pericarditis is a cardiac disease that commonly manifests with rheumatoid arthritis, and its complications are related to rheumatoid arthritis disease activity. The diagnosis can be complicated in patients with multiple extra-joint complications of rheumatoid arthritis. We report a case of pericarditis in an 82-year-old woman with few joint symptoms who was admitted to the hospital due to worsening edema of the lower legs and dyspnea, which progressed to cardiac tamponade. Read More

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January 2022

Non-ST-elevation myocardial infarction hiding behind myopericarditis in a patient with systemic lupus erythematosus.

BMJ Case Rep 2022 Feb 25;15(2). Epub 2022 Feb 25.

Division of Arthritis and Rheumatic Diseases, Oregon Health & Science University, Portland, Oregon, USA.

Systemic lupus erythematosus (SLE) is a chronic inflammatory condition with various cardiovascular sequelae. Pericarditis is the most common cardiac manifestation, yet patients also have a markedly elevated risk of premature atherosclerosis and acute coronary syndrome (ACS). This makes the diagnosis of ischaemic chest pain both challenging and crucial in these patients. Read More

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February 2022

Lessons of the month 1: Cardiac tamponade: don't forget the pancreas.

Clin Med (Lond) 2021 07;21(4):e414-e416

St John's Medical College Hospital, Bangalore, India.

Cardiac tamponade is a medical emergency, caused by rapid accumulation of fluid in the pericardium resulting in reduced ventricular filling which may result in pulmonary oedema, shock and death. The common causes of cardiac tamponade include malignancy, uraemia, infectious/idiopathic pericarditis, connective tissue diseases, post-cardiac surgery etc. Early recognition and treatment of the underlying cause of the tamponade along with pericardiocentesis improves the prognosis, otherwise untreated cardiac tamponade universally results in death. Read More

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Massive purulent pericardial effusion with ultrasound features of tamponade secondary to non-typhoid Salmonella infection.

BMJ Case Rep 2022 Feb 9;15(2). Epub 2022 Feb 9.

Division of Emergency Medicine, University of the Witwatersrand, Johannesburg-Braamfontein, Gauteng, South Africa

Purulent pericardial effusions are rare and represent the most severe form of bacterial pericarditis. The authors present a case of a male in his 40s with a massive purulent pericardial effusion due to non-typhoid Salmonella, who presented with ultrasound features of a cardiac tamponade. Invasive non-typhoid Salmonella cardiac infection is a rare but important consideration in immunocompromised individuals. Read More

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February 2022

Management of Lung Cancer-Associated Malignant Pericardial Effusion with Intrapericardial Administration of Carboplatin: A Retrospective Study.

Curr Oncol 2021 12 30;29(1):163-172. Epub 2021 Dec 30.

Division of Respiratory Medicine, Gunma Prefectural Cancer Center, Ota 373-8550, Japan.

It has been reported that 5.1-7.0% of acute pericarditis are carcinomatous pericarditis. Read More

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December 2021

Cardiac Tamponade After COVID-19 Vaccination.

J Emerg Med 2022 02 23;62(2):250-253. Epub 2021 Oct 23.

Department of Emergency Medicine, University of California San Diego, San Diego, California.

Background: Acute pericarditis is a diffuse inflammation of the pericardial sac with many well-defined etiologies. Acute pericarditis as a vaccine-related adverse event is a rare entity, and the association between pericarditis and the immunogenic response to Coronavirus disease 2019 (COVID-19) vaccines is still being fully characterized.

Case Report: A previously healthy 18-year-old man presented with fever, pleuritic chest pain, and shortness of breath 3 weeks after receiving the first dose of a COVID-19 mRNA-based vaccine. Read More

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February 2022

Rituximab therapy in pericarditis associated with rheumatoid arthritis.

Authors:
Ali Taylan

Rheumatol Int 2022 Jan 5. Epub 2022 Jan 5.

Department of Rheumatology, Saglik Bilimleri University, Tepecik Teaching and Research Hospital, Izmir, Rheumatology Section, Yenisehir, Turkey.

In rheumatoid arthritis, pericarditis is commonly asymptomatic, but rarely, it progresses to a morbid complication, like cardiac tamponade or restrictive pericarditis. Current studies have indicated that conventional drugs have limited ability to reverse these lethal conditions. To date, invasive surgical measures remain the only definitive therapy for patients who are unresponsive to drugs. Read More

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January 2022

Constrictive pericarditis following atrial fibrillation catheter ablation with cardiac tamponade.

HeartRhythm Case Rep 2021 Dec 17;7(12):836-839. Epub 2021 Sep 17.

Department of Cardiology, Yamanashi Prefectural Central Hospital, Kofu, Japan.

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December 2021

pericarditis presenting with cardiac tamponade and multiple organ failure after combined damage control thoracotomy and laparotomy with splenectomy in a trauma patient: Case report and review of literature.

Trauma Case Rep 2022 Feb 8;37:100564. Epub 2021 Dec 8.

Pulmonary Sleep Center of the Rio Grande Valley, 5300 N, McColl Rd, McAllen, TX 78504, United States of America.

pericarditis is a rare condition which has previously been described after cardiothoracic surgery and immunosuppressive states (Geisler et al., 1981; Eng et al., 1981; Kraus et al. Read More

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February 2022

A very rare complication of subacute pericarditis: a case report of spontaneous coronary artery rupture.

Eur Heart J Case Rep 2021 Dec 30;5(12):ytab484. Epub 2021 Nov 30.

Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine, Kajii-cho 465, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan.

Background: Spontaneous coronary artery rupture (SCAR) is an extremely rare and highly lethal disease.

Case Summary: A 74-year-old man who had undergone respiratory surgery (robot-assisted thoracoscopic surgery) presented with exertional dyspnoea since postoperative day (POD) 6. Echocardiography and contrast-enhanced computed tomography showed diffuse pericardial effusion, and a 12-lead electrocardiogram showed widespread concave ST-segment elevation. Read More

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December 2021