1,656 results match your criteria Pericarditis and Cardiac Tamponade


Diagnosis and treatment of effusive-constrictive pericarditis: a case report.

Eur Heart J Case Rep 2021 May 8;5(5):ytab174. Epub 2021 May 8.

Department of Cardiology, Pennsylvania Hospital-University of Pennsylvania Health System, 800 Spruce Street, Philadelphia, PA, USA.

Background: Effusive-constrictive pericarditis (ECP) is a rare syndrome involving pericardial effusion and concomitant constrictive pericarditis. The hallmark is a persistently elevated right atrial pressure of >10 mmHg or reduction of less than 50% from baseline despite pericardiocentesis. Aetiologies include radiation, infection, malignancy, and autoimmune disease. Read More

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Cardiac Tamponade Secondary to Influenza B Infection.

Cureus 2021 May 7;13(5):e14888. Epub 2021 May 7.

Internal Medicine, University of Alabama at Birmingham (UAB) Montgomery, Montgomery, USA.

Every year, Influenza infection contributes to significant morbidity and mortality carrying a huge economic burden. Extra-pulmonary manifestations are increasingly being recognized. We present a 29-year-old woman with acute pericarditis and cardiac tamponade requiring emergent pericardiocentesis secondary to Influenza B infection. Read More

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Pericardial Diseases in COVID19: a Contemporary Review.

Curr Cardiol Rep 2021 06 3;23(7):90. Epub 2021 Jun 3.

Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, OH, USA.

Purpose Of Review: Coronavirus disease 2019 (COVID19) involves the heart, including pericardium. This article reviews the possible pathophysiological mechanisms in pericardial involvement in COVID19 and pericardial manifestations of COVID19. It also summarizes the patients with pericarditis secondary to COVID19 and outlines the contemporary treatment strategies in this patient population. Read More

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A Delayed Case of Pericarditis Following Recovery From COVID-19 Infection.

Cureus 2021 Apr 10;13(4):e14397. Epub 2021 Apr 10.

Emergency Medicine, Mayo Clinic, Jacksonville, USA.

Pericarditis is a rare cardiac complication of coronavirus 19 (COVID-19) infection. Recent case reports describe severe sequelae of pericarditis, including cardiac tamponade, developing within days of initial COVID-19 symptoms. We present a case of pericarditis with slower onset and milder symptoms, developing over a period of a few weeks in an immunocompetent male who recovered from COVID-19 several months earlier. Read More

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Septic pericarditis caused by a migrating grass awn in a cat.

J Vet Cardiol 2021 Apr 28;36:14-19. Epub 2021 Apr 28.

The Animal Medical Center, Department of Emergency and Critical Care, 510 East 62nd Street, New York, NY, 10065, USA.

Septic pericarditis and cardiac tamponade associated with migrating grass awn foreign bodies is reported rarely in companion animals. We report such a case in a previously healthy, 9-year-old, neutered female, indoor-outdoor, domestic long-hair cat who presented for acute tachypnea. Large volume pericardial effusion and pericardial tamponade was identified by thoracic-focused assessment with sonography. Read More

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Hemolytic uremic syndrome related to Shiga-like toxin-producing Escherichia coli with encephalitis hiding a human herpesvirus-6 infection: a case report.

J Med Case Rep 2021 May 25;15(1):300. Epub 2021 May 25.

Department of Neonatal Medicine and Pediatric Intensive Care, Arnaud de Villeneuve Hospital, Montpellier University Hospital Center, 371 Avenue du Doyen Gaston Giraud, 34295, Montpellier Cedex 5, France.

Background: Cardiac and neurological involvement in hemolytic uremic syndrome are life-threatening complications. The most frequent complications of cardiac involvement in hemolytic uremic syndrome are myocarditis and cardiac dysfunction due to fluid overload. Pericarditis remains very rare in hemolytic uremic syndrome. Read More

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Investigating Febrile Polyserositis: An Unusual Case of Idiopathic Hypereosinophilic Syndrome.

Eur J Case Rep Intern Med 2021 2;8(4):002426. Epub 2021 Apr 2.

Internal Medicine Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, Porto, Portugal.

Hypereosinophilic syndrome (HES) is a heterogenous group of diseases characterized by abnormal accumulation of eosinophils in the blood or peripheral tissues. It can affect all organs and therefore clinical manifestations are highly variable. We describe the case of a 38-year-old man admitted for febrile polyserositis. Read More

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Coronavirus disease 2019 (COVID-19)-associated constrictive pericarditis.

BMJ Case Rep 2021 May 11;14(5). Epub 2021 May 11.

Division of Cardiology and Department of Radiology, George Washington University School of Medicine, Washington, DC, USA.

This report documents a rare case of COVID-19-associated constrictive pericarditis (CP) in the setting of a recent COVID-19 infection. A 55-year-old man with a history of hypertension and gout presented with acute hypoxic respiratory failure and was diagnosed with COVID-19 pneumonia with progression to acute respiratory distress syndrome. His hospital course was complicated by a large pericardial effusion; an emergent bedside transthoracic echocardiography was concerning for cardiac tamponade, so pericardiocentesis was performed. Read More

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Cardiac Tamponade, Sever Hypothyroidism and Acute Respiratory Distress Syndrome (ARDS) with COVID-19 Infection.

J Saudi Heart Assoc 2021 19;33(1):71-76. Epub 2021 Apr 19.

Adult Cardiology Department, Prince Sultan Cardiac Center, Riyadh, Kingdom of Saudi Arabia.

A 21-years-old with Down syndrome presented with respiratory distress. Initial investigations revealed a cardiac tamponade. On further evaluation, he had positive coronavirus disease-2019 (COVID-19), severe chest infection and severe hypothyroidism. Read More

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Pericarditis in patients with coronavirus disease 2019: a systematic review.

J Cardiovasc Med (Hagerstown) 2021 Apr 28. Epub 2021 Apr 28.

Vicerrectorado de Investigación, Universidad San Ignacio de Loyola Asociación para el Desarrollo de la Investigación Estudiantil en Ciencias de la Salud (ADIECS) Programa de Atención Domiciliaria (PADOMI), EsSalud Deparment of Emergency, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru Cardiology, Cardiothoracic Department, University Hospital "Santa Maria della Misericordia", ASUFC, Udine, Italy.

Aims: We performed a systematic review to summarize the clinical features, diagnostic methods, treatment, and outcomes of coronavirus disease 2019 (COVID-19) patients with pericarditis.

Methods: We searched electronic databases from inception to 17 December 2020. Studies that reported clinical data on patients with COVID-19 and pericarditis were included. Read More

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Bacterial pericarditis and empyema caused by Cutibacterium acnes in a patient with metastatic lung cancer.

Anaerobe 2021 Apr 19;70:102365. Epub 2021 Apr 19.

Division of Infectious Diseases, Michigan State University, USA. Electronic address:

Bacterial pericarditis and empyema due to Cutibacterium acnes has rarely been reported. C.acnes, a normal component of human skin flora, is often considered a contaminant when isolated from body fluids and thus cases may be underreported. Read More

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Immune checkpoint inhibitors-associated pericardial disease: a systematic review of case reports.

Cancer Immunol Immunother 2021 Apr 20. Epub 2021 Apr 20.

Oncologia Medica, IRCCS Ospedale Sacro Cuore Don Calabria, Via don A. Sempreboni 5, 37024, Negrar di Valpolicella, Verona, Italy.

Treatment with immune checkpoint inhibitors (ICIs) can be complicated by cardiovascular toxicity, including pericardial disease. To date, no prospective studies specifically investigated the optimal treatment of ICI-associated pericardial disease, and the available evidence is based on case reports and series only. We performed a systematic review of case reports and series including 20 publications for a total of 28 cases of ICI-associated pericardial disease. Read More

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A case of hyperprogressive disease following atezolizumab therapy for pulmonary pleomorphic carcinoma with epidermal growth factor receptor mutation.

Respir Med Case Rep 2021 31;33:101405. Epub 2021 Mar 31.

Department of Respiratory Medicine, Tokyo Saiseikai Central Hospital, 1-4-17 Mita, Minato-ku, Tokyo, 108-0073, Japan.

A 66-year old man with non-smoking history was diagnosed with pulmonary pleomorphic carcinoma of the right lower lobe. The carcinoma metastasized to the brain, lungs, pleura, and mediastinal lymph nodes. It was positive for ) L858R mutation, and tumor cells highly expressed programmed death-ligand 1(PD-L1). Read More

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Pleural and Pericardial Infection Due to Cutibacterium acnes in a Splenectomized Patient: A Case Report of an Underreported Systemic Infection.

Cureus 2021 Mar 3;13(3):e13668. Epub 2021 Mar 3.

Infectious Disease, Piedmont Athens Regional Medical Center, Athens, USA.

Infectious pericarditis does not always present with all the classic findings. Some of the traditional signs of fever, pleuritic chest pain, and frictional rub may be missing. This presents a diagnostic challenge, thus clinical suspicion is important. Read More

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Challenges in Managing Pericardial Disease Related to Post Viral Syndrome After COVID-19 Infection.

Cureus 2021 Feb 20;13(2):e13461. Epub 2021 Feb 20.

Internal Medicine, University of Alabama at Birmingham, Montgomery Internal Medicine, Montgomery, USA.

Although primarily a respiratory illness, coronavirus disease 2019 (COVID-19) has been associated with cardiac involvement with reported cases of myocardial ischemia, arrhythmia, myocarditis, pericarditis, and pericardial effusion leading to cardiac tamponade. Most cases of pericardial disease in this setting have been during the acute infection. Here, we present a patient who developed pericarditis leading to cardiac tamponade after the resolution of the acute COVID-19 infection. Read More

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February 2021

An Unusual Presentation of COVID-19: Hemorrhagic Pericardial Effusion With Tamponade Physiology.

Cureus 2021 Feb 19;13(2):e13438. Epub 2021 Feb 19.

Cardiovascular Disease, Southeast Health Medical Center, Dothan, USA.

A 44-year-old woman with a history of factor V Leiden deficiency and recurrent pulmonary emboli was diagnosed with coronavirus disease 2019 (COVID-19) three weeks prior presented to her local ED with severe chest pain. She was found to have a large hemorrhagic pericardial effusion by cardiac MRI with echocardiographic signs of tamponade. She underwent the creation of a pericardial window and was treated with colchicine with improvement in symptoms. Read More

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February 2021

Needle in the heart: a rare case of cardiac tamponade caused by a migrated foreign body and mimicking ST segment elevation myocardial infarction.

BMC Cardiovasc Disord 2021 Mar 17;21(1):143. Epub 2021 Mar 17.

Heart and Vascular Center, Semmelweis University, Varosmajor Str. 68, 1122, Budapest, Hungary.

Background: Pericardial tamponade is a serious condition which may eventually lead to severe haemodynamic disturbances and cardiac arrest. It is most often caused by the accumulation of fluid inside the pericardium, as a result of different aetiological factors such as pericarditis, neoplastic diseases, lymphatic dysfunctions, or idiopathic pericardial disease. Pericardial tamponade can develop after cardiac surgical procedures or as a complication of myocardial infarction. Read More

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Pericardiectomy for Constrictive Pericarditis: Analysis of Outcomes.

J Cardiothorac Vasc Anesth 2021 Feb 11. Epub 2021 Feb 11.

Division of Cardiovascular and Thoracic Anesthesiology, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN. Electronic address:

Constrictive pericarditis is caused by pericardial inflammation and fibrosis, leading to diastolic heart failure. The diagnosis requires a high index of suspicion because it often can mimic restrictive myocardial disease and cardiac tamponade and can be associated with severe tricuspid regurgitation and chronic liver disease. Patients who remain undiagnosed can experience a 90% mortality rate, and for those who undergo pericardiectomy, the survival rate varies significantly, depending on the underlying etiology and preoperative functional class of the patient. Read More

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February 2021

Myocarditis and Pericarditis in Patients with COVID-19.

Heart Views 2020 Jul-Sep;21(3):209-214. Epub 2020 Oct 13.

Department of Cardiology and Cardiovascular Surgery, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.

COVID-19 has been associated with a variety of cardiac manifestations. Myocarditis and pericarditis have been reported as one of the many cardiac manifestations in association with COVID-19. We describe below three cases of myocarditis, pericarditis with associated pericardial effusion and myopericarditis, respectively, in the setting of COVID-19. Read More

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October 2020

[Characteristics of cardiac involvement in eosinophilic granulomatosis with polyangiitis].

Ann Cardiol Angeiol (Paris) 2021 Feb 23. Epub 2021 Feb 23.

Service de médecine interne, centre hospitalier universitaire Mongi-Slim, 2070 La Marsa, Tunisie.

Aim Of The Study: Our study aimed to identify the characteristics of cardiac involvement in eosinophilic granulomatosis with polyangiitis (EGPA).

Methods: We conducted a retrospective analytic study including EGPA cases diagnosed between 2000 and 2019 in an internal medicine department. Diagnosis was made according to the 1990 American College of Rheumatology criteria and the 2012 Chapel Hill Concensus. Read More

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February 2021

Cardiac tamponade: an educational review.

Eur Heart J Acute Cardiovasc Care 2020 Jul 6. Epub 2020 Jul 6.

Cardiac tamponade is a pericardial syndrome characterised by an impairment of the diastolic filling of the ventricles causing reduction of cardiac output, usually producing signs and symptoms of cardiac arrest, if untreated. The main causes of cardiac tamponade include percutaneous cardiac interventions, malignacies, infectious/inflammatory causes, mechanical complications of myocardial infarction and aortic dissection. The diagnosis of cardiac tamponade is a clinical diagnosis based on a suggestive history and clinical presentation with worsening dyspnoea, distended jugular veins, muffled heart sounds and pulsus paradoxus, and should be confirmed by echocardiography. Read More

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Gastropericardial fistula induced acute purulent pericarditis.

Am J Emerg Med 2021 Feb 10. Epub 2021 Feb 10.

Department of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City 231, Taiwan; Department of Emergency Medicine, School of Medicine, Tzu Chi University, Hualien 970, Taiwan. Electronic address:

Gastropericardial fistula is a rare but lethal condition. Several etiologies have been reported, including previous gastric or esophageal surgery, malignancy, trauma, infection, and ulcer perforation. Typical symptoms included chest pain, epigastric pain, fever and dyspnea. Read More

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February 2021

purulent pericarditis in an immunocompetent individual.

J Community Hosp Intern Med Perspect 2021 Jan 26;11(1):96-98. Epub 2021 Jan 26.

Tower Health System, Reading Hospital, Reading, PA, USA.

Purulent pericarditis is a rare bacterial illness in the post-antibiotic era that is defined as pericardial infection with gross or microscopic purulence in the pericardium. Common causes include nosocomial bloodstream infections, direct spread through thoracic surgery, or immunosuppression. We present a case of a 66-year-old male with a history of mantle cell lymphoma status post chemotherapy, completed about 4 years before presentation, in general, good health presented with acute typical chest pain associated with dyspnea on exertion. Read More

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January 2021

Purulent Pericarditis with Cardiac Tamponade Secondary to Candida Albicans after Total Parenteral Nutrition: A Case Report.

J Tehran Heart Cent 2020 Jul;15(3):128-130

Department of Cardiology, Faculty of Medicine, Ondokuz Mayıs University, Samsun, Turkey.

Purulent pericarditis is characterized by a purulent pericardial fluid, which usually originates from the extension of a nearby bacterial infection site or by blood dissemination. Candida species is a rare cause of pericarditis; and if not treated, it is extremely fatal. In this report, we describe a 54-year-old man who had esophagojejunostomy due to gastric adenocancer 2 months before his admission into our emergency department with dyspnea, orthopnea, chest pain, and somnolence. Read More

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COVID-19 myopericarditis with cardiac tamponade in the absence of respiratory symptoms: a case report.

J Med Case Rep 2021 Jan 25;15(1):31. Epub 2021 Jan 25.

Basingstoke and North Hampshire Hospital, Hampshire Hospitals Foundation Trust, Hampshire, United Kingdom.

Background: Previous reports have shown various cardiac complications to be associated with COVID-19 including: myocardial infarction, microembolic complications, myocardial injury, arrythmia, heart failure, coronary vasospasm, non-ischemic cardiomyopathy, stress (Takotsubo) cardiomyopathy, pericarditis and myocarditis. These COVID-19 cardiac complications were associated with respiratory symptoms. However, our case illustrates that COVID-19 myopericarditis with cardiac tamponade can present without respiratory symptoms. Read More

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January 2021

Interstitial pneumonia with autoimmune features.

J R Coll Physicians Edinb 2020 12;50(4):387-391

Department of Internal Medicine, Hospital Lahad Datu, Peti Bersurat, Lahad Datu, Sabah, Malaysia.

Background: Cardiac tamponade is a medical emergency. This study was carried out to determine the etiologies of cardiac tamponade and review the management and outcomes.

Methods: We retrospectively analysed case records of patients who underwent pericardiocentesis for cardiac tamponade during the two consecutive years (1 January 2018 to 31 December 2019) at Hospital Sultanah Nora Ismail, Batu Pahat, in Johor, Malaysia. Read More

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December 2020

Effusive-constrictive pericarditis in the spectrum of pericardial compressive syndromes.

Heart 2021 Jan 15. Epub 2021 Jan 15.

Medicine, Case Western Reserve University and University Hospitals of Cleveland, Cleveland, Ohio, USA

When pericardial fluid accumulates and exceed the reserve volume of the pericardium or when the pericardium becomes scarred and inelastic, one of three pericardial compressive syndromes may ensue, namely, cardiac tamponade (CT), characterised by the accumulation of pericardial fluid under pressure; constrictive pericarditis (CP), the result of scarring and loss of the normal elasticity of the pericardial sac; and effusive-constrictive pericarditis (ECP), characterised by the concurrence of a tense pericardial effusion and constriction of the heart by the visceral pericardium. Although relatively uncommon, prevalence estimates vary widely and depend on the nature of the cohorts studied, the methods used to diagnose ECP and the manner in which ECP is defined. Most cases of ECP are idiopathic, reflecting the frequency of idiopathic pericardial disease in general, and other causes include radiation, malignancy, chemotherapy, infection and postsurgical/iatrogenic pericardial disease. Read More

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January 2021

A case report of ruptured amoebic liver abscess causing cardiac tamponade and requiring pericardial window.

Eur Heart J Case Rep 2020 Oct 30;4(5):1-4. Epub 2020 Aug 30.

Department of Cardiology, VMMC and Safdarjung Hospital, New Delhi, India.

Background: Amoebiasis is a prevalent infection in the tropics. Amoebic liver abscess is the most common extraintestinal manifestation. Cardiac tamponade is an uncommon complication of amoebic liver abscess that may need urgent pericardiocentesis. Read More

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October 2020

Pericardial effusion in patients with COVID-19: case series.

Eur Heart J Case Rep 2020 Oct 9;4(FI1):1-7. Epub 2020 Sep 9.

Division of Cardiovascular Medicine, Centre Hospitalier de Haguenau, 64 Avenue du Professeur Leriche, Haguenau, Alsace 67500, France.

Background: SARS-coronavirus-2 [coronavirus disease 2019 (COVID-19)] infection is a public health issue affecting millions of people. It started in Wuhan in China in December 2019 spreading rapidly worldwide.

Case Summary: Three patients aged 51-84 developed a pericarditis related to COVID-19, associated for two of them with a myocarditis. Read More

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October 2020

Myxoedematous tamponade as initial presentation of Hashimoto's thyroiditis.

BMJ Case Rep 2020 Dec 31;13(12). Epub 2020 Dec 31.

Cardiovascular Institute, Mutual Hospital Group of Grenoble, Grenoble, France.

Cardiac tamponade as the initial presentation of hypothyroidism is extremely rare. We report the case of a 48-year-old man admitted for acute respiratory distress, with cardiac ultrasound showing compressive pericardial effusion. Percutaneous pericardiocentesis was performed leading to a rapid clinical improvement. Read More

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December 2020