Explore the latest in pericardial disease, including diagnosis and management of pericarditis, pericardial effusion, and tamponade.
A 61-year-old woman presents with pleuritic chest pain, shortness of breath, and syncope in addition to having an inferior vena cava stent placement 9 years prior. What would you do next?
A 71-year-old man presented with a 3-year history of pericarditis and pleural effusions; imaging and biopsy results showed diffuse medullary hypercaptation in the bone marrow and spleen. What is your diagnosis?
A man in his mid-50s was referred with 2 years of insidious exertional dyspnea and neck fullness. Abdominal examination revealed an enlarged, pulsatile liver with smooth edges palpable 4 cm below the costal margin, and electrocardiography showed resting abnormalities (rightward axis and inferolateral T-wave inversions). What would you do next?
A 65-year-old man from Vietnam presented with shortness of breath at rest, orthopnea, and lower extremity edema for the past 2 weeks and nonproductive cough and weight loss for the past 4 months. A computed tomographic (CT) scan demonstrated a moderate to large pericardial effusion that was lymphocyte-predominant with a fluid ADA level of 118.1 U/L. What would you do next?
This randomized trial assesses whether anakinra reduces risk of recurrent pericarditis among patients in Italy with colchicine-resistant and corticosteroid-dependent recurrent pericarditis.
A woman with progressive dyspnea had diffuse STS elevations, fluctuating troponin elevations, and a hyperenhancing sawtooth pattern in her LV epicardium with extensive myocardial edema. What would you do next?
A woman in her 50s with intermittent epigastric pain, palpitations, and hot flashes had multiple intramyocardial masses involving the left ventricle, aortopulmonary window lymphadenopathy, and moderate pericardial effusion. What is your diagnosis?
This systematic review summarizes published evidence on the causes, diagnosis, therapy, prevention, and prognosis of pericarditis.
Imazio and coauthors conducted a randomized clinical trial among 360 patients undergoing cardiac surgery to determine the efficacy and safety of perioperative use of oral colchicine in reducing postpericardiotomy syndrome, postoperative atrial fibrillation, and postoperative pericardial effusions.
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