| Autor: |
Santaularia-Tomas M; Subdirección de Enseñanza e Investigación, Hospital Regional de Alta Especialidad de la Peninsula de Yucatan IMSS-BIENESTAR, Merida 97130, Mexico., Sanchez-Felix E; Subdirección de Enseñanza e Investigación, Hospital Regional de Alta Especialidad de la Peninsula de Yucatan IMSS-BIENESTAR, Merida 97130, Mexico., Santos-Zaldivar K; Subdirección de Enseñanza e Investigación, Hospital Regional de Alta Especialidad de la Peninsula de Yucatan IMSS-BIENESTAR, Merida 97130, Mexico., Grosjean-Alvarez A; Residencia Médica, Clínica Hospital ISSSTE l, Merida 97219, Mexico., Mendez-Dominguez N; Subdirección de Enseñanza e Investigación, Hospital Regional de Alta Especialidad de la Peninsula de Yucatan IMSS-BIENESTAR, Merida 97130, Mexico. |
| Jazyk: |
angličtina |
| Zdroj: |
Tomography (Ann Arbor, Mich.) [Tomography] 2024 Jun 29; Vol. 10 (7), pp. 1024-1030. Date of Electronic Publication: 2024 Jun 29. |
| DOI: |
10.3390/tomography10070076 |
| Abstrakt: |
An 80-year-old man presented to the cardiology outpatient clinic due to shortness of breath. His past medical history included alcohol intake, hypertension, inferior wall myocardial infarction (five years ago), an ischemic stroke, and permanent atrial fibrillation (diagnosed three years before the current examination). A physical exam revealed a decreased intensity of S1 and S2, irregular rate and rhythm, and no murmurs nor friction rub. X-rays, Computed Tomography, and echocardiography exhibited pericardial calcification, involving mostly the inferior wall and protruding into the left ventricle. A diagnosis of constrictive pericarditis due to pericardial calcification was established and considered idiopathic. Even when it may be related to ischemic heart disease, post-infarction pericarditis could explain how the calcification extended to adjacent territory perfused by the circumflex coronary artery. Combined imaging studies were crucial not only for identifying calcium deposits in the pericardium but also in assessing a patient inherently prone to co-existing and exacerbating conditions. Even though pericardiectomy allows for removal of the clinical manifestations of congestive pericarditis in the most symptomatic patients with pericardial calcification, among patients like ours, with tolerable symptoms, cardiologists should discuss the therapeutic options considering the patient's choices, potentially including a rehabilitation plan as part of non-pharmacological management. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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