Clinical features of non-tuberculous constrictive pericarditis.

Autor: Ikram, Hamid, Banim, Seamus O., Makey, Arthur R., Ikram, H, Banim, S O, Makey, A R
Předmět:
Zdroj: Thorax; Mar1974, Vol. 29 Issue 2, p204-208, 5p
Abstrakt: , , 204-208. This paper describes the clinical features of five cases of constrictive pericarditis of non-tuberculous aetiology. The findings in this syndrome are compared with those in tuberculous constrictive pericarditis. The non-tuberculous variety had a short history, and absence of ascites and third heart sounds. Pericardial calcification, paradoxical arterial pulse, and the marked `y' descent in the venous pulse were absent in contrast to tuberculous constriction. An atrial sound was usual and the chief venous wave was the `a' wave. The difficulty in diagnosing this type of pericardial constriction and its differentiation from `restrictive' cardiomyopathy is discussed. It is suggested that all currently available diagnostic techniques are liable to failure and, if in doubt, a diagnostic thoracotomy is mandatory. [ABSTRACT FROM PUBLISHER]
Databáze: Complementary Index