Chronic Constrictive Pericarditis
| Autor: | Zahra Tavosi, Afshin Hooshyar, Nasrollah Maleki, Iraj Feizi, Hossein Doustkami |
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| Rok vydání: | 2013 |
| Předmět: |
Constrictive pericarditis
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty business.industry Pleural effusion medicine.medical_treatment Case Report Gold standard (test) medicine.disease Protein content lcsh:RC666-701 Internal medicine Ascites Cardiology Medicine medicine.symptom Cardiology and Cardiovascular Medicine business Pericardiectomy Chronic constrictive pericarditis Cardiac catheterization |
| Zdroj: | Case Reports in Cardiology Case Reports in Cardiology, Vol 2013 (2013) |
| ISSN: | 2090-6412 2090-6404 |
| Popis: | Constrictive pericarditis (CP) is a rare clinical entity that can pose diagnostic problems. The diagnosis of CP requires a high degree of clinical suspicion. The gold standard for diagnosis is cardiac catheterization with analysis of intracavitary pressure curves, which are high and, in end diastole, equal in all chambers. We present a patient with unexplained dyspnea, recurrent right-side pleural effusion, and ascites. Analysis of the ascitic fluid revealed a high protein content and an elevated serum-ascites gradient. Echocardiography, computed tomography, and cardiac catheterization revealed the diagnosis of CP. He underwent complete pericardiectomy and to date has made a good recovery. The diagnosis of CP is often neglected by admitting physicians, who usually attribute the symptoms to another disease process. This case exemplifies the difficulty in diagnosing this condition, as well as the investigation required, and provides a discussion of the benefit and outcomes of prompt treatment. |
| Databáze: | OpenAIRE |
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