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Pericardial Calcification


Presentation

  • A rationalisation of the 1350 boxes used throughout the book gives a simpler and clearer presentation of the various categories.[books.google.com]
  • We present a patient with typical severe extensive myopericardial calcifications visualized by 3-D multidetector CT who was successfully treated by pericardiectomy.[ncbi.nlm.nih.gov]
  • Case Report: Herein we are reporting an unusual case of a man who had chest wall trauma in childhood and presented to our hospital at age of 35 years with ascites, easy fatigability and lightheadedness.[ecommons.aku.edu]
  • […] ventricular aneurysm, left atrial calcification, or calcification outside the heart This can usually be accomplished by the locations of these calcifications on multiple views, or the radiographic appearance of the calcium Constrictive Pericarditis Present[learningradiology.com]
  • Findings A 51 year-old man with a history of presumed alcoholic cirrhosis presented to the emergency department with anasarca.[intjem.springeropen.com]
Gaucher Disease
  • A 58-year-old man had Gaucher's disease and suffered from hypersplenism, cirrhosis of the liver, and free-floating calcifications in the pericardial space. The literature of the pericardial involvement in Gaucher's disease is reviewed.[ncbi.nlm.nih.gov]
Failure to Thrive
  • Fred Ferri’s popular "5 books in 1" format provides quick guidance on menorrhagia, Failure to Thrive (FTT), Cogan’s syndrome, and much more.[books.google.com]
Neglect
  • The diagnosis of CP is often neglected by admitting physicians, who usually attribute the symptoms to another disease process [ 1 ].[intjem.springeropen.com]
Meningism
  • Ferri’s popular "5 books in 1" format provides quick guidance on short QT syndrome, microscopic polyangiitis, fungal meningitis, and much more. This medical reference makes the answers you need even easier to find - anytime, anywhere.[books.google.com]

Workup

  • Routine baseline workups including hemogram, blood sugars, liver and kidney function, chest X-ray, electrocardiography, electroencephalography were normal. Cerebrospinal fluid analysis was normal.[annalspc.com]
Hyponatremia
  • Laboratory studies revealed new elevated creatinine and hyponatremia. Liver function tests and urinalysis were unremarkable. Abdominal ultrasound with Doppler demonstrated a nodular cirrhotic liver, but no evidence of portal hypertension or ascites.[intjem.springeropen.com]
  • Electrolyte screening showed mild hyponatremia (serum sodium 126 mmol/L). Serum phosphates and serum potassium were within normal limits. Ultrasonography of abdomen was unremarkable and serum lead levels were within normal limits.[annalspc.com]

Treatment

  • Pericardiectomy is the definitive treatment.[ncbi.nlm.nih.gov]
  • Medical therapy is to decrease the symptoms of heart failure, but pericardiotomy and pericardial stripping is the main stay of treatment to relieve the constriction.[ecommons.aku.edu]
  • […] present in about 60 % of patients § Persistent unexplained pleural effusions can be the presenting manifestation · CT or MRI are superior in the assessment of pericardial anatomy and thickness · The diagnosis is confirmed by cardiac catheterization · Treatment[learningradiology.com]
  • Pericardiectomy is the definitive treatment. Key words Pericardial calcification pediatric Pericardial constriction, pediatric Pericardial tuberculosis, pediatric This is a preview of subscription content, log in to check access.[link.springer.com]

Prognosis

  • As this is a rare disease, the data regarding prognosis of the disease is relatively scanty. The degree of pericardial calcification has shown no effect on survival.[ecommons.aku.edu]
  • Prognosis of the disease is excellent, as severe complications are rare.[textbookofcardiology.org]
  • Disorders 2012 12 :28 Cypierre et al; licensee BioMed Central Ltd. 2012 Received: 12 December 2011 Accepted: 25 April 2012 Published: 25 April 2012 Abstract Background Cardiac tamponade is a rare but severe complication of pericardial effusion with a poor prognosis[bmccardiovascdisord.biomedcentral.com]
  • Prognosis is strongly linked to the underlying cause but long-term survival is more likely with surgery and the best results are achieved if surgery is offered early.[patient.info]
  • The prognosis of viral pericarditis is generally good, with a self-limited course, and if uncomplicated, patients may be treated on an outpatient basis.[clevelandclinicmeded.com]

Etiology

  • Histologic examination of the pericardial tissue removed at operation revealed a tuberculous etiology. Though unusual in the pediatric age group, constrictive pericarditis (CP) may occur in children, most often as a complication of tuberculosis.[ncbi.nlm.nih.gov]
  • The etiology of cardiac tamponade reflects various conditions that cause pericardial effusions, trauma or the rupture of the heart [ 3 ].[bmccardiovascdisord.biomedcentral.com]
  • Agreement can be reached regarding etiology only in the statement that "calcification occurs as a secondary degenerative change complicating chronic inflammation of the pericardium." 1 In the majority of cases, by the time bacteriologic and pathologic[annals.org]
  • Etiology uremia previous trauma or prior pericarditis later sequelae of rheumatic heart disease malignant pericardial involvement (e.g. mediastinal teratoma) On chest radiography, the location of the calcifications can help differentiate pericardial calcifications[radiopaedia.org]
  • He denied any past history of tuberculosis or any other infective etiology. Past medical history revealed history of trauma in past childhood.[jacpjournal.org]

Epidemiology

  • "As the epidemiological studies do not give clues on the important mechanisms underlying RIHD, it is difficult to design preventive strategies.[auntminnieeurope.com]
Sex distribution
Age distribution

Pathophysiology

  • Although a direct causal relationship cannot be established between leprosy and pericardial calcification, the well known condition of cardiac amyloid, a complication of leprosy might have contributed in the pathophysiology of the development of pericardial[popline.org]
  • [ edit ] The pathophysiological characteristics of constrictive pericarditis are due to a thickened, fibrotic pericardium that forms a non-compliant shell around the heart.[en.wikipedia.org]
  • The pathophysiology remains poorly understood, but radiation "might harm virtually all cardiac tissues and the underlying pathophysiological mechanisms may be related to micro- and macrovascular damages," they explained.[auntminnieeurope.com]
  • Pathophysiology and Classification Depending on the underlying cause, the acute inflammatory response in pericarditis may produce serous fluid, pus, or dense fibrinous material.[aafp.org]
  • Pathophysiology The initiating event results in a chronic inflammatory pericardial process, resulting in fibrinous scarring and occasionally calcification of the pericardium ( Figure 10 ).[clevelandclinicmeded.com]

Prevention

  • Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets[books.google.com]
  • The pericardium contains about 50 cc of fluid that lubricates the heart during its normal pumping movements and prevents friction between the heart and the pericardium lining.[my.clevelandclinic.org]
  • Both methods blockside effects of GA residues and thus prevent calcification of the pericardium.[intechopen.com]
  • The normal pericardium, by exerting a restraining force, prevents sudden dilation of the cardiac chambers, especially the right atrium and ventricle, during exercise and with hypervolemia.[accessmedicine.mhmedical.com]

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