Edit concept Question Editor Create issue ticket

Pericardial Disorder

Disease of Pericardium


Presentation

  • Abstract Pericardial disorders occurring in connective tissue diseases are not uncommon and may present as acute or chronic pericarditis with or without an effusion.[ncbi.nlm.nih.gov]
  • Main Article Content Abstract We report a case of a 25-year-old lady who presented to our department with complaints of easy fatigability and shortness of breath since one week. She had a history of Raynaud’s phenomenon.[pagepress.org]
  • Presentation of CaseA 42-year-old man was admitted to the hospital because of a question of constrictive pericarditis.He was well until four years previously, when an x-ray film of the chest, obtained elsewhere, revealed mediastinal enlargement.[nejm.org]
  • Posteriorly, a pericardial effusion is located anterior to the descending thoracic aorta, whereas a pleural effusion is present posterior to the aorta ( Fig. 24.13 ).[thoracickey.com]
  • In the effusion and tamponade groups, chronic renal failure, chronic congestive heart failure, or other risk factors were present in all but six instances (13%), and in this latter 6, weight gains during therapy were conspicuous.[journals.lww.com]
Fever
  • Fever is a common symptom of acute pericarditis. Treatment depends on the cause.[leehealth.org]
  • Fever is a common symptom of acute pericarditis. Your doctor may use a physical exam , imaging tests , and heart tests to make a diagnosis . Treatment depends on the cause.[tititudorancea.com]
  • Fever is a common symptom of acute pericarditis. Your doctor may use a physical exam, imaging tests, and heart tests to make a diagnosis. Treatment depends on the cause. NIH: National Heart, Lung, and Blood Institute[medlineplus.gov]
  • Fever is a common symptom of acute pericarditis. Your doctor may use a physical exam, imaging tests, and heart tests to make a diagnosis. Treatment depends on the cause.[tabletwise.com]
Agitation
  • Appearance of agitated saline in the pericardial sac ( arrows ). If agitated saline is seen in any of cardiac chambers, surgical consultation should be obtained immediately before any attempt to remove pericardiocentesis needle or catheter.[doctorlib.info]
  • The position of the pericardiocentesis needle can be checked by imaging with administration of agitated saline. Figure 24.11 demonstrates contrast (arrows) in the pericardial space, not in the right ventricle.[thoracickey.com]
  • The most common co-existing conditions in Pericarditis and stress are: Depression Pain Agitation Hypertension Hypotension Diabetes Schizophrenia Blood pressure Post-traumatic stress disorder Bipolar I disorder The most common medications used are: Seroquel[pericarditispain.info]
  • […] progressive limitation of diastolic ventricular filling, resulting in lowered cardiac output. 18,19 Signs and Symptoms Symptoms Symptoms resulting from decreased cardiac output and congestion include dyspnea, chest discomfort, weakness, restlessness, agitation[clevelandclinicmeded.com]
Irritability
  • Phrenic nerve irritation can cause hiccups. With a small effusion, the physical examination is unremarkable.[clevelandclinicmeded.com]

Workup

  • Therefore, further workup for underlying autoimmune disease, systemic inflammatory disease, or infection is necessary.[mdedge.com]
  • Multimodality cardiovascular imaging and diagnostic work-up 4.1 Multimodality imaging 4.1.1 Chest X-ray 4.1.2 Echocardiography 4.1.6 Cardiac catheterization 4.1.7 Multimodality imaging 4.2 Proposal for a general diagnostic workup 5.[escardio.org]
Liver Biopsy
  • Because of their abdominal symptoms and elevation of liver enzymes because of hepatic venous congestion, many patients are labeled as having a liver or gastrointestinal disease and undergo noncardiac procedures such as liver biopsy, endoscopy, or even[thoracickey.com]

Treatment

  • Treatment depends on the cause.[tabletwise.com]
  • What should I expect for treatment? Christine Jellis, MD, PhD: Certainly there is a known link between pericarditis and lupus, so we would encourage your daughter to be further evaluated. Treatment will depend on her clinical features.[my.clevelandclinic.org]
  • Patient was diagnosed as having mixed connective tissue disorder (MCTD) and she was started on high dose prednisolone, which led to complete reversal of pancytopenia and pericardial tamponade after 1 month of treatment.[pagepress.org]
  • Treatment depends on the cause. NIH: National Heart, Lung, and Blood Institute National Heart, Lung, and Blood Institute Specifics Acute Pericarditis Merck & Co., Inc. Chronic Pericarditis Merck & Co., Inc.[chcrr.org]

Prognosis

  • Pericardial syndromes 3.1 Acute pericarditis 3.1.1 Clinical management and therapy 3.1.2 Prognosis 3.2 Incessant and chronic pericarditis 3.3 Recurrent pericarditis 3.3.1 Therapy 3.3.2 Prognosis 3.4 Pericarditis associated with myocardial involvement[escardio.org]
  • The prognosis depends on many factors, such as the severity of the underlying condition; although in most cases with appropriate treatment, it is good Non-Infectious Pericarditis, in some cases, can become a chronic condition.[dovemed.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]
  • Outlook (Prognosis) Pericarditis can range from mild illness that gets better on its own, to a life-threatening condition. Fluid buildup around the heart and poor heart function can complicate the disorder.[health.firstlighthealthsystem.org]
  • PMR prognosis With prompt diagnosis and proper therapy, patients have an excellent prognosis.[americannursetoday.com]

Etiology

  • Distribution of underlying etiologies for constrictive pericarditis.[doctorlib.info]
  • Etiology Hemopericardium Cardiac wall rupture (e.g., complication of myocardial infarction ) Chest trauma Aortic dissection Cardiac surgery (e.g., heart valve surgery, coronary bypass surgery ) Serous pericardial effusion Idiopathic Acute pericardi tis[amboss.com]
  • Etiology The most common form of acute pericarditis is idiopathic, which accounts for about 90% of cases ( Box 1 ).[clevelandclinicmeded.com]
  • Etiology Pericardial effusions can be caused by multiple disease states, including any process that results in pericarditis or myocarditis. The inflammatory reaction in these disease states can result in fluid accumulation in the pericardial space.[healio.com]
  • Etiology of pericardial cyst6 1.Congenital 2.Inflammatory: Rheumatic pericarditis, Bacterial infection particularly tuberculosis, Echinococcosis 3.Traumatic 4.Post cardiac surgery Table 2 : Etiology of pericardial cyst6.[interventional-cardiology.imedpub.com]

Epidemiology

  • Epidemiology, aetiology and classification of pericardial diseases 2.1 Epidemiology 2.2 Aetiology 3.[escardio.org]
Sex distribution
Age distribution

Pathophysiology

  • Pericardium Cardiology and Cardiovascular Medicine Cite this Apa Standard Harvard Vancouver BIBTEX RIS @article{764b48bd8e5b4033b423f165ff68ecd0, title "Pericardial Effusion and Compressive Disorders of the Heart: Influence of New Technology on Unraveling its Pathophysiology[mayoclinic.pure.elsevier.com]
  • […] surgery, coronary bypass surgery ) Serous pericardial effusion Idiopathic Acute pericardi tis (especially viral , but also fungal, tuberculous or bacterial) Malignancy Poststernotomy syndrome Uremic Autoimmune disorders Hypothyroidism References: [1] Pathophysiology[amboss.com]
  • Despite the significant difference in the pathophysiologic mechanisms of restriction and constriction, there is significant overlap in hemodynamic parameters between these two entities.[doctorlib.info]
  • The pericardium also contributes to diastolic coupling between two ventricles: the distention of one ventricle alters the filling of the other, an effect that is important in the pathophysiology of cardiac tamponade and constrictive pericarditis.[thoracickey.com]
  • Pathophysiology of cardiac tamponade. Chest. 1998;113:1372–8. CrossRef PubMed Google Scholar 7. Fowler NO. Cardiac tamponade. A clinical or an echocardiographic diagnosis? Circulation. 1993;87:1738–41. PubMed Google Scholar 8. Spodick DH.[link.springer.com]

Prevention

  • Cardiac tamponade occurs when a large pericardial effusion prevents the heart from properly filling with blood and therefore prevents the heart from pumping enough blood to the rest of the body.[msdmanuals.com]
  • […] of Pericardial Disorders Yes, it may be possible to prevent Pericardial Disorders.[tabletwise.com]
  • To prevent fluid reaccumulation, a needle and catheter are sometimes inserted into the pericardium to remove fluid from the sac around the heart. This procedure relieves pressure on the heart and the catheter may be left in place for several days.[leehealth.org]
  • It also prevents the heart from over-expanding when blood volume increases, which keeps the heart functioning efficiently.[my.clevelandclinic.org]
  • Drug therapy Medications to reduce inflammation and prevent blood clotting, like aspirin and ibuprofen are administered in this process.[medanta.org]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!