Presentation
Presents 49 fully illustrated case presentations with teaching points that make information easy to understand and digest. [books.google.com]
This review describes the pathology, clinical presentation, and treatment of both benign and malignant tumors of both the heart and the pericardium. [journals.lww.com]
When present, signs and symptoms are generally nonspecific. Patients often present with dyspnea, chest pain, palpitations, fever, or weight loss. [ncbi.nlm.nih.gov]
Pericardial effusion, when present, is usually massive. [pubs.rsna.org]
Entire Body System
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Fever
481 Fears Phobias and AnxietiesCats 488 Feline Foamy Virus Infection FFV 494 Feline Immunodeficiency Virus Infection FIV 500 Feline Leukemia Virus Infection FeLV 506 Fever 512 Fibrosarcoma Bone 517 Fibrosarcoma Gingiva 518 Food Reactions Dermatologic [books.google.es]
Patients often present with dyspnea, chest pain, palpitations, fever, or weight loss. [ncbi.nlm.nih.gov]
Often times the symptoms of pericardial disease such as fever, chest pain, and shortness of breath are non-specific, making an accurate diagnosis a challenging task. [books.google.com]
[…] surrounds the myocardium causing constrictive pericarditis Etiology Idiopathic: No identifiable etiology found after routine testing Specific causes: Immunologic conditions including systemic lupus erythematosus (more common among women) or rheumatic fever [pathologyoutlines.com]
Signs Fever (if infectious) Fever 101.3 F (38.5 C) may suggest more significant infection (e.g. [fpnotebook.com]
Cardiovascular
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Pulsus Paradoxus
Cardiac tamponade is diagnosed on the basis of clinical (engorged jugular veins, pulsus paradoxus) and echocardiographic (right atrial wall collapse, dilated vena cava) findings. [moh-it.pure.elsevier.com]
Pulsus paradoxus: In this condition, inspiratory drop in systolic blood pressure is more than 10mmHg. Pulsus paradoxus and cardiac tamponade. In cardiac tamponade, cardiac chambers are compressed or strangulated. [drnajeeblectures.com]
Pulsus paradoxus: exaggeration of the normal respiratory variation in systemic blood pressure (defined as a decrease in systolic blood pressure of more than 10 mm Hg with inspiration). [patient.info]
Pulsus paradoxus: definition and relation to the severity of cardiac tamponade. Am Heart J 1988; 115:391–398. Bilchick KC, Wise RA. Paradoxical physical findings described by Kussmaul: pulsus paradoxus and Kussmaul's sign. [clevelandclinicmeded.com]
A decrease in the systolic pressure of greater than 10 mmHg is called pulsus paradoxus, and it’s a classic sign of cardiac tamponade. [osmosis.org]
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Hypotension
This means that the cardiac chambers can’t fill with blood properly, causing a decrease in cardiac output or a lower amount of blood being squeezed out with each heartbeat, which leads to hypotension. [osmosis.org]
Symptoms that led referring physicians to order the echocardiographic study included dyspnea in 44 patients (83%), pleuritic chest pain in 22 (42%), cough in 5 (9%) and hypotension in 2 patients. [wjgnet.com]
Signs Classic triad of pericardial tamponade: hypotension, muffled heart sounds, jugular venous distention. [patient.info]
Difficulty breathing (dyspnea) Chest pain Night sweats Irregular heartbeat (arrhythmia) Pericardial effusion Cardiac tamponade (compression of the heart) Constrictive pericarditis (inflammation of the pericardium) Less Common Symptoms Heart murmurs Hypotension [mesothelioma.com]
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Pericardial Friction Rub
Auscultation may reveal pericardial friction rub, and heart sounds may be faint. [textbookofcardiology.org]
Definition / general Pericarditis is an inflammation of the pericardium characterized by chest pain, pericardial friction rub and serial ECG changes Terminology Idiopathic pericarditis Acute pericarditis Chronic pericarditis Chronic effusive pericarditis [pathologyoutlines.com]
Signs A pericardial friction rub is present on auscultation in 60-85% of cases. Clinically, the presence of a pericardial friction rub is pathognomonic - often a rub can be heard even when a pericardial effusion is present. [patient.info]
MEDICAL TREATMENT Patients with acute inflammatory signs (fever, chest pain, pericardial friction rub) should receive aspirin or non-steroid anti-inflammatory drugs. [wjgnet.com]
Skin
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Petechiae
The initial manifestations of atrial myxoma may also resemble those of infective endocarditis and include fever, chills, lethargy, arthralgias, petechiae, and positive blood cultures, although infection of an atrial myxoma is rare (, 21,, 26 ). [pubs.rsna.org]
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Flushing
The majority of reported cardiac paragangliomas have been catecholamine-producing tumors, and affected patients present with arterial hypertension, headache, palpitations and flushing, (symptoms typical of pheochromocytoma) (, 73,, 74 ). [pubs.rsna.org]
Workup
(See Presentation, Workup, Treatment, and Medication .) This anteroposterior-view chest radiograph shows a massive, bottle-shaped heart and conspicuous absence of pulmonary vascular congestion. Reproduced with permission from Chest, 1996: 109:825. [emedicine.medscape.com]
Although the diagnostic workup often starts with chest roentgenography or transthoracic echocardiography, further investigation is often warranted in order to visualize the entire pericardium and more specifically characterize the lesions in question. [acc.org]
Pericardial effusion workup. Medscape Reference. Available online at . Accessed 9/8/2016. Chen, M. (Updated 2016 January 24). Pericarditis. MedlinePlus Medical Encyclopedia. Available online at . Accessed 9/8/2016. Mayo Clinic Staff (2016 June 17). [labtestsonline.org]
The objective of this article is to review the etiology, workup, and treatment for this disease, especially new, emerging therapeutic options. [dovepress.com]
X-Ray
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X-Ray Abnormal
[…] ordered when someone has some combination of the following signs and symptoms : Chest pain, sharp or sometimes dull, that may be relieved by bending forward Coughing Difficulty breathing Fever Fatigue Changes in heart rhythm Enlarged heart size on chest X-ray [labtestsonline.org]
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Chest X-Ray Abnormal
X-ray Abnormal pericardial appearance on echocardiogram Test results can help distinguish between types of pericardial fluid and help diagnose the cause of fluid accumulation. [labtestsonline.org]
Blocks
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Left Anterior Fascicular Block
Anterior Fascicular Block 788 LeggCalvePerthes Disease 792 Leiomyoma Stomach Small and Large Intestine 794 Leptospirosis 798 Leukemia Acute Lymphoblastic 800 Lipoma Infiltrative 806 Lower Urinary Tract Infection Fungal 812 Lyme Borreliosis 819 Lymphangiectasia [books.google.es]
Treatment
The final section includes a range of topics such as the pericardium, cardiovascular effects of endocrine treatments, primary cardiac tumors and malignancies of the myocardium and pericardium. [books.google.com]
This review describes the pathology, clinical presentation, and treatment of both benign and malignant tumors of both the heart and the pericardium. [journals.lww.com]
Imaging plays an important role in the detection, characterization, and staging of pericardial tumors; in their treatment planning; and in the posttreatment follow-up of affected patients. [ncbi.nlm.nih.gov]
Prognosis
The prognosis of patients with benign tumors is good, even in the few cases in which surgical intervention is required. On the other hand, the length of survival for patients with malignant pericardial tumors is, in the majority of cases, dismal. [ncbi.nlm.nih.gov]
The prognosis of surgically treated patients is good (, 83,, 85,, 86 ). [pubs.rsna.org]
What’s the prognosis for this disease? Most pericardial mesothelioma patients have a prognosis of 6 months. Yet, there are always exceptions to the rule. Talk to someone who can help you explore potential treatment options. [mesotheliomagroup.com]
Outcomes and prognosis The prognosis of resectable benign tumors is usually very good with low recurrence rates depending on the type of tumor. [accesssurgery.mhmedical.com]
Prognosis is poor even after surgical resection (varies from 10 months to 5 years.) Local recurrence is common and show tendency for local invasion. [histopathology-india.net]
Etiology
In these patients, cardiac tamponade recurred in 35 patients, of which only 2 (5.7%) had an idiopathic etiology. [revespcardiol.org]
[…] disease are prominent etiologies of pericardial effusion. [wjgnet.com]
Methods: Twenty-two partial pericardiectomies were performed with the thoracoscopic approach in patients with pericardial effusions, the etiology of which was uremic ( n 7), neoplastic ( n 8), idiopathic ( n 5), septicemia ( n 1), and postpericardiotomy [link.springer.com]
The patient was admitted for investigation of the organized pericardial effusion which appeared to be evolving to constrictive pericarditis of unknown etiology. [elsevier.pt]
Epidemiology
Chemotherapy Heart tumors Neoplastic pericarditis Pericardial effusion Cardiology and Cardiovascular Medicine Radiology Nuclear Medicine and imaging Cite this Apa Standard Harvard Vancouver BIBTEX RIS @article{62fb3a6558f9433cbfc99628911f6c49, title "Epidemiology [moh-it.pure.elsevier.com]
Epidemiology Although neoplastic involvement of the heart is commonly regarded as a rare condition, a compilation of autopsy series suggests that 3.4% (642/19130) of general autopsies 13-18 and 11.6% (1280/11078) of cancer autopsies 13-21 demonstrate [jamanetwork.com]
Epidemiology of mesothelioma of the pericardium and tunica vaginalis testis. Annals of Epidemiology, 27(5):348-359. doi: 10.1016/j.annepidem.2017.04.001 Nambiar, C. et al. (1992). Primary pericardial mesothelioma: One-year event-free survival. [asbestos.com]
Epidemiology Primary cardiac tumors are rare with an overall incidence of 0.02 percent. Malignant tumors metastatic to the heart are much more common with an incidence of 1.23 percent. [accesssurgery.mhmedical.com]
Epidemiology of multiple myeloma in Taiwan: increasing incidence for the past 25 years and higher prevalence of extramedullary myeloma in patients younger than 55 years. Cancer. 2007;110(4):896-905. [consultant360.com]
Pathophysiology
Pathogenesis Pathophysiology Chemodectoma pericardial effusion cardiac tamponade right-sided cardiac failure. Timecourse Very slow growing. May be incidental finding at post-mortem. [vetstream.com]
Pathophysiology Cardiac tumors arise from various cells in the heart. Clinical effects of these tumors are based chiefly on the size and location of the mass. [accesssurgery.mhmedical.com]
[…] pericardium characterized by chest pain, pericardial friction rub and serial ECG changes Terminology Idiopathic pericarditis Acute pericarditis Chronic pericarditis Chronic effusive pericarditis and chronic constrictive pericarditis Recurrent pericarditis Pathophysiology [pathologyoutlines.com]
Pathophysiology: concepts of altered health states (7th ed.). Hagerstwon, MD: Lippincott Williams & Wilkins. ISBN 978-0-7817-4988-6. a b c d Gwinnutt CL, Driscoll PA (2003). Trauma Resuscitation: The Team Approach (2nd ed.). Oxford: BIOS. [en.wikipedia.org]
(See Pathophysiology, Etiology, and Prognosis .) The overall mortality risk depends on the speed of diagnosis, the treatment provided, and the underlying cause of the tamponade. [emedicine.medscape.com]
Prevention
tuberculous pericarditis) is recommended to prevent the progression of constriction. Multimodality imaging. [acc.org]
Tumors in the pericardium may squeeze (constrict) the heart, preventing it from filling properly. Chest pain and heart failure may develop. [merckmanuals.com]
Pericardial thickening and effusions prevent the heart from expanded and contracting normally. [mesotheliomagroup.com]
The pericardium is the outer layer of the heart The cause of formation of the tumor is unknown and currently, no known methods exist to prevent occurrence of the tumor Most small tumors are asymptomatic, though the larger ones may compress the surrounding [dovemed.com]