Constrictive pericarditis with pericardial calcification
Constrictive pericarditis is a chronic inflammatory condition of the pericardium, with an incidence of 1 in 100,000 in the US. It is often initiated by idiopathic or viral pericarditis, previous cardiac surgery, mediastinal radiation or tuberculosis, and is thought to be triggered by an immune respo...
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Veröffentlicht in: | Canadian Medical Association journal (CMAJ) 2021-06, Vol.193 (23), p.E853-E853 |
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description | Constrictive pericarditis is a chronic inflammatory condition of the pericardium, with an incidence of 1 in 100,000 in the US. It is often initiated by idiopathic or viral pericarditis, previous cardiac surgery, mediastinal radiation or tuberculosis, and is thought to be triggered by an immune response, leading to the development of a fibrous or calcific pericardium. In one series, 28% of resected pericardium specimens were grossly calcified on pathology. Symptoms are similar to those of heart failure, and the condition is difficult to distinguish from restrictive cardiomyopathy. Bilateral cardiac catheterization is the gold standard diagnostic test, and definitive management is pericardiectomy. Here, An and Singh examine the case 71-year-old man with constrictive pericarditis. |
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It is often initiated by idiopathic or viral pericarditis, previous cardiac surgery, mediastinal radiation or tuberculosis, and is thought to be triggered by an immune response, leading to the development of a fibrous or calcific pericardium. In one series, 28% of resected pericardium specimens were grossly calcified on pathology. Symptoms are similar to those of heart failure, and the condition is difficult to distinguish from restrictive cardiomyopathy. Bilateral cardiac catheterization is the gold standard diagnostic test, and definitive management is pericardiectomy. Here, An and Singh examine the case 71-year-old man with constrictive pericarditis.</description><identifier>ISSN: 0820-3946</identifier><identifier>EISSN: 1488-2329</identifier><identifier>DOI: 10.1503/cmaj.202346</identifier><identifier>PMID: 34099470</identifier><language>eng</language><publisher>Canada: CMA Joule Inc</publisher><subject>Aged ; Calcification ; Calcification, Physiologic - physiology ; Cardiac catheterization ; Case studies ; Diagnosis ; Echocardiography - methods ; Heart failure ; Heart surgery ; Humans ; Intubation ; Male ; Melanoma ; Pathology ; Pericarditis ; Pericarditis, Constrictive - diagnosis ; Pericarditis, Constrictive - epidemiology ; Pericardium ; Pericardium - abnormalities ; Pericardium - diagnostic imaging ; Pericardium - physiopathology ; Practice ; Tomography, X-Ray Computed - methods ; Tuberculosis</subject><ispartof>Canadian Medical Association journal (CMAJ), 2021-06, Vol.193 (23), p.E853-E853</ispartof><rights>COPYRIGHT 2021 CMA Joule Inc.</rights><rights>Copyright Joule Inc Jun 7, 2021</rights><rights>2021 CMA Joule Inc. or its licensors 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8203255/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8203255/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34099470$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>An, Kevin R</creatorcontrib><creatorcontrib>Singh, Steve K</creatorcontrib><title>Constrictive pericarditis with pericardial calcification</title><title>Canadian Medical Association journal (CMAJ)</title><addtitle>CMAJ</addtitle><description>Constrictive pericarditis is a chronic inflammatory condition of the pericardium, with an incidence of 1 in 100,000 in the US. It is often initiated by idiopathic or viral pericarditis, previous cardiac surgery, mediastinal radiation or tuberculosis, and is thought to be triggered by an immune response, leading to the development of a fibrous or calcific pericardium. In one series, 28% of resected pericardium specimens were grossly calcified on pathology. Symptoms are similar to those of heart failure, and the condition is difficult to distinguish from restrictive cardiomyopathy. Bilateral cardiac catheterization is the gold standard diagnostic test, and definitive management is pericardiectomy. Here, An and Singh examine the case 71-year-old man with constrictive pericarditis.</description><subject>Aged</subject><subject>Calcification</subject><subject>Calcification, Physiologic - physiology</subject><subject>Cardiac catheterization</subject><subject>Case studies</subject><subject>Diagnosis</subject><subject>Echocardiography - methods</subject><subject>Heart failure</subject><subject>Heart surgery</subject><subject>Humans</subject><subject>Intubation</subject><subject>Male</subject><subject>Melanoma</subject><subject>Pathology</subject><subject>Pericarditis</subject><subject>Pericarditis, Constrictive - diagnosis</subject><subject>Pericarditis, Constrictive - epidemiology</subject><subject>Pericardium</subject><subject>Pericardium - abnormalities</subject><subject>Pericardium - diagnostic imaging</subject><subject>Pericardium - physiopathology</subject><subject>Practice</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Tuberculosis</subject><issn>0820-3946</issn><issn>1488-2329</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqV0s1v0zAYBnALgVg3OHFHFUgIhFL87fiCNFV8TJpA4uNsue7r1lUad7Ezxn-Po46tQb2QHJI4vzyx5QehZwTPiMDsndvazYxiyrh8gCaE13VFGdUP0QTXFFdMc3mCTlPa4HIwqh6jE8ax1lzhCarnsU25Cy6Ha5juoNzZbhlySNNfIa_vR2wzdbZxwZfHHGL7BD3ytknw9PZ6hn5-_PBj_rm6_PrpYn5-WTmh61ypheLMS08WxCvCCQbwuvaESkmoXxCmJNc1cd4KIpVWxDLJybImVoDSgrMz9H6fu-sXW1g6aHNnG7PrwtZ2v020wYzftGFtVvHalLUzKkQJeH0b0MWrHlI225AcNI1tIfbJUME0JYxrXOjLf-gm9l1bllcUx0KKmsl7tbINmND6WP7rhlBzLsvkFdN4UNURtYIWyiRjCz6U4ZF_ccS7Xbgyh2h2BJVzCdvgjqa-GX1QTIabvLJ9Subi-7f_sF_G9tWBXYNt8jrFph-akcbw7R66LqbUgb_bOYLNUF8z1Nfs61v088PNvrN_-8r-AO_b5LE</recordid><startdate>20210607</startdate><enddate>20210607</enddate><creator>An, Kevin R</creator><creator>Singh, Steve K</creator><general>CMA Joule Inc</general><general>CMA Impact, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISN</scope><scope>ISR</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M3G</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210607</creationdate><title>Constrictive pericarditis with pericardial calcification</title><author>An, Kevin R ; Singh, Steve K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c598t-7b743f6f1b1f71410eef98f126612fb13764981cfa5167971a3641d81a5e79543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Calcification</topic><topic>Calcification, Physiologic - physiology</topic><topic>Cardiac catheterization</topic><topic>Case studies</topic><topic>Diagnosis</topic><topic>Echocardiography - methods</topic><topic>Heart failure</topic><topic>Heart surgery</topic><topic>Humans</topic><topic>Intubation</topic><topic>Male</topic><topic>Melanoma</topic><topic>Pathology</topic><topic>Pericarditis</topic><topic>Pericarditis, Constrictive - diagnosis</topic><topic>Pericarditis, Constrictive - epidemiology</topic><topic>Pericardium</topic><topic>Pericardium - abnormalities</topic><topic>Pericardium - diagnostic imaging</topic><topic>Pericardium - physiopathology</topic><topic>Practice</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Tuberculosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>An, Kevin R</creatorcontrib><creatorcontrib>Singh, Steve K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Canada</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>Canadian Business & Current Affairs Database (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Science Database</collection><collection>CBCA Reference & Current Events</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - 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subjects | Aged Calcification Calcification, Physiologic - physiology Cardiac catheterization Case studies Diagnosis Echocardiography - methods Heart failure Heart surgery Humans Intubation Male Melanoma Pathology Pericarditis Pericarditis, Constrictive - diagnosis Pericarditis, Constrictive - epidemiology Pericardium Pericardium - abnormalities Pericardium - diagnostic imaging Pericardium - physiopathology Practice Tomography, X-Ray Computed - methods Tuberculosis |
title | Constrictive pericarditis with pericardial calcification |
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