To elucidate the mechanism of paradoxic pulse in severe bronchial asthma, we performed hemodynamic studies and measured esophageal pressure in nine patients who had status asthmaticus and clinical paradoxic pulse. Two-dimensional echocardiography allowed simultaneous assessment of cyclic changes in right- and left-heart size throughout the respiratory cycle. Esophageal pressure varied from a ma...

The aetiology based classification of pericardial disease comprises: infectious pericarditis; pericarditis in systemic autoimmune diseases; type 2 (auto)immune pericarditis; metabolic disorders; trauma; tumours; pericardial cysts; and congenital defects. This classification has major therapeutic consequences that will be elaborated upon in this article, with the focus on practical management of...

Rev Esp Cardiol. 2010;63(6):740-50 745 3. Reul RM, Cooley DA, Hallman GL, Reul GJ. Surgical treatment of coronary artery anomalies. Report of a 371⁄2-year experience at the Texas Heart Institute. Tex Heart Inst J. 2002;29:299-307. 4. Díaz de la Llera LS, Fournier Andary JA, Gómez Moreno S, Mayol Deya A, González García A, Pérez Fernández-Cortacero JA. Fístulas de arterias coronarias en adultos....

Because of the close anatomic association, the volume or pressure in one ventricle can directly influence the volume and pressure in the other ventricle. Disease states that reduce pericardial compliance should accentuate this coupling between the ventricles. We examined this hypothesis in six dogs. Constrictive pericarditis was induced by injecting an irritant mixture into the pericardial cavi...

1. Spellberg B , Powers JH , Brass EP , Miller LG , Edwards JE Jr . Trends in antimicrobial drug development: implications for the future . Clin Infect Dis . 2004 ; 38 ( 9 ): 1279 1286 . 2. Vallés J , Peredo R , Burgueño MJ , et al . Effi cacy of single-dose antibiotic against early-onset pneumonia in comatose patients who are ventilated . Chest . 2013 ; 143 ( 5 ): 1219 1225 . 3. Dudeck MA , Ho...

the most common type of arrhythmia following coronary artery bypass graft (cabg) is atrial fibrillation (af) with an incidence rate of 20-30%. pericardial effusion is one of the etiologic factors of atrial fibrillation occurring after cabg. posterior pericardiotomy (pp) causes the drainage of blood and fluids from the pericardial space into the pleural space leading to a decreased pericardial e...

Emerging evidence suggests that epicardial and pericardial fat are related to the presence, severity and outcome of AF. These associations, independent of generalized obesity, suggest that they may become increasingly useful as markers for risk stratification or monitoring in the clinical setting. Mechanistically, studies have suggested the effects of epicardial and pericardial fat may be media...

The accumulation of chyle in the pericardial space, or chylopericardium, is a condition occurring most frequently after trauma, cardiac and thoracic surgery, or in association with tumors, tuberculosis or lymphangiomatosis. When its precise cause cannot be identified, it is called primary or idiopathic chylopericardium. This is a rare clinical entity. We report the case of a surgically treated ...

The functional role of the tight junction protein claudin-b in larval zebrafish (Danio rerio) was investigated. We showed that claudin-b protein is expressed at epithelial cell-cell contacts on the skin. Translational gene knockdown of claudin-b protein expression caused developmental defects, including edema in the pericardial cavity and yolk sac. Claudin-b morphants exhibited an increase in e...