- pericardectomy was first accomplished hi germany in 1913. it is obligatory when a pathologic condition in the pericardium increases pressure on the heart. the most common disease thai causes this process is constrictive pericarditis. tuberculosis was formerly the most common cause of the latter. a retrospective review of pericardectomy for constrictive pericarditis was undertaken in shariati ...

Hospital Physician January 2007 45 A cute pericarditis, or inflammation of the pericardial sac, is a disorder that can be caused by many underlying conditions. Making the diagnosis requires a high index of suspicion because pericarditis may occur alone or in association with a systemic disease.1 In many cases, the etiology is not identified. The most commonly identified causes of acute pericard...

The etiology of acute pericarditis is often thought to be autoimmune, and Graves' disease has been reported in a few series to manifest as acute pericarditis. Since the etiology of recurrent pericarditis is known to be more associated with autoimmune causes, recurrent acute pericarditis may be a potential cardiovascular complication of Graves' disease. We report a case of recurrent acute perica...

BACKGROUND Constrictive pericarditis (CP) is considered a rare, dreaded possible complication of acute pericarditis. Nevertheless, there is a lack of prospective studies that have evaluated the specific risk according to different etiologies. The aim of this study is to evaluate the risk of CP after acute pericarditis in a prospective cohort study with long-term follow-up. METHODS AND RESULTS...

Background/Purpose Serositis is one of both ACR and SLICC classification criteria for systemic lupus erythematosus (SLE) and a common type of extra renal flare. However, little is known about clinical or immunological associations of pleurisy or pericarditis. The aim of this study is to analyze associates and predictors of pleurisy versus pericarditis in Caucasians and African Americans with SL...

THE ASSOCIATION of rheumatoid states with pericarditis is known."2 Coincidence of rheumatoid arthritis and chronic constrictive pericarditis is uncommon and represents a fascinating study in the pathogenesis of pericardial constriction. Repeated episodes of acute pericarditis associated with migratory polyarthritis and gradual development of constrictive pericarditis can seldom be documented. A...

BACKGROUND The clinical profile with regard to sex and the influences on outcomes in patients who have been hospitalized for acute pericarditis is largely uncharacterized. METHODS AND RESULTS We studied all patients aged ≥16 years admitted to the hospital because of acute pericarditis (postpericardiotomy and myocardial infarction associated pericarditis were excluded). Data were collected fro...

Tuberculous (TB) pericarditis is a rare but life-threatening form of extrapulmonary tuberculosis. The diagnostic strategy and optimal therapy for TB pericarditis are not well established. We retrospectively analyzed the diagnostic data, clinical characteristics, treatment and outcome in a total of 19 patients with TB pericarditis treated from January 1988 to July 2002. Based on the finding of e...

Although acute pericarditis is most often associated with viral infection, it may also be caused by many diseases, drugs, invasive cardiothoracic procedures, and chest trauma. Diagnosing acute pericarditis is often a process of exclusion. A history of abrupt-onset chest pain, the presence of a pericardial friction rub, and changes on electrocardiography suggest acute pericarditis, as do PR-segm...

Nowadays, we have a better understanding of the natural history of constrictive pericarditis such as transient constriction. In addition, we have acquired the correct understanding of hemodynamic features that are unique to constrictive pericarditis. This understanding has allowed us to diagnose constrictive pericarditis reliably with Doppler echocardiography and differentiation between constri...