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u2014 Objectives - Objectives - u2014To determine the past, clinicopathologic findings, and findings of surgery for effusive-constrictive pericarditis in dogs associated with Coccidioides immitis infection. No previous history of C immitis disease was present in the dogs, and 7 dogs had chronic infection with C immitis. Compared to those with no previous infection, having a chronic C immitis infection reduced the chances of surviving. Both dogs had clinical signs of right-sided heart disease. Prior to surgery, all dogs had serum titers for antibodies against C immitis, but titers were not significantly linked to outcome. All dogs underwent pericardectomy and epicardial excision, and they developed fibrosing pericarditis in biopsy samples obtained during surgery. U2014 surgical intervention with subtotal pericarditis and epicardial excision is efficacious in dogs with effusive-constrictive pericarditis secondary to C immitis disease, but long-term treatment with antifungal agents may still be needed.
Source link: https://doi.org/10.2460/javma.2005.227.435
Animals were examined for other reasons by U201438 horses with fibrinous pericarditis and 30 control horses; other reasons. Results u2014 The following factors were discovered in bivariate studies to be strongly associated with an elevated risk of pericarditis, exposure to Eastern tent caterpillars in or near horse pastures, younger age, shorter duration of residence in Kentucky, and a lack of direct contact with cattle: a shortage of pond water, access to orchard grass for grazing, and a lack of direct contact with cattle are all associated with an elevated risk of pericarditis. Only variables relating to caterpillar exposure and age were significantly associated with fibrinous pericarditis in multivariate logistic regression studies. Conclusions and Clinical Relevance:u2014 Results show that fibrinous pericarditis in horses may be related to mare reproductive loss syndrome.
Source link: https://doi.org/10.2460/javma.2003.223.832
Patients were included in the study from January 2009 to October 2020. Methods: Patients with constrictive pericarditis underwent pericardiectomy at our hospital in January 2009 were included in the research. The risk of postoperative low cardiac output syndrome was 10. 7%. Mortality and incidence of LCOS in the group with pericardial effusion were much higher than those in the group without pericardial effusion. Both univariate and multivariate analyses revealed that preoperative pericardial effusion is associated with an elevated risk of low cardiac output syndrome. After pericardiectomy, preoperative pericardial effusion is associated with low cardiac output syndrome. Preoperative pericardial effusion is correlated with a rise in the risk of low cardiac output syndrome. To minimize the incidence of postoperative low cardiac output syndrome and mortality, preoperative preparation is very important. In a short time after the surgery, it is extremely important to use a large dose of diuretics with cardiotonic or vasopressor.
Source link: https://doi.org/10.1532/hsf.3813
Any patient's pericardium tissue was collected by histopathologic studies. Study Design: In the study, ninety-two consecutive patients undergoing pericardiectomy for constrictive pericarditis were included. Peroperatively, central venous pressure dramatically reduced, left ventricular end diastolic dimension, and left ventricular ejection fractions significant increases. The histopathologic findings of chronic nonspecific inflammatory changes in 32 patients in this series from Guangxi, China, included the most common histopathologic findings of tuberculosis of pericardium, and 32 patients had the histopathologic evidence of persistent nonspecific inflammatory changes. The patients' physiological status had improved after pericardiectomy; 6 months later, 85 survivors were in class I and two were in class II; and two were in class II. In Guangxi, China, tuberculosis is the most common cause of restricted pericarditis. In our analysis, fluid balance on the second day following surgery is associated with early mortality and multiorgan failure after pericardiectomy for constrictive pericarditis.
Source link: https://doi.org/10.1532/hsf.3939
Methods: This was a retrospective review of patients undergoing pericardiectomy at The People's Hospital of Guangxi Zhuang Autonomous Region, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, and The People's Hospital of Liuzhou City between January 1994 and May 2021. 826 patients were classified into two groups, one with surgical deaths and the other without surgical deaths. Tuberculosis pericarditis in group with operative deaths was significantly higher than those in group without operative deaths, with chest drainage, surgical duration, fluid balance postoperative day D2, and fluid balance postoperative day D2.
Source link: https://doi.org/10.1532/hsf.4329
Following intravesical bladder tumor resection, we present a 64-year-old woman who developed signs of acute pericarditis three days after being initiated by an intravesical instillation of mitomycin C. It was discovered that she had multiple stenotic coronary artery lesions, with no acute coronary occlusions, and percutaneous coronary intervention was carried out with the placement of a single drug-eluting stent for a 95% stenotic lesion in the left anterior descending artery. Although the pathophysiological basis of systemically administered mitomycin C is well documented, more studies are needed to determine whether intravesical MMC can cause cardiotoxicity.
Source link: https://doi.org/10.1155/2018/9130852
Background: Convenesio pericarditis can coexist with severe aortic stenosis, especially in patients with recent mediastinal radiation. Because impaired diastolic filling by CP may exacerbate hemodynamic abnormalities associated with severe AS, leading to decreased cardiac function, concomitant AS, and CP are all common debilitating disorders that pose a challenge to therapy. Case Report: A 79-year-old woman was admitted to our hospital with severe arterial disease and persistent brailty. Although simultaneous surgical pericardiectomy and aortic valve replacement is curative surgery, and the surgical risk was not high, her other comorbidities barred the possibility of surgical intervention. We also settled on palliative therapy for CP after doing transcatheter aortic valve implantation for severe AS. We safely concluded the TAVI procedure with a temporary pacemaker after the patient recovered from cardiac arrest, despite complete atrioventricular block.
Source link: https://doi.org/10.1532/hsf.2943
Background: Pericarditis is the most common pericardial disease, while constrictive pericarditis is less common, and is often overlooked. Case study: A 30-year-old female was found with abdominal distension and mild lower extremity edema for three months. The patient was finally diagnosed with persistent constrictive pericarditis and pericardiectomy was performed. Conclusion: Patients with constrictive pericarditis may have symptoms similar to those of chronic liver diseases, which can be difficult and difficult to diagnose. This case illustrates the importance of comprehensive preoperative evaluation and maintaining clinical suspicion of pericarditis in patients with elevated systemic venous pressure.
Source link: https://doi.org/10.1532/hsf.3021
Background The most common etiology of acute pericarditis is usually infectious, particularly viral. Objectives: To describe the features of a group of patients with acute pericarditis and its connection with SAD. Patients with acute pericarditis in the Rheumatology unit of a tertiary hospital in Seville during 2021 were reviewed by a digitalised database of patients with acute pericarditis. As complications, one patient suffered heart failure, and the patient with ESL was diagnosed with pulmonary arterial hypertension. Initially thought of a correlation with COVID19 or vaccination against COVID was initially considered, but it was not established, because vaccination was later in vaccinated patients, and in those that had been infected, the time period before the onset of pericarditis was too long for it to be attributed to COVID19. We must not forget to include SAD in this diagnosis, in the middle of the COVID pandemic, in lieu of considering COVID19 or its vaccine in the differential diagnosis of acute pericarditis. Pericarditis and Autoinflammatory Pericardia Definitions and New Therapies Bizzi E, Trotta L, Pancrazi M, Nivuori M, Nivuori M, Nivuori M, Nivuori M, Nivuori M, Nivuori M, Nivuori M, Giosia V, Matteucci L, Brucato A. Autoimmune and Autoinflammatory Pericarditis.
Source link: https://doi.org/10.1136/annrheumdis-2022-eular.5236
Pericarditis is common in Systemic Lupus Erythematosus and most benign, with Systemic Lupus Erythematosus. Objectives The aim of this research was to describe how performance, change over time, and a risk factor for SLE pericarditis relapse in our University Hospital Center. Methods Cases were retrospectively collected among hospital discharge reports from January 1997 to December 2019. Both SLE cases met the ACR/EULAR 2019 classification criteria. Pericarditis cases met ESC 2015 diagnostic criteria, according to the Canadian Medical Association. Patients with pericarditis were excluded as well as patients with myocarditis. An actuarial survival scheme was used to illustrate relapse-free survival. SLE's first episodes featured 31%; otherwise, median time elapsed since SLE's diagnosis was 65 months [1. 7-400]. Although biological results revealed always high CRP values, high-titer anti-DNA, and DNA, only few patients had poor complement levels. At pericarditis onset, there was a significant difference between those treated with NSAIDs/ASA and those not. About 41% of colchicine prescriptions lasted at least three months, they were linked to a lower SLEDAI-2K at pericarditis development in comparison to pericarditis not or inadequately treated with colchicine. Patients exposed to at least three months of colchicine tended to be healthier in patients exposed to short and long-term relapse-free survival. There was no difference in terms of short-term relapse-free survival in patients treated with NDAIDs/ASA compared to those who did not. Following remission, Corticosteroid therapy and previous antimalarial therapy were not associated with a poorer or better result during the year.
Source link: https://doi.org/10.1136/annrheumdis-2022-eular.3486
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