An approach to the patient with suspected pericardial disease

Kyriakakis, Charles; Mayosi, Bongani M.; Vries, Elma De; Isaacs, Abdul Aziez; Doubell, Anton

doi:10.7196/samj.2016.v106i2.10328

Cited by 12 publications

(10 citation statements)

References 23 publications

(42 reference statements)

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“…CP can be suspected based on history and clinical examination but it is confirmed by imaging techniques like echocardiography and cardiac catheterization, which is considered mandatory to confirm the diagnosis 7 . The clue of diagnosis is the signs and symptoms of right-sided heart failure that is not confirmatory sign 8 . On auscultation at the left sternal border a high-pitched early diastolic pericardial knock after the second heart sound can be heard, it increases in intensity during inspiration 9 .…”

Section: Introductionmentioning

confidence: 99%

Early operative outcome of pericardiectomy for symptomatic chronic tuberculous constrictive pericarditis

Jan¹,

Imran²,

Aqeel³

et al. 2019

Int. j. endorsing health sci. res.

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Background: Pericardiectomy procedure is commonly indicated for constrictive pericarditis (CP). One of the most important clue to diagnosis of CP is the signs and symptoms of right-sided heart failure that are not completely explained by presence of pulmonary disease or left-ventricular failure. The aim of this study was to assess clinical data presentation and early operative outcomes of pericardiectomy performed for symptomatic chronic constrictive pericarditis who had failed maximal medical therapy. Methodology: A retrospective analysis was carried out of consecutive constrictive pericarditis adult age patients who underwent pericardiectomy procedure from 2002 to 2012. The patients who had intraoperative diagnosis of other then constrictive pericarditis were excluded from further analysis. A total 51 patients were selected for this study. The preoperative assessment, intraoperative findings and postoperative course and outcome such as hospital stay, prolonge ICU stay, post-operative CPV etc. were evaluated. Results: 43 males and 8 females were include in the study among them 41% gave history of previous (TB) and 35% were pediatric patients (teens, as shown less than 19 years). 8 patients had effusive type pericarditis. The preoperative findings revealed dyspnea 54%, Chest Pain 45% and persistent cough 31%. Furthermore, 43% patients had ascites and 41% with pleural effusion. The mean preoperative central venous pressure (CVP) was 20.5 respectively. The post-operative outcome was short hospital stay, the post-operative patients CVP was estimated 13.5 and the mean drop of CVP due to pericardiectomy was estimated 7 respectively. Conclusion: The conclusive findings of our study revealed that among the patients of symptomatic chronic tuberculous CP, the timely pericardiectomy attempt can effectively improve the hemodynamics of the patient. The early pericardiectomy can also reduce the morbidity and mortality rate of these patients.

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Section: Introductionmentioning

confidence: 99%

Early operative outcome of pericardiectomy for symptomatic chronic tuberculous constrictive pericarditis

Jan¹,

Imran²,

Aqeel³

et al. 2019

Int. j. endorsing health sci. res.

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show abstract

“…In the first issue, HF, [1] dyspnoea, [4] hypertension in the young [5] and valvular heart disease [6] were reviewed. In the second issue, infective endocarditis [7] and pericardial disease [8] were discussed. The final edition provided an evidence-based and pragmatic approach to chest pain and acute coronary syndromes [9] and suspected tachyarrhythmias in the emergency room.…”

Section: Ntusi Et Al Respondmentioning

confidence: 99%

Topic reviews need to be robust

et al. 2016

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“…In the first issue, heart failure, [7] dyspnoea, [8] hypertension in the young [9] and valvular heart disease [10] were reviewed. In the second issue, the important clinical problems of infective endocarditis [11] and pericardial disease [12] were discussed. The current edition provides an evidence-based and pragmatic approach to acute coronary syndromes and chest pain, [13] and suspected tachyarrhythmias in the emergency room.…”

mentioning

confidence: 99%