Pericarditis. Clinical Guidelines 2022

Arutyunov, G. P.; Paleev, F. N.; Tarlovskaya, E. I.; Моисеева, О. М.; Arutyunov, A G; Козиолова, Н. А.; Чесникова, А. И.; Rebrov, A. P.; Шапошник, И. И.; Petrova, M. M.; Grigorieva, N. Yu.; Fomin, I. V.; Orlova, Ya. A.; Malchikova, S. V.; Koroleva, L. Yu.; Nosov, V. P.; Ayvazyan, S. A.; Zayratyants, O. V.; Sinitsyn, V. E.; Vasyuk, Yu. A.; Gendlin, G. E.; Dragunov, D. O.; Sokolova, A. V.; Irtyuga, O. B.

doi:10.15829/1560-4071-2023-5398

Russ J Cardiol

2023

DOI: 10.15829/1560-4071-2023-5398

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Pericarditis. Clinical Guidelines 2022

G. P. Arutyunov¹,

F. N. Paleev²,

E. I. Tarlovskaya³

et al.

Abstract: Russian Society of Cardiology (RSC)With the participation of the Eurasian Association of Therapists, the Russian Scientific Medical Society of Therapists (RNMOT), the Russian Society of Pathologists, the Russian Society of Radiologists and Radiologists (RSR)Approved by the Scientific and Practical Council of the Russian Ministry of Health (30.09.2022)

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Cited by 12 publications

References 264 publications

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Hydropericardium in hypothyroidism. Features of the clinic, diagnosis and treatment

Bondar,

Chesnochenko,

Krasnopevtseva

2024

Clin Exp Thyroid

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Thyroid hormone deficiency negatively affects the state of the cardiovascular system, causing the formation of a «myxedematous heart». The frequency and clinical features of primary hypothyroidism in 84 patients discharged from the endocrinology department of the RCH in 2017-2022 were retrospectively analyzed. Pericardial effusion was registered in 9 people (10.7%). Massive effusion with separation of pericardial leaflets from 30 to 50 mm and the threat of tamponade was in 4 out of 9 patients. Even with a large volume of pericardial effusion, classic symptoms such as shortness of breath, orthopnea, chest pain, and a feeling of fullness were absent or poorly expressed. Differential diagnosis with diseases accompanied by accumulation of fluid in the pericardial cavity was required. Indicators of thyroid status made it possible to associate the hydropericardium with decompensation or hypothyroidism for the first time. Thyroid hormone replacement therapy led to the disappearance of hypothyroidism symptoms and a decrease in the hydropericardium. With a high risk of tamponade in 3 patients, therapy was supplemented with pericardiocentesis. A clinical observation of successful treatment with thyroid hormones in combination with pericardiocentesis of severe newly diagnosed hypothyroidism against the background of autoimmune thyroiditis with massive pericardial effusion is presented.

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Hydropericardium in hypothyroidism. Features of the clinic, diagnosis and treatment

Bondar,

Chesnochenko,

Krasnopevtseva

2024

Clin Exp Thyroid

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Transient constrictive pericarditis in Bruton disease: a case report

Kruchinova,

Skaletsky,

Donets

et al. 2024

Russ J Cardiol

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Introduction. Constrictive pericarditis is a long-term consequence of any pathological process developing in the pericardium due to fibrinous thickening and calcification of its layers, which prevents normal cardiac diastolic filling. One of its forms is transient constrictive pericarditis, which resolves after anti-inflammatory therapy.Brief description. A 19-year-old man with Bruton disease was admitted to the clinic with complaints of severe weakness, shortness of breath at rest, cough, chest pain, hyperthermia to 380 C, decreased blood pressure to 80/60 mm Hg, and abdominal distension. During the initial echocardiography, the results did not raise serious suspicions. However, given the rather specific interventricular septum motion, pericardial constriction was suspected.Discussion. During the additional examination, echocardiography made it possible to verify constrictive pericarditis, which was subsequently confirmed by heart catheterization. Due to significant immunoglobulin level deviations, a decision was made to resume immunoglobulin replacement therapy, followed by a clinical status reassessment.The article presents a clinical description of a patient with constrictive pericarditis, which was a manifestation of Bruton disease. During follow-up, resolution of constriction was noted with resumption of immunoglobulin replacement therapy.

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Cardio-rheumatology: present and future. Part I

Ma,

Wang,

Mazurov

et al. 2024

HERALD of North-Western State Medical University named after I.

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Patients suffering from rheumatic diseases are at high risk of the development and accelerated progression of cardiovascular due to inflammation as one of the etiological factors of atherogenesis and heart failure. To choose the rational and safe treatment, especially in comorbid patients, it is necessary to have a comprehensive and complete understanding of the mechanisms of these relationships, as well as the most accurate determination of cardiovascular risk using modern validated scales. The first part of the review presents the results of current experimental and clinical studies on the effect of the chronic inflammatory and its biomarkers on the development, course and prognosis of cardiovascular diseases.

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Pericarditis. Clinical Guidelines 2022

Cited by 12 publications

References 264 publications

Hydropericardium in hypothyroidism. Features of the clinic, diagnosis and treatment

Hydropericardium in hypothyroidism. Features of the clinic, diagnosis and treatment

Transient constrictive pericarditis in Bruton disease: a case report

Cardio-rheumatology: present and future. Part I

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