Chronic Constrictive Pericarditis
Constrictive pericarditis (CP) is a rare clinical entity that can pose diagnostic problems. The diagnosis of CP requires a high degree of clinical suspicion. The gold standard for diagnosis is cardiac catheterization with analysis of intracavitary pressure curves, which are high and, in end diastole...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2013/957497 |
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| author | Hossein Doustkami Afshin Hooshyar Nasrollah Maleki Zahra Tavosi Iraj Feizi |
| author_facet | Hossein Doustkami Afshin Hooshyar Nasrollah Maleki Zahra Tavosi Iraj Feizi |
| author_sort | Hossein Doustkami |
| collection | DOAJ |
| description | Constrictive pericarditis (CP) is a rare clinical entity that can pose diagnostic problems. The diagnosis of CP requires a high degree of clinical suspicion. The gold standard for diagnosis is cardiac catheterization with analysis of intracavitary pressure curves, which are high and, in end diastole, equal in all chambers. We present a patient with unexplained dyspnea, recurrent right-side pleural effusion, and ascites. Analysis of the ascitic fluid revealed a high protein content and an elevated serum-ascites gradient. Echocardiography, computed tomography, and cardiac catheterization revealed the diagnosis of CP. He underwent complete pericardiectomy and to date has made a good recovery. The diagnosis of CP is often neglected by admitting physicians, who usually attribute the symptoms to another disease process. This case exemplifies the difficulty in diagnosing this condition, as well as the investigation required, and provides a discussion of the benefit and outcomes of prompt treatment. |
| format | Article |
| id | doaj-art-f6c3f76fa38d488e9cd6979f8a4f0dff |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-f6c3f76fa38d488e9cd6979f8a4f0dff2025-02-03T01:23:24ZengWileyCase Reports in Cardiology2090-64042090-64122013-01-01201310.1155/2013/957497957497Chronic Constrictive PericarditisHossein Doustkami0Afshin Hooshyar1Nasrollah Maleki2Zahra Tavosi3Iraj Feizi4Interventional Cardiology, Department of Cardiology, Imam Khomeini Hospital, Ardabil University of Medical Sciences, IranDepartment of Internal Medicine, Imam Khomeini Hospital, Ardabil University of Medical Sciences, Ardabil, IranDepartment of Internal Medicine, Imam Khomeini Hospital, Ardabil University of Medical Sciences, Ardabil, IranDepartment of Internal Medicine, Shohadaye Khalije Fars Hospital, Bushehr University of Medical Sciences, Bushehr, IranDepartment of Cardiothoracic Surgery, Imam Khomeini Hospital, Ardabil University of Medical Sciences, Ardabil, IranConstrictive pericarditis (CP) is a rare clinical entity that can pose diagnostic problems. The diagnosis of CP requires a high degree of clinical suspicion. The gold standard for diagnosis is cardiac catheterization with analysis of intracavitary pressure curves, which are high and, in end diastole, equal in all chambers. We present a patient with unexplained dyspnea, recurrent right-side pleural effusion, and ascites. Analysis of the ascitic fluid revealed a high protein content and an elevated serum-ascites gradient. Echocardiography, computed tomography, and cardiac catheterization revealed the diagnosis of CP. He underwent complete pericardiectomy and to date has made a good recovery. The diagnosis of CP is often neglected by admitting physicians, who usually attribute the symptoms to another disease process. This case exemplifies the difficulty in diagnosing this condition, as well as the investigation required, and provides a discussion of the benefit and outcomes of prompt treatment.http://dx.doi.org/10.1155/2013/957497 |
| spellingShingle | Hossein Doustkami Afshin Hooshyar Nasrollah Maleki Zahra Tavosi Iraj Feizi Chronic Constrictive Pericarditis Case Reports in Cardiology |
| title | Chronic Constrictive Pericarditis |
| title_full | Chronic Constrictive Pericarditis |
| title_fullStr | Chronic Constrictive Pericarditis |
| title_full_unstemmed | Chronic Constrictive Pericarditis |
| title_short | Chronic Constrictive Pericarditis |
| title_sort | chronic constrictive pericarditis |
| url | http://dx.doi.org/10.1155/2013/957497 |
| work_keys_str_mv | AT hosseindoustkami chronicconstrictivepericarditis AT afshinhooshyar chronicconstrictivepericarditis AT nasrollahmaleki chronicconstrictivepericarditis AT zahratavosi chronicconstrictivepericarditis AT irajfeizi chronicconstrictivepericarditis |