conclusions cmr with stir sequences, free breathing sequences and late gadolinium imaging can prove extremely useful for diagnosing constrictive pericarditis. case presentation a 77-year-old man from a country with high incidence of tuberculosis presented with severe dyspnea. echocardiography revealed a small left ventricle with normal systolic and mildly impaired diastolic function. left heart...

We present the case of a 64-year-old, immunocompetent woman with untreated hypothyroidism, who was admitted with massive pericardial effusion. She had no clinical signs or echocardiographic evidence of pericardial tamponade. To our surprise, cultures of pericardial fluid grew salmonella enteritidis. Hypothyroidism is a known, but rare cause of pericardial effusion. Due to its insidious onset an...

celiac disease is an autoimmune disorder that affected 1% of all population in united state. classic manifestations ofdisease consist of early childhood diarrhea, malabsorption, steatorrhea and growth retardation but disease can affects adult at any age. in adult anemia is a more frequent finding. this patient was a 40-year-old lady with progressive fatigue and lower extremities pitting edema. ...

Chylopericardium is an uncommon and benign condition in which triglyceride-containing chylous fluid collects in the pericardial cavity at high concentrations. Usually, chylopericardium occurs due to congenital malformation of lymphatic vessels or secondary to any trauma, surgeries, neoplasms, etc. However, if exact aetiology cannot be identified, the condition is referred to as Idiopathic chylo...

BACKGROUND Diagnosing pericardial effusion is critical for optimal patient care. Typically, clinicians use physical examination findings and historical features suggesting pericardial effusion to determine which patients require echocardiography. The diagnostic characteristics of these tools are not well described. The objective of this study is to determine the prevalence of historical feature...

Experimental studies have shown that right ventricular filling pressure (that is, intracavitary diastolic pressure) approximates pericardial surface pressure but, in many patients after removal of pericardial effusion, right ventricular filling pressure has been found to markedly exceed pericardial pressure recorded by an open catheter. The aim of this study was to determine whether this appare...

Pericardial adiposity is strongly associated with increased cardiovascular risk, especially for coronary artery disease. However, until 2010 researchers have not focused on the mechanistic role of pericardial fat in atrial fibrillation (AF) pathogenesis. Only a limited number of studies have reported on the significant association between pericardial fat and AF prevalence, and the role of peric...

Background: Electrocardiographic changes may manifest in patients with pericardial effusions. PR segment changes are frequently overlooked, but when present, can provide diagnostic significance. The diagnostic value of PR segment changes in determining benign versus malignant pericardial disease in cancer patients with pericardial effusions has not been investigated. We aimed to determine the r...

Pyrexia of unknown origin (PUO) is a common problem in day-to-day practice. FDG PET CT is an established investigation that aids in identifying the cause of PUO. Due to its high sensitivity PET detects an occult hypermetabolic focus in the body where CT helps in anatomical localization, vascularity, enhancement characteristics of the lesion detected on PET. It helps to differentiate benign vers...

To elucidate the clinical characteristics associated with pericardial effusion in the early phase of myocardial infarction, 330 patients with acute Q wave infarction were studied. According to echocardiography, 83 patients had pericardial effusion on the third day of hospitalization, and careful auscultation revealed that a pericardial rub was absent in 45 patients and was present in 38 patient...