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pericarditis guidelines

Joachim Seichter, Bernhard Schieffer
In 2015, an updated version of the ESC guidelines on pericardial diseases was published. The new guidelines summarize findings in the area of etiology, diagnosis and therapy of pericardial diseases and introduce an algorithm to diagnose pericarditis. Additionally, criteria for hospital submission were introduced. The use of multimodal imaging procedures was emphasized and medical as well as interventional therapy strategies were adapted to current knowledge.
September 2016: Deutsche Medizinische Wochenschrift
Daniele Sartorio, Carmine Siniscalchi, Claudio Reverberi, Nicola Gaibazzi
BACKGROUND AND AIM: According to the published data and guidelines the diagnosis of pericarditis is mainly clinical; if we exclude patients with pericardial effusion, no single study has been able to relate specific echocardiographic findings to acute pericarditis. We hypothesized that pericardial hyperechogenicity and a defined finding that we named "pericardial comets", in analogy to lung comets, may be associated with acute pericarditis. METHODS: We retrospectively analysed the echocardiograms of patients aged <50 y/o with a confirmed pericarditis diagnosis and compared them with 2 prospectively healthy controls groups (either < or > 50 y/o) to detect a potential association of pericardial hyperechogenicity and/or pericardial comets with acute pericarditis...
2016: Acta Bio-medica: Atenei Parmensis
Apurva Patel, Roosha Parikh, Kanhaiya L Poddar, Stephen G Ellis, E Murat Tuzcu, Samir R Kapadia
BACKGROUND: Current guidelines emphasize timely coronary intervention with a door to balloon time of ≤90min for favorable survival impact after STEMI. Efforts to achieve these targets may result in unnecessary emergent angiography for inappropriate activations. OBJECTIVE: Evaluate the frequency, trend and factors which are significantly associated with inappropriate for intervention cardiac catheterization laboratory (CCL) activation. METHODS: We analyzed 1764 consecutive emergent CCL activation for possible ST segment elevation myocardial infarction (STEMI) between 7/2005 and 8/2013...
June 2016: Cardiovascular Revascularization Medicine: Including Molecular Interventions
Alexander Fardman, Philippe Charron, Massimo Imazio, Yehuda Adler
Pericardial diseases are not uncommon in daily clinical practice. The spectrum of these syndromes includes acute and chronic pericarditis, pericardial effusion, constrictive pericarditis, congenital defects, and neoplasms. The extent of the high-quality evidence on pericardial diseases has expanded significantly since the first international guidelines on pericardial disease management were published by the European Society of Cardiology in 2004. The clinical practice guidelines provide a useful reference for physicians in selecting the best management strategy for an individual patient by summarizing the current state of knowledge in a particular field...
May 2016: Current Cardiology Reports
Philipp Grätzel
No abstract text is available yet for this article.
October 22, 2015: MMW Fortschritte der Medizin
Guy Van Camp, Agnes Pasquet, Peter Sinnaeve, Georges H Mairesse, Michel De Pauw, Marc J Claeys
No abstract text is available yet for this article.
February 2016: Acta Cardiologica
Dor Lotan, Yishay Wasserstrum, Alexander Fardman, Michael Kogan, Yehuda Adler
Idiopathic recurrent pericarditis (IRP) is a debilitating illness which leads to great suffering and multiple hospitalizations. Management of acute pericarditis and subsequent recurrences has evolved significantly as the use of colchicine-based strategies become more prevalent, yet there still remains a subset of patients who remain refractory to colchicine therapy, and these patients require prolonged corticosteroid (CS) therapy for the control of symptoms. Since the 1960s, there have been reports of successful management of these cases with immunosuppressive therapy...
March 1, 2016: American Journal of Cardiology
Syed Wamique Yusuf, Saamir A Hassan, Elie Mouhayar, Smita I Negi, Jose Banchs, Patrick T O'Gara
Pericardial disease is infrequently encountered in cardiovascular practice, but can lead to significant morbidity and mortality. Clinical data and practice guidelines are relatively sparse. Early recognition and prompt treatment of pericardial diseases are critical to optimize patient outcomes. In this review we provide a concise summary of acute pericarditis, constrictive pericarditis and pericardial effusion/tamponade.
2016: Expert Review of Cardiovascular Therapy
Yehuda Adler, Philippe Charron, Massimo Imazio, Luigi Badano, Gonzalo Baron-Esquivias, Jan Bogaert, Antonio Brucato, Pascal Gueret, Karin Klingel, Christos Lionis, Bernhard Maisch, Bongani Mayosi, Alain Pavie, Arsen D Ristic, Manel Sabaté Tenas, Petar Seferovic, Karl Swedberg, Witold Tomkowski
No abstract text is available yet for this article.
December 2015: Giornale Italiano di Cardiologia
B Maisch
Eleven years after the publication of the first guidelines worldwide on pericardial diseases by the European Society of Cardiology (ESC), the international expert group of the ESC has updated the original document of 28 pages with 275 references. The final version of the new guidelines is more voluminous with 44 pages of recommendations but only 233 references. A continuing medical education (CME) certified update of the 2004 guidelines was published in the journal Herz volume 7/2014. In comparison to 2004 the 2015 guidelines have remained virtually unchanged in the sections detailing diagnostics, differential diagnosis, pathology and pathophysiology...
December 2015: Herz
Raquel Ferreira, Anabela Gonzaga, Luís Santos, José António Santos
Recurrent right-sided heart failure after pericardiectomy may be caused by incomplete pericardiectomy, recurrent constriction, diastolic dysfunction or myocardial involvement. Identifying recurrent constrictive pericarditis (CP) in patients who have recurring symptoms after pericardiectomy is challenging, since the characteristic Doppler echocardiographic features may not be present if a portion of the ventricles are free of constricting pericardium, and there are no diagnostic or treatment guidelines for management of recurrent CP...
June 2015: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
Massimo Imazio, George Lazaros, Elisa Picardi, Panagiotis Vasileiou, Fabrizio Orlando, Mara Carraro, Dimitris Tsiachris, Charalambos Vlachopoulos, George Georgiopoulos, Dimitrios Tousoulis, Riccardo Belli, Fiorenzo Gaita
OBJECTIVE: Data on the incidence of new onset atrial fibrillation and flutter (AF/f) in patients with acute pericarditis are limited. We sought to determine the incidence and prognostic significance of AF/f in this setting. METHODS: Between January 2006 and June 2014, consecutive new cases of acute pericarditis were included in two urban referral centres for pericardial diseases. All new cases of AF/f defined as episodes lasting ≥30 s were recorded. Events considered during follow-up consisted of AF/f and pericarditis recurrence, cardiac tamponade, pericardial constriction and death...
September 2015: Heart: Official Journal of the British Cardiac Society
B Maisch
Physical training has a well-established role in the primary and secondary prevention of coronary artery disease. Moderate exercise has been shown to be beneficial in chronic stable heart failure. Competitive sports, however, is contraindicated in most forms of hypertrophic cardiomyopathy (HCM), in myocarditis, in pericarditis, and in right ventricular cardiomyopathy/dysplasia. In most European countries, the recommendations of medical societies or public bodies state that these diseases have to be ruled out by prescreening before an individual can take up competitive sports...
May 2015: Herz
Ha Youn Lee, Joohae Kim, Yong Suk Jo, Young Sik Park
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a safe and effective diagnostic tool for mediastinal evaluation. The guidelines for mediastinal evaluation of lung cancer were recently revised for both endoscopic procedures and surgical medical staging, and EBUS-TBNA is expected to be used more often in lung cancer diagnosis and staging. The major complication rate reported in previous meta-analyses is very low at 0.07-.15%; however, the mortality rate has not been reported. We present 2 cases of acute bacterial pericarditis after EBUS-TBNA, with 1 case resulting in mortality, and we discuss the appropriate management...
October 2015: European Journal of Cardio-thoracic Surgery
Abdel Rahman A Al Emam, Ahmed Almomani, Syed A Gilani
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome. It occurs predominantly among younger females and typically in the absence of atherosclerotic coronary artery disease. It is associated with peripartum period, connective tissue disorders, vasculitides, and extreme exertion. Presentations vary greatly, and this condition can be fatal. Given its rarity, there are no guidelines for management of SCAD. We present the cases of two female patients, with no coronary artery disease risk factors or recent pregnancy, who were presented with non-ST elevation myocardial infarction (NSTEMI) and ST elevation myocardial infarction (STEMI), respectively, secondary to SCAD...
December 2014: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
B Maisch, A D Ristić
This article describes the diagnostics, differential diagnostics, multimodal imaging, medicinal and invasive diagnostic therapy of acute and chronic pericarditis, constrictive pericarditis, pericardial effusion and cardiac tamponade under etiological aspects and on the basis of the guidelines of the European Society of Cardiology (ESC). The starting point of the decision tree is the symptomatic patient with echocardiographic evidence of pericardial effusion. The principle feature of the diagnostics is the etiopathogenetic allocation of the pericardial disease which influences the clinical picture, course therapy and prognosis...
November 2014: Herz
Bernard Cosyns, Sven Plein, Petros Nihoyanopoulos, Otto Smiseth, Stephan Achenbach, Maria Joao Andrade, Mauro Pepi, Arsen Ristic, Massimo Imazio, Bernard Paelinck, Patrizio Lancellotti
Although pericardial diseases are common in the daily clinical practice and can result in a significant morbidity and mortality, imaging of patients with suspected or known pericardial disorders remain challenging. Multimodality imaging is part of the management of pericardial diseases. Echocardiography, cardiac computed tomography, and cardiovascular magnetic resonance are often used as complementary imaging modalities. The choice of one or multiple imaging modalities is driven by the clinical context or conditions of the patient...
January 2015: European Heart Journal Cardiovascular Imaging
Meral Ekim, Hasan Ekim
OBJECTIVES: Purulent pericarditis is a collection of purulent effusion in the pericardial space. It has become a rare entity with the increased availability and use of antibiotics. In contrast to pleural empyema, there are few data regarding the biochemical parameters of purulent pericardial effusion to aid diagnosis. Therefore, in this study, we have evaluated the diagnostic utility of biochemical tests in patients with purulent pericarditis. METHODS: Between September 2004 and September 2012, we treated fifteen children with purulent pericarditis and tamponade...
July 2014: Pakistan Journal of Medical Sciences Quarterly
Sarfraz Saleemi
Hereditary hemoglobin disorders affecting the globin chain synthesis namely thalassemia syndromes and sickle cell disease (SCD) are the most common genetic disorders in human. Around 7% of the world population carries genes for these disorders, mainly the Mediterranean Basin, Middle and Far East, and Sub-Saharan Africa. An estimated 30 million people worldwide are living with sickle cell disease, while 60-80 million carry beta thalassemia trait. About 400,000 children are born with severe hemoglobinopathies each year...
July 2014: Annals of Thoracic Medicine
Maunank Shah, Caitlin Reed
PURPOSE OF REVIEW: Diagnosis and management of tuberculosis (TB) remains challenging and complex because of the heterogeneity of disease presentations. Despite effective treatment, TB disease can lead to significant short-and long-term health consequences. We review potential acute and chronic complications of TB disease and current management approaches. RECENT FINDINGS: Acute and subacute complications of TB disease are attributable to structural damage or vascular compromise caused by Mycobacterium tuberculosis, as well as metabolic abnormalities and host inflammatory responses...
October 2014: Current Opinion in Infectious Diseases
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