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Post pericardiotomy syndrome

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https://www.readbyqxmd.com/read/27761786/post-pericardiotomy-syndrome
#1
Balaji K Tamarappoo, Allan L Klein
Post-pericardiotomy syndrome (PPS) occurs in a subgroup of patients who have undergone cardiothoracic surgery and is characterized by fever, pleuritic pain, pleural effusion, and pericardial effusion. It is associated with significant morbidity, and the leading complications include tamponade and constrictive pericarditis. Epidemiologic studies have found that PPS often occurs among younger patients; however, there is a lack of comprehensive risk stratification. It is therefore important to be able to identify patients who are at high risk for developing this disease...
November 2016: Current Cardiology Reports
https://www.readbyqxmd.com/read/27580061/colchicine-for-prevention-and-treatment-of-cardiac-diseases-a-meta-analysis
#2
Nikos Papageorgiou, Alexandros Briasoulis, George Lazaros, Massimo Imazio, Dimitris Tousoulis
AIMS: Colchicine has been suggested to be beneficial in preventing recurrent pericarditis. The goal of this study was to review all randomized controlled trials that assess the use of colchicine for the prevention and treatment of cardiac diseases. METHODS: We performed a meta-analysis of the effects of colchicine on pericarditis, post-pericardiotomy syndrome and post-procedural atrial fibrillation recurrence, in-stent restenosis, gastrointestinal adverse effects and treatment discontinuation rates...
August 31, 2016: Cardiovascular Therapeutics
https://www.readbyqxmd.com/read/27406462/effects-of-colchicine-on-pericardial-diseases-a-review-of-the-literature-and-current-evidence
#3
REVIEW
Syed Raza Shah, Richard Alweis, Syed Arbab Shah, Mohammad Hussham Arshad, Adil Al-Karim Manji, Arham Amir Arfeen, Maheen Javed, Syed Muhammad Shujauddin, Rida Irfan, Sakina Shabbir, Shehryar Shaikh
Colchicine, extracted from the colchicum autumnale plant, used by the ancient Greeks more than 20 centuries ago, is one of the most ancient drugs still prescribed even today. The major mechanism of action is binding to microtubules thereby interfering with mitosis and subsequent modulation of polymorphonuclear leukocyte function. Colchicine has long been of interest in the treatment of cardiovascular disease; however, its efficacy and safety profile for specific conditions have been variably established in the literature...
2016: Journal of Community Hospital Internal Medicine Perspectives
https://www.readbyqxmd.com/read/27010149/value-of-the-neutrophil-to-lymphocyte-ratio-in-predicting-post-pericardiotomy-syndrome-after-cardiac-surgery
#4
U Sevuk, A Bilgic, R Altindag, E Baysal, B Yaylak, M S Adiyaman, S Akkaya, N Ay, V Alp
OBJECTIVE: Post-pericardiotomy syndrome (PPS) occurs in 10-40% of patients after cardiac surgery. PPS is considered an autoimmune phenomenon. The neutrophil-to-lymphocyte ratio (NLR) is a novel inflammatory marker that is associated with various cardiovascular diseases. Studies have reported that the NLR increases in certain autoimmune diseases. This study examined whether the NLR is helpful to predict the occurrence of PPS after elective on-pump coronary artery bypass graft (CABG) surgery...
March 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/26979508/colchicine-in-addition-to-conventional-therapy-for-pericarditis-recurrence-an-update-meta-analysis
#5
Y-L Li, S-B Qiao, J-Y Wang, Y-M Chen, J Luo, H-F Zhang
BACKGROUND: Randomized controlled trials (RCTs) have investigated the use of colchicine and conventional therapy for reducing the recurrence of pericarditis in patients with acute pericarditis or post-pericardiotomy syndrome. However, the benefits of these treatments are variable. METHODS: Studies were retrieved from PubMed, the Cochrane Library, and the EMBASE database. RESULTS: We identified nine RCTs with 1832 patients and a mean follow-up of 13...
March 15, 2016: Herz
https://www.readbyqxmd.com/read/26739039/the-post-pericardiotomy-syndrome-causing-cardiac-tamponade-and-pleural-effusion-in-a-patient-that-underwent-mitral-valve-replacement
#6
Kazim Ergunes, Hasan Iner, Ismail Yurekli, Orhan Gokalp, Ufuk Yetkin, Ali Gurbuz
No abstract text is available yet for this article.
December 16, 2015: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/25859311/predictors-of-post-pericardiotomy-low-cardiac-output-syndrome-in-patients-with-pericardial-effusion
#7
Feridoun Sabzi, Reza Faraji
INTRODUCTION: Pathological involvement of pericardium by any disease that resulting in effusion may require decompression and pericardiectomy. The current article describes rare patients with effusion who after pericadiectomy and transient hemodynamic improvement rapidly developed progressive heart failure and subsequent multi organ failure. METHODS: During periods of five years, 423 patients in our hospital underwent pericardiotomy for decompression of effusion...
2015: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/25688661/the-cardiovascular-effects-of-colchicine-a-comprehensive-review
#8
REVIEW
Paola Casanova, Rosa T Artola, Christos G Mihos, Andres M Pineda, Orlando Santana
Colchicine is used extensively in the treatment of autoimmune and inflammatory disorders. Recent data have demonstrated additional benefit in a variety of cardiovascular disorders, including acute and recurrent pericarditis, postpericardiotomy syndrome, atrial fibrillation, stable ischemic heart disease, and possibly chronic heart failure. This article serves as a focused and updated discussion on the cardiovascular effects of colchicine and emphasizes the importance of randomized, placebo-controlled trials to further our clinical and pharmacological understanding of these findings...
November 2015: Cardiology in Review
https://www.readbyqxmd.com/read/25334513/an-interesting-case-of-postpericardiotomy-syndrome
#9
Arvind Kalyan Sundaram, Patrick Gordan, Robert Campbell, Vladamir Birjinuik
SESSION TITLE: Pleural Student/Resident Case Report PostersSESSION TYPE: Medical Student/Resident Case ReportPRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PMINTRODUCTION: Post-pericardiotomy syndrome (PPS) is a common complication following cardio-thoracic surgery (CTS). Studies have shown Colchicine to be effective for the prevention of PPS. Although available, there are less data for the treatment of PPS with Colchicine. We present a case of a patient diagnosed with PPS who had persistent symptoms necessitating treatment with Colchicine...
October 1, 2014: Chest
https://www.readbyqxmd.com/read/25306427/clinical-features-associated-with-adverse-events-in-patients-with-post-pericardiotomy-syndrome-following-cardiac-surgery
#10
M Chadi Alraies, Wael Al Jaroudi, Cyrus Shabrang, Hirad Yarmohammadi, Allan L Klein, Balaji K Tamarappoo
Postpericardiotomy syndrome (PPS) may be associated with tamponade and pericardial constriction that may require procedural intervention. The aim of this study was to identify clinical features associated with adverse events requiring procedural intervention in patients with PPS. A total of 239 patients who developed PPS after cardiac surgery were monitored for 12 months. PPS was diagnosed if 2 of the 5 following findings were present: fever without infection, pleuritic pain, friction rub, pleural effusion, and pericardial effusion (<60 days after surgery)...
November 1, 2014: American Journal of Cardiology
https://www.readbyqxmd.com/read/25293428/post-pericardiotomy-syndrome-in-pediatric-patients-following-surgical-closure-of-secundum-atrial-septal-defects-incidence-and-risk-factors
#11
Howard J Heching, Emile A Bacha, Leonardo Liberman
Surgical repair for atrial septal defects (ASD) generally occurs during childhood. Post-pericardiotomy syndrome (PPS) after cardiac surgery has a reported incidence of 1-40 %. We focused exclusively on secundum ASD repair to evaluate the incidence of PPS. The purpose of this study is to determine the incidence of PPS after surgical repair of secundum ASD and investigate what risk factors may be predictive of its development. A retrospective study was performed, and 97 patients who underwent surgical closure of a secundum ASD were identified...
March 2015: Pediatric Cardiology
https://www.readbyqxmd.com/read/24547535/post-pericardiotomy-and-related-syndromes
#12
J W HARTHORNE, C WILLIAMS, E F BLAND
No abstract text is available yet for this article.
1964: A Listing of Research in the Cardiovascular Field
https://www.readbyqxmd.com/read/23816016/rationale-and-design-of-the-colchicine-for-prevention-of-the-post-pericardiotomy-syndrome-and-post-operative-atrial-fibrillation-copps-2-trial-a-randomized-placebo-controlled-multicenter-study-on-the-use-of-colchicine-for-the-primary-prevention-of-the-postpericardiotomy
#13
REVIEW
Massimo Imazio, Riccardo Belli, Antonio Brucato, Paolo Ferrazzi, Davide Patrini, Luigi Martinelli, Vincenzo Polizzi, Roberto Cemin, Anna Leggieri, Alida L P Caforio, Yaron Finkelstein, Brian Hoit, Bernhard Maisch, Bongani M Mayosi, Jae K Oh, Arsen D Ristic, Petar Seferovic, David H Spodick, Yehuda Adler
BACKGROUND: The efficacy and safety of colchicine for the primary prevention of the postpericardiotomy syndrome (PPS), postoperative effusions, and postoperative atrial fibrillation (POAF) remain uncertain. Although preliminary data from a single trial of colchicine given for 1 month postoperatively (COPPS trial) were promising, the results have not been confirmed in a large, multicenter trial. Moreover, in the COPPS trial, colchicine was given 3 days postoperatively. METHODS: The COPPS-2 study is a multicenter, double-blind, placebo-controlled randomized trial...
July 2013: American Heart Journal
https://www.readbyqxmd.com/read/23726665/transjugular-tricuspid-valve-in-valve-implantation
#14
Stefano Salizzoni, Michele La Torre, Cristina Barbero, Walter Grosso Marra, Claudio Moretti, Maurizio D'Amico, Mauro Rinaldi
A 60 year-old female underwent tricuspid valve replacement in 2002. Post-operative recovery was complicated by severe post-pericardiotomy-syndrome. Seven years later she underwent transcatheter valve-in-valve implantation through the right jugular vein because of early prosthesis deterioration. Moreover intra-operative transoesophageal echocardiography showed an important right-to-left shunt through the patent foramen ovale that immediately disappeared after the deployment of a 29-mm Sapien-XT. The patient had an immediate and dramatic improvement in day-by-day activities...
December 2013: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/23040075/post-cardiac-injury-syndromes-an-emerging-cause-of-pericardial-diseases
#15
REVIEW
Massimo Imazio, Brian D Hoit
The term "post-cardiac injury syndromes" includes post-myocardial infarction pericarditis, post-pericardiotomy syndrome, and post-traumatic pericarditis (iatrogenic, i.e. after percutaneous coronary or intracardiac interventions, such as pacemaker lead insertion, radiofrequency ablation, or non-iatrogenic, i.e. following blunt or penetrating trauma). All these conditions represent different clinical conditions characterized by an initial cardiac injury involving the pericardium/myocardium and/or pleura and the subsequent inflammatory syndrome ranging from simple, uncomplicated pericarditis to more complicated cases with pleuropericarditis, cardiac tamponade or massive pleural effusion...
September 30, 2013: International Journal of Cardiology
https://www.readbyqxmd.com/read/22526225/postpericardiotomy-syndrome-a-proposal-for-diagnostic-criteria
#16
Massimo Imazio, Antonio Brucato, Paolo Ferrazzi, David H Spodick, Yehuda Adler
The post-pericardiotomy syndrome (PPS) affects 10-40% of patients after cardiac surgery, depending on the adopted diagnostic criteria, institution and type of surgery. On this basis, there is a need for standardized criteria for epidemiological and clinical purposes, which we propose on the basis of the largest published clinical trials on PPS prevention. Proposed diagnostic criteria for the PPS include: fever without alternative causes, pleuritic chest pain, friction rub, evidence of new or worsening pleural effusion, and evidence of new or worsening pericardial effusion...
May 2013: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/22487945/the-post-pericardiotomy-syndrome
#17
REVIEW
Massimo Imazio
PURPOSE OF REVIEW: The postpericardiotomy syndrome (PPS) is a relatively common complication following cardiac surgery, whose epidemiology is not well known because there are no standardized definitions. The aim of the present study is to review more recent updates on the diagnosis, therapy, prognosis, and especially prevention of the PPS. RECENT FINDINGS: Recent studies suggest that it is time to develop standardized criteria for the diagnosis of the PPS to allow early recognition and treatment...
July 2012: Current Opinion in Pulmonary Medicine
https://www.readbyqxmd.com/read/22360943/is-possible-to-prevent-the-post-pericardiotomy-syndrome
#18
EDITORIAL
Massimo Imazio, Antonio Brucato, Yehuda Adler
The post-pericardiotomy syndrome (PPS) is not uncommon following cardiac surgery and may be a cause of severe complications (cardiac tamponade, large pleural effusion), hospital stay prolongation, and readmissions. The estimated incidence of the syndrome has a relatively wide range affecting from 10 to 40% of patients, depending on the adopted diagnostic criteria, institution, and type of cardiac surgery. On this basis, there is a need for standardized criteria for epidemiological and clinical purposes. These criteria should be adopted in future clinical trials and studies on the PPS as well...
August 9, 2012: International Journal of Cardiology
https://www.readbyqxmd.com/read/22090167/colchicine-reduces-postoperative-atrial-fibrillation-results-of-the-colchicine-for-the-prevention-of-the-postpericardiotomy-syndrome-copps-atrial-fibrillation-substudy
#19
RANDOMIZED CONTROLLED TRIAL
Massimo Imazio, Antonio Brucato, Paolo Ferrazzi, Maria Elena Rovere, Anna Gandino, Roberto Cemin, Stefania Ferrua, Riccardo Belli, Silvia Maestroni, Caterina Simon, Edoardo Zingarelli, Alberto Barosi, Fabrizio Sansone, Davide Patrini, Ettore Vitali, Rita Trinchero, David H Spodick, Yehuda Adler
BACKGROUND: Inflammation and pericarditis may be contributing factors for postoperative atrial fibrillation (POAF), and both are potentially affected by antiinflammatory drugs and colchicine, which has been shown to be safe and efficacious for the prevention of pericarditis and the postpericardiotomy syndrome (PPS). The aim of the Colchicine for the Prevention of the Post-Pericardiotomy Syndrome (COPPS) POAF substudy was to test the efficacy and safety of colchicine for the prevention of POAF after cardiac surgery...
November 22, 2011: Circulation
https://www.readbyqxmd.com/read/21932964/evaluation-and-management-of-pericarditis
#20
REVIEW
Massimo Imazio
Pericarditis may be caused by infectious or noninfectious noxa. Most cases are labeled as 'idiopathic' because the traditional diagnostic approach often fails to identify the etiology. Most important causes are presumed to be viruses in countries with a low prevalence of tuberculosis and tuberculosis in developing countries. Noninfectious pericarditis mainly includes autoimmune systemic diseases, post-pericardiotomy syndromes and neoplastic pericardial disease. Treatment should be targeted to the cause, but remains empirical with NSAIDs and the possible adjunct of colchicine in idiopathic cases...
September 2011: Expert Review of Cardiovascular Therapy
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