2015 ESC Guidelines for the diagnosis and management of pericardial diseases

Adler, Yehuda; Charron, Philippe; Imazio, Massimo; Badano, Luigi P.; Barón-Esquivias, Gonzalo; Bogaert, Jan; Brucato, Antonio; Guéret, Pascal; Klingel, Karin; Lionis, Christos; Maisch, Bernhard; Mayosi, Bongani M.; Pavie, Alain; Ristić, Arsen D.; Tenas, Manel Sabaté; Seferović, Petar; Swedberg, Karl; Tomkowski, Witold

doi:10.5603/kp.2015.0228

Cited by 164 publications

(291 citation statements)

References 192 publications

(543 reference statements)

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“…In this case, a large amount of intervention with minimal access with less effect on hemodynamics and general condition of the patient. With the development of technical equipment, virology and molecular biology, the diagnostic value of the epicardium and pericardium is gradually increasing [16,17]. Sight biopsy of the altered sections of the pericardium is justifiable in cases of tuberculosis, purulent, neoplasm pericarditis and pericarditis, which are not subject to standard treatment methods [18,19].…”

Section: Discussionmentioning

confidence: 99%

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Role of the Pericardioscopy in the Treatment of Pericardial Effusion

Pisklova

2018

EUREKA: Health Sciences

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In recent years surgical treatment of pericardial effusion has been favoured by mini-invasive interventions. Pericardioscopy supplements it. In the literature actively discusses its expediency, efficiency and informativeness.Aim of the study. Analyze our experience of using pericardioscopy during surgical treatment of pericardial effusion using mini-invasive interventions.Materials and methods. From 2000 to 2017, 92 patients with pericardial effusion were operated in our clinic using mini-invasive interventions. Pericardioscopy was used in 72 (78.26 %) cases. In 32 (44.44 %) pericardioscopy was performed with subxiphoid pericardiotomy, in 40 (55.56 %) -with thoracoscopy on the right or left side.Results and discussion. The use of pericardioscopy has allowed to significantly reduce the number of idiopathic pericarditis from 20.0 % to 5.56 % and increase the informativeness of the minimally invasive interventions by 14.44 % (χ 2 =4.11, with ν=1, α=5 %). There is no reliable difference in the number of relapses of the disease.Conclusions. The use of pericardioscopy during mini-invasive interventions is safe and effective. The method of choice in most cases is subxiphoid non-pleural pericardiotomy with pericardioscopy.

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Section: Discussionmentioning

confidence: 99%

“…Despite the great popularity of mini-invasive interventions and pericardioscopy among researchers, there are currently no large randomized trials and clear, proven recommendations for their use [17,20].…”

Section: Discussionmentioning

confidence: 99%

Role of the Pericardioscopy in the Treatment of Pericardial Effusion

Pisklova

2018

EUREKA: Health Sciences

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“…However, studies in the literature [10,11,12] suggest that their association with specific therapy is associated with decreased mortality, decreased frequency of pericardiocentesis or pericardiotomy. Non steroidal anti-inflammatory drugs were administered to 77.5% of patients according to guidelines [13] (Figure 4). The evolution under treatment is a valuable argument in the management of this complication in our working context as in the African series [14].…”

Section: Discussionmentioning

confidence: 99%

Pericardial Tamponade: Diagnostic and Evolutive Aspects in a Cardiology Department in Dakar, Senegal

Js¹

2017

OAJC

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Tamponade is one of the major complications of pericarditis which is immediately life threatening. The objective of the study was to evaluate the diagnostic and evolutive aspects of pericardial tamponade in a cardiology department of Dakar.We included 40 patients who had a tamponade with a file that could be exploited over a period of 3 years and 6 months (January 2010 to June 2014). The mean age of the patients was 41 years (range between 15 and 80 years). There was a male predominance with a sex ratio (23/17) of 1.35.Signs were dominated by dyspnea (95.0%), pain (85.0%) and fever (40%). Signs of poor hemo dynamic tolerance were evidenced by weak peripheral pulses (21.16%), paradoxical pulse (5%), and hypotension and/or shock (15.0%).The diagnostic means, besides the clinic examination, was mainly by conducting an echocardiography. Thus, there was a proto-mesodiastolic collapse of RV in 82.5% of cases, a telediastolic collapse of the right atrium in 87.5% of cases, a fibrin network in 55% of cases.Emergency treatment with per cutaneous pericardiocentesis was performed in all our patients using the subxiphoid approach. There was a favorable evolution in 77.5% of cases. Were corded 8 cases (or 20%) of death in all admitted cases.Pericardial tamponade is a medical emergency. The diagnosis is easy using echocardiography but the etiological diagnosis is always problematic in our working context.

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“…1 In the UK, the majority of cases are idiopathic and likely viral in origin, in contrast to ABSTRACT the situation in the developing world where tuberculosis is a common cause. 2 Patients typically complain of chest pain which is central, worse with inspiration or when lying down and improved by sitting up/forward. Auscultation may reveal a characteristic pericardial friction rub, although this can be evanescent and can require repeated evaluation for detection.…”

Section: Diagnosis and Initial Investigationmentioning

confidence: 99%

Acute pericarditis: Update on diagnosis and management

Ismail

2020

Clinical Medicine

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Acute pericarditis accounts for ∼5% of presentations with acute chest pain. Tuberculosis is an important cause in the developing world, however, in the UK and other developed settings, most cases are idiopathic/viral in origin. Nonsteroidal anti-inflammatory drugs (NSAIDs) remain the cornerstone of treatment. At least one in four patients are at risk of recurrence. The addition of 3 months of colchicine can more than halve the risk of this (number needed to treat = four). Low-dose steroids can be helpful second-line agents for managing recurrences as adjuncts to NSAIDs and colchicine but should not be used as first-line agents. For patients failing this approach and/or dependent on corticosteroids, the interleukin-1β antagonist anakinra is a promising option, and for the few patients who are refractory to medical therapy, surgical pericardiectomy can be considered. The long-term prognosis is good with <0.5% risk of constriction for patients with idiopathic acute pericarditis.

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2015 ESC Guidelines for the diagnosis and management of pericardial diseases

Cited by 164 publications

References 192 publications

Role of the Pericardioscopy in the Treatment of Pericardial Effusion

Role of the Pericardioscopy in the Treatment of Pericardial Effusion

Pericardial Tamponade: Diagnostic and Evolutive Aspects in a Cardiology Department in Dakar, Senegal

Acute pericarditis: Update on diagnosis and management

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