Pericardial Diseases

Madron, Éric de

doi:10.1016/b978-0-323-31650-7.00017-x

Cited by 2 publications

(6 citation statements)

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“…Constrictive pericarditis (CP) can be defined as a chronic inflammation of the pericardium, characterised by a thickened, non‐compliant, rigid and fibrotic pericardium. This condition restricts cardiac chamber expansion during diastole and as a consequence, cardiac filling and diastolic function are impeded 1,2 . End‐diastolic ventricular filling can be severely impaired and the total blood volume within the heart remains relative constant, which leads to a fixed stroke volume state 3 …”

Section: Introductionmentioning

confidence: 99%

“…CP is not common in dogs and cats and its aetiology in most of the cases remains unclear (idiopathic) 1–5 . Clinical presentation of CP can be non‐specific and clinical signs are similar to those seen in right‐sided congestive heart failure (CHF).…”

Section: Introductionmentioning

confidence: 99%

“…This condition restricts cardiac chamber expansion during diastole and as a consequence, cardiac filling and diastolic function are impeded. 1,2 End-diastolic ventricular filling can be severely impaired and the total blood volume within the heart remains relative constant, which leads to a fixed stroke volume state. 3 CP is not common in dogs and cats and its aetiology in most of the cases remains unclear (idiopathic).…”

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confidence: 99%

“…3 CP is not common in dogs and cats and its aetiology in most of the cases remains unclear (idiopathic). [1][2][3][4][5] Clinical presentation of CP can be non-specific and clinical signs are similar to those seen in right-sided congestive heart failure (CHF). Tachycardia is described as the predominant sign due to the fixed stroke volume state, but pleural and pericardial effusions, ascites, fluid overload, decreased CO and fatigue can also be seen.…”

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confidence: 99%

“…The diagnosis of CP can be complex because the presentation can be similar to that found in restrictive myocardiopathies, right-sided CHF and some non-cardiac conditions. [1][2][3][6][7][8] The only definitive treatment of patients with established constriction is pericardiectomy, although perioperatively medical management with digoxin and beta-blockers has been described. 2,3 Atrial fibrillation (AF), although uncommon in patients with CP, is considered the most common non-physiologic supraventricular tachyarrhythmia in dogs.…”

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confidence: 99%

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Anaesthetic management in a dog with constrictive pericarditis complicated with bi‐atrial enlargement and atrial fibrillation undergoing subtotal pericardiectomy

Martínez¹,

Charlesworth²,

Francis³

2022

Vet Record Case Reports

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A 2‐year 8‐month‐old female dobermann presented for a recheck after previous crown reduction and vital pulp therapy. On cardiac auscultation, rapid and irregularly irregular heart rhythm and irregular and asynchronous pulses were detected. On electrocardiogram and transthoracic echocardiogram, findings were suggestive of constrictive pericarditis complicated with bi‐atrial enlargement and atrial fibrillation. Subtotal pericardiectomy was performed. The patient was premedicated with methadone (0.2 mg/kg intravenously), and anaesthesia was induced with midazolam (0.2 mg/kg intravenously) and propofol (60 mg), and maintained with isoflurane in oxygen. Constant‐rate infusions of fentanyl (0.1–0.2 µg/kg/min) and lidocaine (50 µg/kg/min) were administered. Dobutamine (1–5 µg/kg/min) helped to maintain mean arterial blood pressure above 65 mmHg. Fluid resuscitation and noradrenaline infusion (0.1 µg/kg/min) started after constriction was released to optimise preload. Haemodynamic support and ventricular rate control continued during the immediate postoperative period. Recovery from general anaesthesia was uneventful.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%