The changing etiology of constrictive pericarditis in a large referral center

Schiavone, William A.

doi:10.1016/0002-9149(86)90087-1

Cited by 36 publications

(12 citation statements)

References 10 publications

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“…The high proportion of postsurgical CP (36%) in our study is due to the large number of cardiac surgeries performed at our institution (approximately 68,000 cardiac surgeries were performed between 1977 and 2000). Constrictive pericarditis as a complication of prior cardiac surgery occurred in 0.09% and is similar to prior estimates of 0.025% to 0.35% (5,27,29). In the postradiation subgroup, 11 patients (73%) received mediastinal radiation for lymphomas and 2 patients (13%) for breast cancer, which is similar to previous studies (3,5,6,8,10 -13).…”

Section: Discussionsupporting

confidence: 89%

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Constrictive pericarditis: etiology and cause-specific survival after pericardiectomy

Bertog

Thambidorai

Parakh

et al. 2004

Journal of the American College of Cardiology

418

170

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Section: Discussionsupporting

confidence: 89%

“…In our series, 31% of patients had radiographically demonstrated CA. This is similar to 38% in seven previous studies (3,5,7,9,27,31,32) with a total of 640 patients. Pericardial calcification was more commonly associated with idiopathic CP.…”

supporting

confidence: 89%

Constrictive pericarditis: etiology and cause-specific survival after pericardiectomy

Bertog

Thambidorai

Parakh

et al. 2004

Journal of the American College of Cardiology

418

170

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“…The recent global trend in the etiology of CP is that the prevalence of Tbc is decreasing significantly, and clinical importance of cardiac surgery and mediastinal irradiation is increasing dramatically due to the increase of old population and high incidences of coronary artery disease, chronic renal disease, and thoracic tumor (9,10). In Korea, however, Tbc is still the most frequent identifiable etiology of CP.…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of Constrictive Pericarditis Diagnosed by Echo-Doppler Technique in Korea

Yang

Song

et al. 2001

J Korean Med Sci

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A retrospective analysis of clinical data of 71 patients with constrictive pericarditis (CP) diagnosed by echo-Doppler technique (mean age, 49+/-17) was done. In 27 patients (38%), the etiology was unknown, and the three most frequent identifiable causes were tuberculosis (23/71, 32%), cardiac surgery (8/71, 11%), and mediastinal irradiation (6/71, 9%). Pericardiectomy was performed in 35 patients (49%) with a surgical mortality of 6% (2/35), and 11 patients (15%, 11/ 71) showed complete resolution of constrictive physiology with medical treatment. Patients with transient CP were characterized by absence of pericardial calcification, shorter symptom duration, and higher incidence of fever, weight loss, and tuberculosis. The 5-yr survival rates of patients with transient CP and those undergoing pericardiectomy were 100% and 85+/-6%, respectively, which were significantly higher than that of patients without undergoing pericardiectomy (33+/-17%, p=0.0083). Mediastinal irradiation, higher functional class, low voltage in ECG, low serum albumin, and old age were the independent variables associated with a higher mortality. Tuberculosis is still the most important etiology of CP in Korea, and not infrequently, it may cause transient CP. Early diagnosis and decision-making using follow-up echocardiography are crucial to improve the prognosis of patients with CP.

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“…Infectious diseases that contribute uncommon and rarer causes of constrictive pericarditis are Lassa fever. ?6 Legionella p n e~r n o n i a ,~~ meningococcaI,38 47 Nonpenetratir~g~~ or penetrating trauma49 to the pericardium, including penetration of pacing catheters into the pericardial sac, may lead to constrictive pericarditis. A peculiar instance of traumatic hemopericardium leading to constrictive pericarditis resulted from self-mutilation by sewing needles inserted through the chest wall.50…”

Section: Etiology Of Constrictive Pericarditismentioning

confidence: 99%

Constrictive pericarditis

Mehta¹,

Mehta²,

Jain³

1999

Clinical Cardiology

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Summary:The diagnosis of constrictive pericarditis remains a challenge because its physical findings and hemodynamics mimic restrictive cardiomyopathy. Various diagnostic advances over the years enable us to differentiate between these two conditions. This review begins with a case report of constriclive pericarditis, followed by a brief history and discussions of etiologies. Clinical features, radiologic, electrocardiographic, angiographic findings, and hemodynamics of constrictive pericarditis are reviewed. The echocardiographic findings are detailed and the recent advances in Doppler flow velocity patterns of pulmonary, mitral, tricuspid valves and hepatic veins are reported. Nuclear ventriculograms depict rapid ventricular filling in constrictive pericarditis and differentiate it from restrictive cardiomyopathy. Endomyocardial biopsy helps further in recognizing the various types of restrictive cardiomyopathies. Computed tomography and magnetic resonance imaging delineate abnormal pericardial thickness in constrictive pericarditis. Association of characteristic hemodynamic changes and abnormal pericardial thickness > 3 mm usually confirms the diagnosis of constrictive pericarditis. Effusive and occult varieties of constrictive pericarditis are briefly described. This review concludes with emphasizing the importance of pericardial resection.

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The changing etiology of constrictive pericarditis in a large referral center

Cited by 36 publications

References 10 publications

Constrictive pericarditis: etiology and cause-specific survival after pericardiectomy

Constrictive pericarditis: etiology and cause-specific survival after pericardiectomy

Clinical Characteristics of Constrictive Pericarditis Diagnosed by Echo-Doppler Technique in Korea

Constrictive pericarditis

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