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一例以大、反复发作性心包积液为表现的罕见限制型心肌病。

A Rare Case of Restrictive Cardiomyopathy Presenting With Large, Recurrent Pericardial Effusions.

机构信息

State University of New York Upstate Medical University, Syracuse, USA.

出版信息

J Investig Med High Impact Case Rep. 2021 Jan-Dec;9:23247096211058487. doi: 10.1177/23247096211058487.

DOI:10.1177/23247096211058487
PMID:34845915
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8637386/
Abstract

The association between large pericardial effusion and restrictive cardiomyopathy (RCM) is uncommon and has seldom been described. We describe an uncommon case of a 31-year-old male with RCM who presented with large, recurrent pericardial effusion, heart failure, and echocardiographic findings showing progressive worsening of diastolic function even after total pericardiectomy who was eventually transferred for cardiac transplant evaluation.

摘要

大心包积液与限制型心肌病(RCM)之间的关联并不常见,很少有相关描述。我们描述了一例罕见的 31 岁男性 RCM 病例,该患者表现为大、反复发作的心包积液、心力衰竭以及超声心动图表现出舒张功能进行性恶化,甚至在全心包切除术之后仍然如此,最终转诊进行心脏移植评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d0e/8637386/43903f868345/10.1177_23247096211058487-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d0e/8637386/e5d719da7418/10.1177_23247096211058487-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d0e/8637386/43903f868345/10.1177_23247096211058487-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d0e/8637386/e5d719da7418/10.1177_23247096211058487-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d0e/8637386/43903f868345/10.1177_23247096211058487-fig4.jpg

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1
A Rare Case of Restrictive Cardiomyopathy Presenting With Large, Recurrent Pericardial Effusions.一例以大、反复发作性心包积液为表现的罕见限制型心肌病。
J Investig Med High Impact Case Rep. 2021 Jan-Dec;9:23247096211058487. doi: 10.1177/23247096211058487.
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本文引用的文献

1
Constrictive Pericarditis Versus Restrictive Cardiomyopathy?缩窄性心包炎与限制型心肌病?
J Am Coll Cardiol. 2016 May 3;67(17):2061-76. doi: 10.1016/j.jacc.2016.01.076.
2
Management of pericardial effusion.心包积液的处理。
Eur Heart J. 2013 Apr;34(16):1186-97. doi: 10.1093/eurheartj/ehs372. Epub 2012 Nov 2.
3
A case of restrictive cardiomyopathy presenting in fetal life with an isolated pericardial effusion.胎儿期以孤立性心包积液为表现的限制性心肌病 1 例。
Ultrasound Obstet Gynecol. 2010 Mar;35(3):369-72. doi: 10.1002/uog.7510.
4
Cardiac tamponade, constrictive pericarditis, and restrictive cardiomyopathy.心脏压塞、缩窄性心包炎和限制型心肌病。
Curr Probl Cardiol. 2004 Sep;29(9):503-67. doi: 10.1016/j.cpcardiol.2004.03.002.
5
Should pericardial drainage be performed routinely in patients who have a large pericardial effusion without tamponade?对于有大量心包积液但无心脏压塞的患者,是否应常规进行心包引流?
Am J Med. 1998 Aug;105(2):106-9. doi: 10.1016/s0002-9343(98)00192-2.