Mohammed Fawaz, Haider Sajjad, Dawson Dowe Jacqueline, Akbar Muhammad, Abdul-Waheed Mohammad
Internal Medicine, University of Kentucky College of Medicine, Bowling Green, USA.
Cardiology, University of Kentucky College of Medicine, Bowling Green, USA.
Cureus. 2024 Jun 29;16(6):e63454. doi: 10.7759/cureus.63454. eCollection 2024 Jun.
Pericarditis leading to constrictive physiology is rarely diagnosed given its vague presentation. Abnormal diastolic filling from a stiff pericardium brings about signs and symptoms consistent with right-sided heart failure. We report the case of a 57-year-old female who presented with worsening shortness of breath and signs of volume overload. Chest computed tomography showed evidence of pericardial calcifications with pericardial effusion. Further evaluation with right heart catheterization suggested findings diagnostic of constrictive pericarditis.
鉴于其表现模糊,导致缩窄性生理改变的心包炎很少被诊断出来。僵硬心包引起的舒张期充盈异常会带来与右心衰竭一致的体征和症状。我们报告一例57岁女性病例,该患者出现气短加重和容量超负荷体征。胸部计算机断层扫描显示有心包钙化伴心包积液的证据。右心导管检查的进一步评估提示缩窄性心包炎的诊断结果。