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有创血流动力学评估在诊断缩窄性心包炎中的应用：一例报告

The Utility of Invasive Hemodynamic Assessment in Diagnosing Constrictive Pericarditis: A Case Report.

作者信息

Mohammed Fawaz, Haider Sajjad, Dawson Dowe Jacqueline, Akbar Muhammad, Abdul-Waheed Mohammad

机构信息

Internal Medicine, University of Kentucky College of Medicine, Bowling Green, USA.

Cardiology, University of Kentucky College of Medicine, Bowling Green, USA.

出版信息

Cureus. 2024 Jun 29;16(6):e63454. doi: 10.7759/cureus.63454. eCollection 2024 Jun.

DOI:10.7759/cureus.63454
PMID:39077257
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11285088/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ef8/11285088/73a1bfe28794/cureus-0016-00000063454-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ef8/11285088/624cf10cd836/cureus-0016-00000063454-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ef8/11285088/cd0f8c67ecb6/cureus-0016-00000063454-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ef8/11285088/c711058e678c/cureus-0016-00000063454-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ef8/11285088/73a1bfe28794/cureus-0016-00000063454-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ef8/11285088/624cf10cd836/cureus-0016-00000063454-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ef8/11285088/cd0f8c67ecb6/cureus-0016-00000063454-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ef8/11285088/c711058e678c/cureus-0016-00000063454-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ef8/11285088/73a1bfe28794/cureus-0016-00000063454-i04.jpg

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本文引用的文献

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A case report of constrictive pericarditis: a forgotten cause of refractory ascites.缩窄性心包炎病例报告：难治性腹水被遗忘的病因
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Int J Cardiovasc Imaging. 2015 Apr;31(4):859-66. doi: 10.1007/s10554-015-0616-z. Epub 2015 Feb 12.
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Cardiac magnetic resonance imaging pericardial late gadolinium enhancement and elevated inflammatory markers can predict the reversibility of constrictive pericarditis after antiinflammatory medical therapy: a pilot study.心脏磁共振成像心包晚期钆增强和炎症标志物升高可预测抗炎药物治疗后缩窄性心包炎的可逆性：一项初步研究。
Circulation. 2011 Oct 25;124(17):1830-7. doi: 10.1161/CIRCULATIONAHA.111.026070. Epub 2011 Oct 3.
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Constrictive pericarditis, still a diagnostic challenge: comprehensive review of clinical management.缩窄性心包炎，仍然是一个诊断挑战：全面回顾临床管理。
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