| A 63-year-old woman with a pericardial effusion, bilateral pleural effusions, and ascites: is the whole greater than the sum of its parts? | |
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MedLine Citation:
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PMID: 20529107 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 63-year-old female presented with dyspnea, leg edema, and abdominal distention. Exam revealed blood pressure of 104/58, pulse 108/min, jugular venous pressure of 8 cm, no pulsus paradoxus, a pericardial rub, muffled heart sounds, decreased basilar breath sounds, ascites, and ankle edema. Electrocardiogram showed low voltage. Imaging revealed thickened pericardium and a pericardial effusion. Hemodynamic tracings postpericardiocentesis revealed elevated right-sided pressures. The patient was diagnosed with effusive constrictive pericarditis. The case and review of this condition are described. Patients with a pericardial effusion and symptoms unresponsive to pericardiocentesis or with pericardial thickening should undergo evaluation for effusive-constrictive pericarditis. |
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Authors:
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Dina M Sparano; Priya Kohli; Martha Gulati |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Echocardiography (Mount Kisco, N.Y.) Volume: 27 ISSN: 1540-8175 ISO Abbreviation: Echocardiography Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-06-09 Completed Date: 2010-10-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8511187 Medline TA: Echocardiography Country: United States |
Other Details:
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Languages: eng Pagination: 454-9 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Department of Medicine, Northwestern University, Chicago, Illinois 60611, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Ascites
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complications* Diagnosis, Differential Dyspnea / complications Edema / complications Electrocardiography / methods Female Humans Magnetic Resonance Imaging / methods Middle Aged Pericardial Effusion / complications* Pericarditis, Constrictive / complications*, diagnosis* Pericardium / pathology, radiography Pleural Cavity / pathology, radiography Pleural Effusion / complications* Tomography, X-Ray Computed / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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