Document Detail

A 63-year-old woman with a pericardial effusion, bilateral pleural effusions, and ascites: is the whole greater than the sum of its parts?
MedLine Citation:
PMID:  20529107     Owner:  NLM     Status:  MEDLINE    
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.
Dina M Sparano; Priya Kohli; Martha Gulati
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  27     ISSN:  1540-8175     ISO Abbreviation:  Echocardiography     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-06-09     Completed Date:  2010-10-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  United States    
Other Details:
Languages:  eng     Pagination:  454-9     Citation Subset:  IM    
Division of Cardiology, Department of Medicine, Northwestern University, Chicago, Illinois 60611, USA.
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MeSH Terms
Ascites / complications*
Diagnosis, Differential
Dyspnea / complications
Edema / complications
Electrocardiography / methods
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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