| Diastolic hibernation masquerading as constrictive pericarditis. | |
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MedLine Citation:
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PMID: 9591176 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Hibernating myocardium has traditionally been characterized in terms of systolic dysfunction. METHODS: We describe a case in which a 75-year-old patient with significant coronary artery disease was operated upon for classic constrictive pericarditis. RESULTS: At sternotomy, there was no evidence of pericarditis, but marked diastolic without systolic dysfunction remained. After successful coronary revascularization, the patient immediately exhibited dramatic improvement of diastolic performance. Ex vivo evaluation of myocardial contractile function revealed normal myocardial adrenergic responsiveness, indicating a reversible impairment of contractility. CONCLUSION: Diastolic hibernation may therefore represent a unique form of surgically correctable restrictive cardiomyopathy. |
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Authors:
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B S Cain; D R Meldrum; K S Joo; R J Davis; A H Harken |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Journal of cardiac surgery Volume: 12 ISSN: 0886-0440 ISO Abbreviation: J Card Surg Publication Date: 1997 Jul-Aug |
Date Detail:
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Created Date: 1998-07-29 Completed Date: 1998-07-29 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 8908809 Medline TA: J Card Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 235-7 Citation Subset: IM |
Affiliation:
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Department of Surgery, University of Colorado, Denver 80262, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Cardiomyopathy, Restrictive / diagnosis, physiopathology, surgery Coronary Artery Bypass Coronary Disease / diagnosis, physiopathology, surgery Diagnostic Errors Diastole / physiology* Humans Male Myocardial Contraction / physiology Myocardial Stunning / diagnosis*, physiopathology, surgery Pericarditis, Constrictive / diagnosis*, physiopathology, surgery Systole / physiology |
| Grant Support | |
ID/Acronym/Agency:
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GM-08315/GM/NIGMS NIH HHS; HL-43696/HL/NHLBI NIH HHS; HL-44186/HL/NHLBI NIH HHS |
| Comments/Corrections | |
Comment In:
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J Card Surg. 1997 Jul-Aug;12(4):238-9
[PMID:
9591177
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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