Document Detail

Doppler echocardiographic signs to differentiate between chronic lung disease and right ventricular dysfunction in a child with calcified pericardium.
MedLine Citation:
PMID:  19651017     Owner:  NLM     Status:  In-Process    
A 7 year-old girl was admitted with history of low-grade fever, weight loss and occasional cough for the last 6 months. Tuberculosis was suspected, for which antituberculous treatment was initiated. Chest X-ray demonstrated calcification of the pericardium with chest miliary shadowing. CT chest was done showing very fine sharply defined miliary nodularity throughout both lungs without mediastinal lymphadenopathy. The patient was referred to paediatric cardiology service to rule out constrictive pericarditis. Clinical cardiac examination as well as the electrocardiogram was normal. Echocardiography and Doppler were done showing normal cardiac anatomy and function apart from the detected pericardial calcification. Doppler tracing in the hepatic vein as well as in the superior vena cava could clearly exclude any negative effect on diastolic cardiac function, which could occur in the setup of pericardial calcification. Doppler, instead helped to identify the chronic pulmonary disease by showing increased inflow velocity throughout inspiration.
Maged Mohamed El Samady; Abdulrahman Al Moukirish; Liv K Hatle; Amin M Arfi; Muhammad Omar Galal
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the College of Physicians and Surgeons--Pakistan : JCPSP     Volume:  19     ISSN:  1022-386X     ISO Abbreviation:  J Coll Physicians Surg Pak     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9606447     Medline TA:  J Coll Physicians Surg Pak     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  518-9     Citation Subset:  IM    
Prince Salman Heart Centre, King Fahad Medical City, Riyadh, Saudi Arabai.
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