| Pericardial disease: diagnosis and management. | |
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MedLine Citation:
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PMID: 20511488 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pericardial diseases can present clinically as acute pericarditis, pericardial effusion, cardiac tamponade, and constrictive pericarditis. Patients can subsequently develop chronic or recurrent pericarditis. Structural abnormalities including congenitally absent pericardium and pericardial cysts are usually asymptomatic and are uncommon. Clinicians are often faced with several diagnostic and management questions relating to the various pericardial syndromes: What are the diagnostic criteria for the vast array of pericardial diseases? Which diagnostic tools should be used? Who requires hospitalization and who can be treated as an outpatient? Which medical management strategies have the best evidence base? When should corticosteroids be used? When should surgical pericardiectomy be considered? To identify relevant literature, we searched PubMed and MEDLINE using the keywords diagnosis, treatment, management, acute pericarditis, relapsing or recurrent pericarditis, pericardial effusion, cardiac tamponade, constrictive pericarditis, and restrictive cardiomyopathy. Studies were selected on the basis of clinical relevance and the impact on clinical practice. This review represents the currently available evidence and the experiences from the pericardial clinic at our institution to help guide the clinician in answering difficult diagnostic and management questions on pericardial diseases. |
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Authors:
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Masud H Khandaker; Raul E Espinosa; Rick A Nishimura; Lawrence J Sinak; Sharonne N Hayes; Rowlens M Melduni; Jae K Oh |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Mayo Clinic proceedings. Mayo Clinic Volume: 85 ISSN: 1942-5546 ISO Abbreviation: Mayo Clin. Proc. Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-31 Completed Date: 2010-06-18 Revised Date: 2011-03-03 |
Medline Journal Info:
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Nlm Unique ID: 0405543 Medline TA: Mayo Clin Proc Country: United States |
Other Details:
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Languages: eng Pagination: 572-93 Citation Subset: AIM; IM |
Affiliation:
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Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cardiac Tamponade
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diagnosis,
therapy Heart Diseases / diagnosis, therapy Humans Pericardial Effusion / therapy Pericarditis / diagnosis, drug therapy Pericarditis, Constrictive / diagnosis Pericardium* / abnormalities |
| Comments/Corrections | |
Comment In:
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Mayo Clin Proc. 2010 Sep;85(9):866; author reply 866
[PMID:
20810799
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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