4,158 results match your criteria: "Pericarditis Acute"

Background: Rilonacept inhibits the interleukin-1 pathway, and extended treatment in patients with recurrent pericarditis (RP) reduced recurrence risk by 98% in the phase 3 trial, RHAPSODY long-term extension (LTE). Severe acute respiratory syndrome (SARS)-CoV-2 vaccination and/or infection may trigger pericarditis recurrence, and in clinical practice, it is unknown whether to continue rilonacept during SARS-CoV-2 infection. This post-hoc analysis of the RHAPSODY LTE aimed to inform rilonacept management in RP patients vaccinated against SARS-CoV-2 or who contract COVID-19.

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Introduction: The introduction of Bruton's tyrosine kinase (BTK) inhibitors significantly improved the management of chronic lymphocytic leukemia (CLL). However, BTK carry the risk of cardiotoxicity, which is not only limited to atrial fibrillation. .

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Acute graft rejection mimicking constrictive pericarditis after heart transplantation. A case report.

Arch Peru Cardiol Cir Cardiovasc

June 2024

Instituto Cardiovascular, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina. Instituto Cardiovascular Ciudad Autónoma de Buenos Aires, Buenos Aires Argentina.

Article Synopsis
  • Constrictive pericarditis (CP) is a rare complication that can occur after heart transplantation, often due to issues like mediastinitis, fluid build-up, or organ rejection.
  • This condition may be confused with symptoms of organ rejection or restrictive cardiomyopathy, making diagnosis challenging.
  • The case study discusses a 43-year-old man who developed symptoms of right congestive heart failure 1.5 years post-heart transplant, initially leading to a diagnosis of constrictive pericarditis.
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COVID-related constrictive pericarditis requiring pericardiectomy: a case report.

J Cardiothorac Surg

July 2024

Department of Surgery, Division of Cardiac Surgery, Jefferson-Einstein Medical Center, Philadelphia, PA, USA.

Article Synopsis
  • - The COVID-19 pandemic initially appeared to primarily affect the respiratory system, but numerous patients developed additional symptoms, including significant cardiac issues like myocarditis and pericarditis.
  • - One reported case details a patient who developed constrictive pericarditis three years after a COVID-19 infection, which initially presented with loss of smell and taste, followed by severe chest and leg symptoms.
  • - The patient's condition required a surgical procedure called pericardiectomy due to thickening of the pericardium, marking it as the first known instance of requiring such an operation for COVID-19-related constrictive pericarditis, with significant improvement noted post-surgery.
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Asymptomatic Chronic Large Pericardial Effusions: To Drain or to Observe?

J Clin Med

July 2024

First Cardiology Department, School of Medicine, Hippokration General Hospital, National and Kapodistrian University of Athens, Vas. Sofias 114, 11527 Athens, Greece.

Pericardial effusions, especially large ones, have traditionally been regarded with concern by clinicians due to the sometimes unpredictable development of life-threatening cardiac tamponade. In the European Society of Cardiology Guidelines on pericardial diseases, the simplified algorithm for pericardial effusion triage and management recommends pericardial drainage in cases of cardiac tamponade and/or suspicion of bacterial or neoplastic etiology. In the presence of acute pericarditis, empiric anti-inflammatory treatment should be given, while when a specific indication known to be associated with pericardial effusion is found, then treatment of the underlying cause is indicated.

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Article Synopsis
  • Pulmonary issues in systemic juvenile idiopathic arthritis (SJIA) are uncommon but pose serious risks, with various known risk factors, including macrophage activation syndrome and specific immune responses.
  • A study examined the characteristics and outcomes of SJIA patients with respiratory system involvement (RSI), finding that 25% showed signs of RSI at the onset, which was associated with more severe symptoms and complications.
  • Among those with RSI, 10% later developed fibrosing interstitial lung disease (ILD), and patients showed a high prevalence of severe relapsed disease and a need for careful monitoring and management of their condition.
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Article Synopsis
  • A study was conducted to explore how age affects the clinical characteristics, treatment, and outcomes of acute pericarditis, particularly focusing on older adults.
  • Researchers analyzed 471 patients divided into four age groups and found that younger patients experienced more symptoms like chest pain and were more often treated with colchicine and NSAIDs.
  • In contrast, older patients had more severe complications, such as dyspnoea and hospitalizations, but experienced fewer recurrences of pericarditis.
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Cardiovascular effects of COVID-19 in children.

Ann Acad Med Singap

October 2023

Division of Cardiac Critical Care, UH Rainbow Babies & Children's Hospital, Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, Ohio, United States.

Introduction: Although severe acute respiratory failure is the primary cause of morbidity and mortality in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, this viral infection leads to cardiovascular disease in some individuals. Cardiac effects of the virus include myocarditis, pericarditis, arrhythmias, coronary aneurysms and cardiomyopathy, and can result in cardiogenic shock and multisystem organ failure.

Method: This review summarises cardiac manifesta-tions of SARS-CoV-2 in the paediatric population.

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Colchicine is one of the oldest drugs in medicine. Traditionally used to treat and prevent gouty attacks, it has been introduced into cardiovascular medicine for the treatment and prevention of pericarditis, starting from the positive experience in the treatment and prevention of polyserositis in familial mediterranean fever. Colchicine is a lipophilic drug that enters the cells and is eliminated by glycoprotein P.

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Gastropericardial fistula is a rare, extremely serious and life-threatening condition. Its most common aetiology is secondary to iatrogenic injury following gastric surgery. Clinical manifestations may be non-specific with precordial pain, simulating an acute coronary syndrome, and may be accompanied by electrocardiogram abnormalities.

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Pathogenic mechanisms of cardiovascular damage in COVID-19.

Mol Med

June 2024

Department of Infectious Diseases, HIV/AIDS Clinical Treatment Center of Guangxi (Nanning), The Fourth People's Hospital of Nanning, No. 1 Erli, Changgang Road, Nanning, Guangxi, 530023, People's Republic of China.

Background: COVID-19 is a new infectious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS CoV-2). Since the outbreak in December 2019, it has caused an unprecedented world pandemic, leading to a global human health crisis. Although SARS CoV-2 mainly affects the lungs, causing interstitial pneumonia and severe acute respiratory distress syndrome, a number of patients often have extensive clinical manifestations, such as gastrointestinal symptoms, cardiovascular damage and renal dysfunction.

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Acute myocardial infarction (AMI) in young patients is an important issue because of its impact on health and social life. The mechanisms and disease courses of ST-elevation myocardial infarction (STEMI) in young individuals may differ from those in the elderly. Behcet disease (BD) is a multisystem autoimmune disorder of unknown etiology.

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Aims: Heart failure (HF) elicits a pro-inflammatory state, which is associated with impaired clinical outcomes, but no anti-inflammatory therapies have demonstrated a clinical benefit yet. Inflammatory pathways related with the interleukin-1 axis are overactivated during episodes of acute HF. Colchicine, an anti-inflammatory drug with proven benefits in acute pericarditis and ischaemic heart disease, may target this inflammatory response.

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Being an uncommon and challenging disorder, acute aortic dissection (AAD) can have fatal outcomes in the event of missed diagnosis or treatment delay. AAD could easily be misdiagnosed, as symptoms usually mimic other common clinical syndromes showing up in Accident and Emergency (A&E), including acute coronary syndrome (ACS), pericarditis, pulmonary embolism, acute abdomen, musculoskeletal pain, as well as presenting as heart failure, stroke, syncope, and absent peripheral pulses. We present a case of a 77-year-old female who presented to the medical decision unit with acute-onset chest, back, and abdominal pain that occurred on standing for six hours She was thought initially to have acute coronary syndrome based on electrocardiography (ECG) changes, troponin, a normal chest X-ray, and no blood pressure discrepancies in upper extremities.

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Background: Immune checkpoint inhibitors (ICIs) can induce cardiovascular toxicities.

Objectives: To prospectively assess the incidence of major cardiovascular events (MACE) on ICIs in solid cancer patients: myocarditis, pericarditis, acute coronary syndrome, heart failure, high-degree conduction abnormalities or sustained ventricular arrhythmias, or cardiovascular death at 6 weeks (early MACE), including asymptomatic clinical changes by an independent adjudication committee using current recommended diagnostic criteria. The secondary objective was the incidence of the above-mentioned events adding atrial fibrillation (AF) at 6 months (late MACE).

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Acute Pericarditis: Rapid Evidence Review.

Am Fam Physician

May 2024

Madigan Army Medical Center Family Medicine Residency Program, Tacoma, Washington; Uniformed Services University of the Health Sciences, Bethesda, Maryland.

Acute pericarditis is defined as inflammation of the pericardium and occurs in approximately 4.4% of patients who present to the emergency department for nonischemic chest pain, with a higher prevalence in men. Although there are numerous etiologies of pericarditis, most episodes are idiopathic and the cause is presumed to be viral.

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Background: The risk of cardiovascular outcomes in the post-acute phase of SARS-CoV-2 infection has been quantified among adults and children. This paper aimed to assess a multitude of cardiac signs, symptoms, and conditions, as well as focused on patients with and without congenital heart defects (CHDs), to provide a more comprehensive assessment of the post-acute cardiovascular outcomes among children and adolescents after COVID-19.

Methods: This retrospective cohort study used data from the RECOVER consortium comprising 19 US children's hospitals and health institutions between March 2020 and September 2023.

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Identifying Post-Acute Sequelae of SARS-CoV-2 Among Children in New York State Medicaid Managed Care.

J Community Health

October 2024

Center for Applied Research and Evaluation, Office of Health Service Quality and Analytics, New York State Department of Health, Albany, NY, 12237, USA.

Persons who contract COVID-19 are at risk of developing post-acute sequelae of SARS-CoV-2 (PASC). The objective of this study was to describe the incidence of PASC in a pediatric Medicaid population. Using a retrospective cohort of children enrolled in New York State Medicaid Managed Care we compared incident diagnoses between children with a positive laboratory test for SARS-CoV-2 in 2021 to children without a positive test in 2021 and children with a viral respiratory diagnosis in 2019.

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The Longitudinal Incidence of Pericarditis in 1.6 Million Patients: A 20-Year Study.

Am J Cardiol

July 2024

Faculty of Medicine, Tel Aviv University, Tel Aviv, Ramat Aviv, Israel; Health Division, Maccabi Healthcare Services, Tel Aviv-Jaffa, Israel. Electronic address:

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Introduction: To determine the proportion of radiationinduced pneumonitis and pericarditis in patients who have received Hypo-fractionated Radiation along with simultaneous integrated boost technique after breast conservative surgery using a prospective observational study from a tertiary hospital.

Materials & Methods: The incidence of radiationinduced pneumonitis and pericarditis was evaluated in all adult patients with biopsy-proven early-stage unilateral breast cancer who underwent breast-conserving surgery followed by hypo-fractionated radiation with a simultaneous integrated boost technique. Baseline assessments including a six-minute walk test, highresolution computed tomography (HRCT), pulmonary function tests (PFTs), electrocardiography (ECG) and echocardiography (ECHO) were performed.

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Background: During pulsed field ablation (PFA), electrode-tissue proximity optimizes lesion quality. A novel "single-shot" map-and-ablate spherical multielectrode PFA array catheter that is able to verify electrode-tissue contact was recently studied in a first-in-human trial of atrial fibrillation (AF).

Objective: The aim of this study was to report lesion durability data, safety, and 12-month effectiveness outcomes.

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