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排序方式: 共有572条查询结果,搜索用时 31 毫秒
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Haseeb Chaudhary Zohaib Yousaf Usama Nasir Tayyab Waheed Khezar Syed 《Clinical Case Reports》2021,9(12)
ST elevations on electrocardiogram (ECG) have a broad differential diagnosis that can vary from benign to more ominous pathologies. These include early repolarization, coronary vasospasm, acute pericarditis, ST‐elevation myocardial infarction, ventricular aneurysms, and dissecting aneurysm of the aorta reaching the pericardium. ST‐segment changes may also provide a clue to the presence of spontaneous pneumomediastinum (SPM). These ECG changes are seldom reported in literature. We describe two SPM cases with concomitant pneumopericardium that closely mimicked acute pericarditis with a deceptive clinical spectrum. 相似文献
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Checkpoint inhibitors are novel and promising anticancer agents. However, acute pericarditis is the second most common chemotherapy‐associated cardiotoxicity and associated with high mortality up to 21%. Cardiac MRI offers a one‐stop‐shop cardiac analysis to precisely detect chemotherapy‐associated cardiotoxicity without nephrotoxic contrast dye and ionizing radiation. 相似文献
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Maurish Fatima MBBS Muhammad H. A. Khan MBBS Muhammad S. Ali MBBS Muhammad Osama MBBS Huzaifa A. Cheema MBBS Aleena Ahmed MBBS Amna Nisar MBBS Muhammad W. Murad MBBS Hareem Farooq MD Muhammad A. U. Rehman MD Sarya Swed Usman A. Akbar MD 《Clinical cardiology》2023,46(3):243-259
Myocarditis and pericarditis have been reported after COVID-19 vaccine administration in children and adolescents, raising the concern about their possible association with these vaccines. The objective was to explore the incidence, clinical presentation, and association of myocarditis and pericarditis with COVID-19 vaccines in children and adolescents. We conducted a systematic literature search on three databases, that is, Cochrane, MEDLINE/PubMed, and EMBASE from inception till March 2022. A total of three case reports, four case series, and six observational studies were included in the review. For case reports and case series, the mean age of the patients was 17.4 years, with 96.9% being male. Chest pain (n = 31, 93.9%), fever (n = 18, 54.5%), myalgias (n = 15, 45.4%) and headache (n = 9, 27.2%) were the most common presentations. Out of 33 patients, 32 (96.9%) of patients received Pfizer-BioNTech whereas only one (3.03%) received Moderna (mRNA 1273). Clinical investigations revealed ST elevation (n = 32, 97%), and elevated CRP (n = 9, 27.2%) and cardiac troponin (n = 29, 87.8%). The pooled incidence of myocarditis and pericarditis from observational studies was (0.00063%) and (0.000074%) %, respectively. Myocarditis and pericarditis in children and adolescents after the COVID-19 vaccines were more prevalent among males and more commonly observed after the second dose of Pfizer. Though the overall incidence was low, however, the clinicians should consider myocarditis and pericarditis as probable diagnosis when encountering young patients, with a history of vaccine administration, presenting with suggestive findings. 相似文献
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Tienan Chen MS Tingting Wang BS Yingqun Yan MD Shuai Qiao MS Xiaona Xu MD Jingjin Che MD PhD Guangping Li MD PhD Huaying Fu MD PhD 《Journal of clinical ultrasound : JCU》2023,51(1):46-50
A 66-year-old woman was admitted to our hospital due to chest distress and shortness of breath during 1 week. Transthoracic echocardiography (TTE) revealed massive pericardial effusion and multiple, irregular and high-density echo “tumor-like” masses on the heart, with the largest one on the apex. However, there were no masses found by computed tomography (CT) scan, except for increased lipids around the coronary artery. We performed emergency pericardiocentesis and drainage to relieve symptoms. The positron emission tomography/CT (PET/CT) also showed several ununiformly high accumulations in pericardial cavity. However, the high-density echo “tumor-like” masses cannot be seen by TTE after pericardiocentesis, and also cannot be detected when surgery. Pericardiotomy was performed due to severe pericardial adhesion. The diagnosis of tuberculosis (TB) was confirmed by pericardiotomy and pericardial biopsy. 相似文献
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Kazuaki Maruyama Kazushi Yasuda Ryoichi Ito Kyoko Imanaka-Yoshida 《Pathology international》2023,73(2):91-96
Multisystem inflammatory syndrome in children (MIS-C), which is associated with the novel coronavirus disease 2019 (COVID-19), has been described as an inflammatory complication of exposure to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It carries a risk of serious and lethal complications, including cardiogenic shock. Here, we report the pathological findings of the pericardium in a 10-year-old child with MIS-C, who developed pericarditis-induced cardiac tamponade. In the patient's pericardium, the numbers of infiltrating CD68+ macrophages; CD3+, CD4+, and CD8+ T cells; and myeloperoxidase+ granulocytes were increased, although the number of CD20+ B cells was not. These findings provide a clue to understanding the pathophysiology of MIS-C. 相似文献