Rheumatoid constrictive pericarditis.

A 73-yr-old woman with a 4 yr history of rheumatoid arthritis presented with the clinical features of congestive cardiac failure. She had a good early response to standard therapy although she subsequently developed recurrent biventricular failure. The preservation of good ventricular function on ec...

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Main Authors: McRorie, E, Wright, R, Errington, M, Luqmani, R
Format: Journal article
Language:English
Published: 1997
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author McRorie, E
Wright, R
Errington, M
Luqmani, R
author_facet McRorie, E
Wright, R
Errington, M
Luqmani, R
author_sort McRorie, E
collection OXFORD
description A 73-yr-old woman with a 4 yr history of rheumatoid arthritis presented with the clinical features of congestive cardiac failure. She had a good early response to standard therapy although she subsequently developed recurrent biventricular failure. The preservation of good ventricular function on echocardiography in the face of clinical evidence of myocardial insufficiency raised the possibility of constrictive pericarditis, which was confirmed on cardiac catheterization. Constrictive pericarditis should be considered in patients with rheumatoid arthritis who develop unexplained cardiac failure. Early diagnosis requires a high index of suspicion and cardiac catheterization may be necessary to confirm the diagnosis. Medical treatment is largely ineffective and pericardiectomy should be considered.
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spelling oxford-uuid:d124a87a-92d6-49ed-a289-10bc9b9c2c702022-03-27T07:55:02ZRheumatoid constrictive pericarditis.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d124a87a-92d6-49ed-a289-10bc9b9c2c70EnglishSymplectic Elements at Oxford1997McRorie, EWright, RErrington, MLuqmani, RA 73-yr-old woman with a 4 yr history of rheumatoid arthritis presented with the clinical features of congestive cardiac failure. She had a good early response to standard therapy although she subsequently developed recurrent biventricular failure. The preservation of good ventricular function on echocardiography in the face of clinical evidence of myocardial insufficiency raised the possibility of constrictive pericarditis, which was confirmed on cardiac catheterization. Constrictive pericarditis should be considered in patients with rheumatoid arthritis who develop unexplained cardiac failure. Early diagnosis requires a high index of suspicion and cardiac catheterization may be necessary to confirm the diagnosis. Medical treatment is largely ineffective and pericardiectomy should be considered.
spellingShingle McRorie, E
Wright, R
Errington, M
Luqmani, R
Rheumatoid constrictive pericarditis.
title Rheumatoid constrictive pericarditis.
title_full Rheumatoid constrictive pericarditis.
title_fullStr Rheumatoid constrictive pericarditis.
title_full_unstemmed Rheumatoid constrictive pericarditis.
title_short Rheumatoid constrictive pericarditis.
title_sort rheumatoid constrictive pericarditis
work_keys_str_mv AT mcroriee rheumatoidconstrictivepericarditis
AT wrightr rheumatoidconstrictivepericarditis
AT erringtonm rheumatoidconstrictivepericarditis
AT luqmanir rheumatoidconstrictivepericarditis