A Clinico-pathological Conference on Constrictive Pericarditis Secondary to Rheumatoid Arthritis: A Case Report with Expert Commentary and Review of the Literature

Constrictive pericarditis is the commonest cardiac complication of rheumatoid arthritis (RA). Two percent of patients with RA develop significant clinical symptoms of pericarditis, which may not correlate with joint disease duration or severity. Symptoms are often vague and non-specific, which frequ...

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Bibliographic Details
Published in:Heart, lung & circulation lung & circulation, 2011-01, Vol.20 (1), p.24-29
Main Authors: Jordan, Adam D., MBBS, BSc, Khan, Muhammad E.A., MBBS, MRCSEd, Hoey, Edward T., MB BCh, BAO, MRCP, FRCS, Rassl, Doris, MBBS, FRCPath, Nashef, Samer A.M., MBChB, PhD, FRCS
Format: Article
Language:English
Subjects:
Arthritis, Rheumatoid - blood
Arthritis, Rheumatoid - complications
Arthritis, Rheumatoid - physiopathology
Cardiovascular
Constrictive pericarditis
Echocardiography
Electrocardiography
Female
Humans
Middle Aged
Pericardectomy
Pericardiectomy
Pericarditis, Constrictive - diagnosis
Pericarditis, Constrictive - etiology
Pericarditis, Constrictive - physiopathology
Pericarditis, Constrictive - surgery
Pericardium - pathology
Rheumatoid arthritis
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Constrictive pericarditis is the commonest cardiac complication of rheumatoid arthritis (RA). Two percent of patients with RA develop significant clinical symptoms of pericarditis, which may not correlate with joint disease duration or severity. Symptoms are often vague and non-specific, which frequently delays the diagnosis and subsequent management. Surgical excision of the pericardium is the only definitive treatment option. We present the case of a 60 year-old lady with RA who presented with symptoms due to pericardial constriction and underwent radical pericardectomy.
ISSN:1443-9506
1444-2892
DOI:10.1016/j.hlc.2010.08.014