FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3000000830> ?p ?o ?g. }

• W3000000830 abstract "Abstract Case presentation A 33 year-old black female, born in Angola, staying in Portugal 1 week before admission presented to the emergency department of our hospital with a history of worsening but recurring pleuritic chest accompanied by dyspnea, fatigue, peripheral oedema and sweating in the past 4 years. Initial workup in Angola and more recently in Namibia was unrevealing. The patient had taken 3 months of antituberculous agents and a systemic corticosteroid and was medicated with furosemide and spironolactone. Since then the symptoms persisted and multiple admissions for decompensated heart failure followed. At presentation median blood pressure was 60mmHg, heart rate 90 beats per minute, temperature 37,6ºC. Auscultation had signs of pulmonary congestion and muffled heart sounds, the neck veins were distended. An electrocardiogram showed sinus rhythm and low-voltage complexes in limb and precordial leads. Initial transthoracic echocardiogram revealed a thickened pericardium with circunferencial effusion and marked respiratory variation (&gt;25%) of the mitral and tricuspid inflow doppler velocities. Pericardiocentesis was performed with improved dyspnea and blood pressure after drainage of 650 mL of serohematic fluid. Echocardiographic follow-up showed a mild circunferencial pericardial effusion and extensive areas of thickened crypted pericardium with fibrin strands containing heterogeneous fluid (figure 1). There were signs of constriction. A cardiac CT revealed no calcium deposition. Fluid cytology was predominant for lymphocytes and biochemistry, cultures, polymerase chain reaction and immunochemistry were inconclusive and no pathologic agent was isolated. The image findings in the transthoracic echocardiogram coupled with the demographics and past clinical history of the patient prompt the initiation of antituberculous therapy in association with systemic corticosteroids in an attempt to ameliorate the pericardial constriction. Despite initial therapeutic response, constriction was deemed irreversible and pericardiectomy was performed. The workup for definitive diagnosis is still undergoing. Discussion Effusive-constrictive pericarditis is defined by a pericardial effusion with signs of concurrent pericardial constriction. In these cases the scarred pericardium not only constricts cardiac volume but can also accommodate pericardial fluid under increased pressure leading to signs of cardiac tamponade. The initial approach should be the treatment of the underlying condition but if such remains ineffective, pericardiectomy is the remaining option and is reserved for patients in which constriction becomes severe and/or persistent. This condition is more prevalent with tuberculous pericarditis and when suspected presumptive treatment should be initiated in immunocompetent patients from endemic regions. Antituberculous treatment regimens in conjunction with systemic corticosteroids have shown to prevent complications from pericardial constriction. Abstract P875 Figure." @default.
• W3000000830 created "2020-01-23" @default.
• W3000000830 creator A5015665102 @default.
• W3000000830 creator A5027268697 @default.
• W3000000830 creator A5057199133 @default.
• W3000000830 creator A5058677281 @default.
• W3000000830 creator A5060073954 @default.
• W3000000830 creator A5072485134 @default.
• W3000000830 date "2020-01-01" @default.
• W3000000830 modified "2023-10-06" @default.
• W3000000830 title "P875 A suspected case of extra-pulmonary tuberculosis presenting as effusive-constrictive pericarditis" @default.
• W3000000830 doi "https://doi.org/10.1093/ehjci/jez319.1189" @default.
• W3000000830 hasPublicationYear "2020" @default.
• W3000000830 type Work @default.
• W3000000830 sameAs 3000000830 @default.
• W3000000830 citedByCount "0" @default.
• W3000000830 crossrefType "journal-article" @default.
• W3000000830 hasAuthorship W3000000830A5015665102 @default.
• W3000000830 hasAuthorship W3000000830A5027268697 @default.
• W3000000830 hasAuthorship W3000000830A5057199133 @default.
• W3000000830 hasAuthorship W3000000830A5058677281 @default.
• W3000000830 hasAuthorship W3000000830A5060073954 @default.
• W3000000830 hasAuthorship W3000000830A5072485134 @default.
• W3000000830 hasBestOaLocation W30000008301 @default.
• W3000000830 hasConcept C126322002 @default.
• W3000000830 hasConcept C164705383 @default.
• W3000000830 hasConcept C197934379 @default.
• W3000000830 hasConcept C2775914520 @default.
• W3000000830 hasConcept C2777482430 @default.
• W3000000830 hasConcept C2777682441 @default.
• W3000000830 hasConcept C2777953023 @default.
• W3000000830 hasConcept C2778005868 @default.
• W3000000830 hasConcept C2778096457 @default.
• W3000000830 hasConcept C2778198053 @default.
• W3000000830 hasConcept C2778875491 @default.
• W3000000830 hasConcept C2779161974 @default.
• W3000000830 hasConcept C2779295919 @default.
• W3000000830 hasConcept C2779634585 @default.
• W3000000830 hasConcept C2779827179 @default.
• W3000000830 hasConcept C2781175549 @default.
• W3000000830 hasConcept C35207712 @default.
• W3000000830 hasConcept C71924100 @default.
• W3000000830 hasConcept C84393581 @default.
• W3000000830 hasConceptScore W3000000830C126322002 @default.
• W3000000830 hasConceptScore W3000000830C164705383 @default.
• W3000000830 hasConceptScore W3000000830C197934379 @default.
• W3000000830 hasConceptScore W3000000830C2775914520 @default.
• W3000000830 hasConceptScore W3000000830C2777482430 @default.
• W3000000830 hasConceptScore W3000000830C2777682441 @default.
• W3000000830 hasConceptScore W3000000830C2777953023 @default.
• W3000000830 hasConceptScore W3000000830C2778005868 @default.
• W3000000830 hasConceptScore W3000000830C2778096457 @default.
• W3000000830 hasConceptScore W3000000830C2778198053 @default.
• W3000000830 hasConceptScore W3000000830C2778875491 @default.
• W3000000830 hasConceptScore W3000000830C2779161974 @default.
• W3000000830 hasConceptScore W3000000830C2779295919 @default.
• W3000000830 hasConceptScore W3000000830C2779634585 @default.
• W3000000830 hasConceptScore W3000000830C2779827179 @default.
• W3000000830 hasConceptScore W3000000830C2781175549 @default.
• W3000000830 hasConceptScore W3000000830C35207712 @default.
• W3000000830 hasConceptScore W3000000830C71924100 @default.
• W3000000830 hasConceptScore W3000000830C84393581 @default.
• W3000000830 hasLocation W30000008301 @default.
• W3000000830 hasOpenAccess W3000000830 @default.
• W3000000830 hasPrimaryLocation W30000008301 @default.
• W3000000830 hasRelatedWork W1111666 @default.
• W3000000830 hasRelatedWork W2753677 @default.
• W3000000830 hasRelatedWork W4763142 @default.
• W3000000830 hasRelatedWork W5095778 @default.
• W3000000830 hasRelatedWork W5422926 @default.
• W3000000830 hasRelatedWork W5505567 @default.
• W3000000830 hasRelatedWork W7483816 @default.
• W3000000830 hasRelatedWork W9137215 @default.
• W3000000830 hasRelatedWork W9321914 @default.
• W3000000830 hasRelatedWork W3282888 @default.
• W3000000830 isParatext "false" @default.
• W3000000830 isRetracted "false" @default.
• W3000000830 magId "3000000830" @default.
• W3000000830 workType "article" @default.