Effusive Constrictive Pericarditis in the Era of COVID-19
Effusive-constrictive pericarditis is a rare condition in which the visceral pericardium compresses the heart, with fluid accumulation in the pericardial space leading to cardiac tamponade. We present a case of 59-year-old man with effusive-constrictive pericarditis that was refractory to standard t...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
American College of Physicians
2024-08-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2023.1360 |
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| Summary: | Effusive-constrictive pericarditis is a rare condition in which the visceral pericardium compresses the heart, with fluid accumulation in the pericardial space leading to cardiac tamponade. We present a case of 59-year-old man with effusive-constrictive pericarditis that was refractory to standard therapy. The symptoms appeared after he received a Moderna COVID-19 booster, with electrocardiogram findings showing PR depression and ST-segment elevation and cardiac imaging findings revealing abnormalities including thickened pericardium, ventricular interdependence, and septal bounce. Given the patient's abnormal hemodynamics and intolerance to high-dose nonsteroidal anti-inflammatory drugs, he was prescribed rilonacept. Because of the recalcitrant nature of his disease, pericardial stripping was done to prevent worsening of heart failure. |
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| ISSN: | 2767-7664 |