Effusive constrictive pericarditis due to rheumatoid arthritis revealed by pericardiocentesis with simultaneous pressure recording--a case report.
A 59-year-old man had a history of rheumatoid arthritis. He presented with incurable pericardial effusion. He was repeatedly treated with pericardiocentesis with only transient attenuation of his symptoms because the underlying pericardial constriction had been overlooked. This time the authors diagnosed effusive constrictive pericarditis due to rheumatoid arthritis using the hemodynamic findings observed before and after pericardiocentesis.
Harada
Tomohiro
T
Department of Cardiovascular Medicine, University of Tokyo, Japan. tomoharada-circ@umin.ac.jp
Aoyagi
Teruhiko
T
Endo
Yoko
Y
Uno
Kansei
K
Takenaka
Katsu
K
Nakamura
Fumitaka
F
Sonoda
Makoto
M
Takahashi
Toshiyuki
T
Yamazaki
Tadashi
T
Hiroi
Yukio
Y
Ohno
Minoru
M
Hirata
Yasunobu
Y
Nagai
Ryozo
R
D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000503:physiopathology; D001794:Blood Pressure / Q000502:physiology*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D020519:Pericardiocentesis; D010494:Pericarditis, Constrictive / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*