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Coronavirus disease 2019 (COVID-19)-associated constrictive pericarditis.
Beckerman, Jennifer Kate; Alarfaj, Mohammad; Tracy, Cynthia M; Faiwiszewski, Ariel D; Choi, Andrew D.
  • Beckerman JK; Department of Internal Medicine, George Washington University School of Medicine, Washington, DC, USA jkbeckerman@gmail.com.
  • Alarfaj M; Department of Internal Medicine, George Washington University School of Medicine, Washington, DC, USA.
  • Tracy CM; Division of Cardiology, George Washington University School of Medicine, Washington, DC, USA.
  • Faiwiszewski AD; Division of Cardiology, George Washington University School of Medicine, Washington, DC, USA.
  • Choi AD; Division of Cardiology and Department of Radiology, George Washington University School of Medicine, Washington, DC, USA.
BMJ Case Rep ; 14(5)2021 May 11.
Article in English | MEDLINE | ID: covidwho-1223563
ABSTRACT
This report documents a rare case of COVID-19-associated constrictive pericarditis (CP) in the setting of a recent COVID-19 infection. A 55-year-old man with a history of hypertension and gout presented with acute hypoxic respiratory failure and was diagnosed with COVID-19 pneumonia with progression to acute respiratory distress syndrome. His hospital course was complicated by a large pericardial effusion; an emergent bedside transthoracic echocardiography was concerning for cardiac tamponade, so pericardiocentesis was performed. A workup with cardiac magnetic resonance imaging showed changes consistent with a diagnosis of CP. Viral and idiopathic aetiologies are the most common cause of CP in the developed world, with COVID-19 now a proposed predisposing viral illness. The virus induces systemic inflammation and pericardial changes that can lead to CP physiology. Imaging modalities including echocardiogram and cardiac magnetic resonance play an integral role in confirming the diagnosis.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pericardial Effusion / Pericarditis / Pericarditis, Constrictive / Cardiac Tamponade / COVID-19 Type of study: Case report / Etiology study / Prognostic study Limits: Humans / Male / Middle aged Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2021-242018

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pericardial Effusion / Pericarditis / Pericarditis, Constrictive / Cardiac Tamponade / COVID-19 Type of study: Case report / Etiology study / Prognostic study Limits: Humans / Male / Middle aged Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2021-242018