ABSTRACT
[Figure: see text].
Subject(s)
Coronary Artery Disease/pathology , Obesity/pathology , Regeneration , Stem Cells/pathology , Vascular Remodeling , AC133 Antigen/blood , Adult , Antigens, CD34/blood , Biomarkers/blood , Cell Count , Coronary Artery Disease/blood , Coronary Artery Disease/mortality , Coronary Artery Disease/physiopathology , Female , Humans , Incidence , Leukocyte Common Antigens/blood , Male , Middle Aged , Obesity/blood , Obesity/mortality , Obesity/physiopathology , Phenotype , Prognosis , Receptors, CXCR4/blood , Registries , Risk Assessment , Risk Factors , Stem Cells/metabolism , Time FactorsABSTRACT
Effusive-constrictive pericarditis is typically caused by tuberculosis or other severe inflammatory conditions that affect the pericardium. We report a case of effusive-constrictive pericarditis consequent to a motor vehicle accident. A 32-year-old man with gastroesophageal reflux disease presented with severe substernal chest pain of a month's duration and dyspnea on exertion for one week. Echocardiograms revealed a moderate pericardial effusion, and the diagnosis was subacute effusive-constrictive pericarditis. After thorough tests revealed nothing definitive, we learned that the patient had been in a motor vehicle accident weeks before symptom onset, which made blunt trauma the most likely cause of pericardial injury and effusion. Medical management resolved the effusion and improved his symptoms. To our knowledge, this is the first report of effusion from posttraumatic constrictive pericarditis associated with a motor vehicle accident. We encourage providers to consider recent trauma as a possible cause of otherwise idiopathic pericarditis.
Subject(s)
Accidents, Traffic , Echocardiography/methods , Pericardial Effusion/etiology , Pericarditis, Constrictive/etiology , Thoracic Injuries/complications , Wounds, Nonpenetrating/complications , Adult , Humans , Male , Pericardial Effusion/diagnosis , Pericarditis, Constrictive/diagnosis , Thoracic Injuries/diagnosis , Wounds, Nonpenetrating/diagnosisABSTRACT
Cardiovascular disease remains one of the most prevalent and preventable chronic conditions worldwide. Diet modification is the foundation of cardiovascular disease prevention. Several dietary approaches have emerged to promote better cardiovascular health. The rapid dissemination of anecdotal and observational data through the internet and social media has caused confusion amongst providers and patients. The aim of this comprehensive review is to present objective insights into 2 of today's most popular fad diets: ketogenic diet and intermittent fasting. We will evaluate the performance of these diets based on their impact on cardiovascular risk factors.
