RESUMO
Constrictive pericarditis is a rare but severely disabling consequence of the chronic inflammation of the pericardium, leading to an impaired filling of the ventricles and reduced ventricular function. Patients complain about fatigue, peripheral edema, breathlessness and abdominal swelling; signs and symptoms of right-sided heart failure. Besides history and physical examination, diagnostic studies aid in the diagnosis, including electrocardiogram, chest x-ray, echocardiogram, chest CT and/or MRI, and hemodynamic measurements. Medical management with diuretics and salt restriction is useful for symptomatic relief of fluid overload and peripheral edema, but patients ultimately become refractory. Although conservative treatment may alleviate the patient's symptoms, pericardiectomy remains the onlydefinitive treatment for the disease. An interesting and representative case of constrictive pericarditis is presented in this article.
Assuntos
Pericardite Constritiva , Adulto , Humanos , Masculino , Pericardite Constritiva/diagnóstico , Pericardite Constritiva/cirurgiaRESUMO
Valvular Heart Disease (VHD) is an important cardiovascular problem in the adult population. The knowledge of the physiology involved, prompt recognition and diagnosis are of paramount importance for the primary care physician who is in the front line of patient care. This article is the second of a series of two that deals with valvular problems in the adults in concise and practical form (11). Each topic will be presented using the following format: description, etiology, pathophysiology, natural history, essential of diagnosis and management. In this second and final article we will discuss aortic valve disorders.
Assuntos
Insuficiência da Valva Aórtica/terapia , Estenose da Valva Aórtica/terapia , Adulto , Insuficiência da Valva Aórtica/diagnóstico , Insuficiência da Valva Aórtica/fisiopatologia , Estenose da Valva Aórtica/diagnóstico , Estenose da Valva Aórtica/fisiopatologia , Ensaios Clínicos como Assunto , Ecocardiografia , Eletrocardiografia , HumanosRESUMO
Valvular Heart Disease (VHD) is an important cardiovascular problem in the adult population. The knowledge of the physiology involved, prompt recognition and diagnosis are of paramount importance for the primary care physician who is in the front line of patient care. This article is the first of a series of two that will discuss valvular problems in the adults in concise and practical form. Each topic will be presented using the following format: description, etiology, pathophysiology, natural history, essential of diagnosis and management. In this first article we will discuss mitral valve disorders including mitral valve prolapse (MVP).