A Clinico-pathological Conference on Constrictive Pericarditis Secondary to Rheumatoid Arthritis: A Case Report with Expert Commentary and Review of the Literature

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• 作者：Adam D. Jordan MBBS ; BSc^a ; ^{adamdjordan@doctors.org.uk} ; Muhammad E.A. Khan MBBS ; MRCSEd^a ; Edward T. Hoey MB BCh ; BAO ; MRCP ; FRCS^b ; Doris Rassl MBBS ; FRCPath^c ; Samer A.M. Nashef MBChB ; PhD ; FRCS^a
• 关键词：Constrictive pericarditis ; Rheumatoid arthritis ; Pericardectomy
• 刊名：Heart, Lung and Circulation
• 出版年：2011
• 出版时间：January 2011
• 年：2011
• 卷：20
• 期：1
• 页码：24-29
• 全文大小：367 K

文摘

Constrictive pericarditis is the commonest cardiac complication of rheumatoid arthritis (RA). Two percent of patients with RA develop significant clinical symptoms of pericarditis, which may not correlate with joint disease duration or severity. Symptoms are often vague and non-specific, which frequently delays the diagnosis and subsequent management. Surgical excision of the pericardium is the only definitive treatment option. We present the case of a 60 year-old lady with RA who presented with symptoms due to pericardial constriction and underwent radical pericardectomy.