Tuberculous pericarditis natural history: Difference between revisions
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{{Tuberculous pericarditis}} | {{Tuberculous pericarditis}} | ||
{{CMG}}; '''Associate Editor-In-Chief:''' [[Varun Kumar]], M.B.B.S.; [[Lakshmi Gopalakrishnan]], M.B.B.S. | {{CMG}}; '''Associate Editor-In-Chief:''' [[Varun Kumar]], M.B.B.S.; [[Lakshmi Gopalakrishnan]], M.B.B.S. | ||
==Natural | ==Natural History, Complications and Prognosis== | ||
Tuberculous pericarditis often has a complicated course and poor clinical outcomes. It can lead to '''[[pericardial effusion]]''' and subsequently, '''[[cardiac tamponade]]''' which may require urgent intervention including [[pericardiocentesis]]. The mortality rate of tuberculous pericarditis in the preantibiotic era was 80-90%<ref>Harvey AM, Whitehill MR. Tuberculous pericarditis. Medicine. 1937; 16: 45–94</ref>. The mortality rate in the modern era is currently 8-17%<ref name="pmid472922">{{cite journal| author=Desai HN| title=Tuberculous pericarditis. A review of 100 cases. | journal=S Afr Med J | year= 1979 | volume= 55 | issue= 22 | pages= 877-80 | pmid=472922 | doi= | pmc= | url= }} </ref><ref name="pmid7185934">{{cite journal| author=Bhan GL| title=Tuberculous pericarditis. | journal=J Infect | year= 1980 | volume= 2 | issue= 4 | pages= 360-4 | pmid=7185934 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7185934 }} </ref> and is 17-34% if the TB is associated with HIV<ref name="pmid10908256">{{cite journal| author=Hakim JG, Ternouth I, Mushangi E, Siziya S, Robertson V, Malin A| title=Double blind randomised placebo controlled trial of adjunctive prednisolone in the treatment of effusive tuberculous pericarditis in HIV seropositive patients. | journal=Heart | year= 2000 | volume= 84 | issue= 2 | pages= 183-8 | pmid=10908256 | doi= | pmc=PMC1760932 | url= }} </ref>. | Tuberculous pericarditis often has a complicated course and poor clinical outcomes. It can lead to '''[[pericardial effusion]]''' and subsequently, '''[[cardiac tamponade]]''' which may require urgent intervention including [[pericardiocentesis]]. The mortality rate of tuberculous pericarditis in the preantibiotic era was 80-90%<ref>Harvey AM, Whitehill MR. Tuberculous pericarditis. Medicine. 1937; 16: 45–94</ref>. The mortality rate in the modern era is currently 8-17%<ref name="pmid472922">{{cite journal| author=Desai HN| title=Tuberculous pericarditis. A review of 100 cases. | journal=S Afr Med J | year= 1979 | volume= 55 | issue= 22 | pages= 877-80 | pmid=472922 | doi= | pmc= | url= }} </ref><ref name="pmid7185934">{{cite journal| author=Bhan GL| title=Tuberculous pericarditis. | journal=J Infect | year= 1980 | volume= 2 | issue= 4 | pages= 360-4 | pmid=7185934 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7185934 }} </ref> and is 17-34% if the TB is associated with HIV<ref name="pmid10908256">{{cite journal| author=Hakim JG, Ternouth I, Mushangi E, Siziya S, Robertson V, Malin A| title=Double blind randomised placebo controlled trial of adjunctive prednisolone in the treatment of effusive tuberculous pericarditis in HIV seropositive patients. | journal=Heart | year= 2000 | volume= 84 | issue= 2 | pages= 183-8 | pmid=10908256 | doi= | pmc=PMC1760932 | url= }} </ref>. | ||
Tuberculous pericarditis can also cause '''[[heart failure]]''' as observed in Eastern Cape and Zimbabwe where it is a common cause, but less common than [[rheumatic heart disease]]. In this region, TB pericarditis is a more common cause of heart failure than [[hypertensive heart disease]] and [[cardiomyopathy]]<ref name="pmid6509811">{{cite journal| author=Strang JI| title=Tuberculous pericarditis in Transkei. | journal=Clin Cardiol | year= 1984 | volume= 7 | issue= 12 | pages= 667-70 | pmid=6509811 | doi= | pmc= | url= }} </ref><ref name="pmid9810393">{{cite journal| author=Hakim JG, Manyemba J| title=Cardiac disease distribution among patients referred for echocardiography in Harare, Zimbabwe. | journal=Cent Afr J Med | year= 1998 | volume= 44 | issue= 6 | pages= 140-4 | pmid=9810393 | doi= | pmc= | url= }} </ref> | Tuberculous pericarditis can also cause '''[[heart failure]]''' as observed in Eastern Cape and Zimbabwe where it is a common cause, but less common than [[rheumatic heart disease]]. In this region, TB pericarditis is a more common cause of heart failure than [[hypertensive heart disease]] and [[cardiomyopathy]]<ref name="pmid6509811">{{cite journal| author=Strang JI| title=Tuberculous pericarditis in Transkei. | journal=Clin Cardiol | year= 1984 | volume= 7 | issue= 12 | pages= 667-70 | pmid=6509811 | doi= | pmc= | url= }} </ref><ref name="pmid9810393">{{cite journal| author=Hakim JG, Manyemba J| title=Cardiac disease distribution among patients referred for echocardiography in Harare, Zimbabwe. | journal=Cent Afr J Med | year= 1998 | volume= 44 | issue= 6 | pages= 140-4 | pmid=9810393 | doi= | pmc= | url= }} </ref> | ||
'''[[Constrictive pericarditis]]''' is another complication of tuberculous pericarditis occurring in 30-60% of patients despite prompt antituberculosis treatment and the use of corticosteroids<ref name="pmid14443596">{{cite journal| author=SCHRIRE V| title=Experience with pericarditis at Groote Schuur Hospital, Cape Town: an analysis of one hundred and sixty cases studied over a six-year period. | journal=S Afr Med J | year= 1959 | volume= 33 | issue= | pages= 810-7 | pmid=14443596 | doi= | pmc= | url= }} </ref><ref name="pmid3351140">{{cite journal| author=Sagristà-Sauleda J, Permanyer-Miralda G, Soler-Soler J| title=Tuberculous pericarditis: ten year experience with a prospective protocol for diagnosis and treatment. | journal=J Am Coll Cardiol | year= 1988 | volume= 11 | issue= 4 | pages= 724-8 | pmid=3351140 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3351140 }} </ref> | '''[[Constrictive pericarditis]]''' is another complication of tuberculous pericarditis occurring in 30-60% of patients despite prompt antituberculosis treatment and the use of [[corticosteroids]]<ref name="pmid14443596">{{cite journal| author=SCHRIRE V| title=Experience with pericarditis at Groote Schuur Hospital, Cape Town: an analysis of one hundred and sixty cases studied over a six-year period. | journal=S Afr Med J | year= 1959 | volume= 33 | issue= | pages= 810-7 | pmid=14443596 | doi= | pmc= | url= }} </ref><ref name="pmid3351140">{{cite journal| author=Sagristà-Sauleda J, Permanyer-Miralda G, Soler-Soler J| title=Tuberculous pericarditis: ten year experience with a prospective protocol for diagnosis and treatment. | journal=J Am Coll Cardiol | year= 1988 | volume= 11 | issue= 4 | pages= 724-8 | pmid=3351140 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3351140 }} </ref> | ||
==References== | ==References== | ||
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[[Category:Inflammations]] | [[Category:Inflammations]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Tuberculosis]] | |||
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[[Category:Needs overview]] |
Latest revision as of 19:03, 18 September 2017
Tuberculous pericarditis Microchapters |
Differentiating Tuberculous pericarditis from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Varun Kumar, M.B.B.S.; Lakshmi Gopalakrishnan, M.B.B.S.
Natural History, Complications and Prognosis
Tuberculous pericarditis often has a complicated course and poor clinical outcomes. It can lead to pericardial effusion and subsequently, cardiac tamponade which may require urgent intervention including pericardiocentesis. The mortality rate of tuberculous pericarditis in the preantibiotic era was 80-90%[1]. The mortality rate in the modern era is currently 8-17%[2][3] and is 17-34% if the TB is associated with HIV[4].
Tuberculous pericarditis can also cause heart failure as observed in Eastern Cape and Zimbabwe where it is a common cause, but less common than rheumatic heart disease. In this region, TB pericarditis is a more common cause of heart failure than hypertensive heart disease and cardiomyopathy[5][6]
Constrictive pericarditis is another complication of tuberculous pericarditis occurring in 30-60% of patients despite prompt antituberculosis treatment and the use of corticosteroids[7][8]
References
- ↑ Harvey AM, Whitehill MR. Tuberculous pericarditis. Medicine. 1937; 16: 45–94
- ↑ Desai HN (1979). "Tuberculous pericarditis. A review of 100 cases". S Afr Med J. 55 (22): 877–80. PMID 472922.
- ↑ Bhan GL (1980). "Tuberculous pericarditis". J Infect. 2 (4): 360–4. PMID 7185934.
- ↑ Hakim JG, Ternouth I, Mushangi E, Siziya S, Robertson V, Malin A (2000). "Double blind randomised placebo controlled trial of adjunctive prednisolone in the treatment of effusive tuberculous pericarditis in HIV seropositive patients". Heart. 84 (2): 183–8. PMC 1760932. PMID 10908256.
- ↑ Strang JI (1984). "Tuberculous pericarditis in Transkei". Clin Cardiol. 7 (12): 667–70. PMID 6509811.
- ↑ Hakim JG, Manyemba J (1998). "Cardiac disease distribution among patients referred for echocardiography in Harare, Zimbabwe". Cent Afr J Med. 44 (6): 140–4. PMID 9810393.
- ↑ SCHRIRE V (1959). "Experience with pericarditis at Groote Schuur Hospital, Cape Town: an analysis of one hundred and sixty cases studied over a six-year period". S Afr Med J. 33: 810–7. PMID 14443596.
- ↑ Sagristà-Sauleda J, Permanyer-Miralda G, Soler-Soler J (1988). "Tuberculous pericarditis: ten year experience with a prospective protocol for diagnosis and treatment". J Am Coll Cardiol. 11 (4): 724–8. PMID 3351140.