Tuberculous pericarditis natural history, complications and prognosis: Difference between revisions
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===Natural History=== | ===Natural History=== | ||
*Tuberculous pericarditis does not have the typical classic presentation of an acute pericarditis (sudden-onset chest pain and typical ECG changes). | *Tuberculous pericarditis does not have the typical classic presentation of an [[acute pericarditis]] (sudden-onset [[chest pain]] and typical [[The electrocardiogram|ECG]] changes). | ||
*Instead, it most commonly presents with systemic signs and symptoms:<ref name="Fowler1991">{{cite journal|last1=Fowler|first1=Noble O.|title=Tuberculous Pericarditis|journal=JAMA: The Journal of the American Medical Association|volume=266|issue=1|year=1991|pages=99|issn=0098-7484|doi=10.1001/jama.1991.03470010103039}}</ref> | *Instead, it most commonly presents with [[systemic]] [[Medical sign|signs]] and [[Symptom|symptoms]]:<ref name="Fowler1991">{{cite journal|last1=Fowler|first1=Noble O.|title=Tuberculous Pericarditis|journal=JAMA: The Journal of the American Medical Association|volume=266|issue=1|year=1991|pages=99|issn=0098-7484|doi=10.1001/jama.1991.03470010103039}}</ref> | ||
**Cough (94%) | **[[Cough]] (94%) | ||
**Dyspnea (88%) | **[[Dyspnea]] (88%) | ||
**Chest pain (76%) | **[[Chest pain]] (76%) | ||
**Fever (70%) | **[[Fever]] (70%) | ||
**Night sweats (56%) | **[[Night sweats]] (56%) | ||
**Orthopnea (53%) | **[[Orthopnea]] (53%) | ||
**Weight loss (48%) | **[[Weight loss]] (48%) | ||
*If left untreated, tuberculous pericarditis can be complicated by constrictive pericarditis which can then ultimately lead to heart failure.<ref name="pmid29025551">{{cite journal |vauthors=Chang SA |title=Tuberculous and Infectious Pericarditis |journal=Cardiol Clin |volume=35 |issue=4 |pages=615–622 |date=November 2017 |pmid=29025551 |doi=10.1016/j.ccl.2017.07.013 |url=}}</ref> | *If left untreated, tuberculous pericarditis can be [[Complication|complicated]] by [[constrictive pericarditis]] which can then ultimately lead to [[heart failure]].<ref name="pmid29025551">{{cite journal |vauthors=Chang SA |title=Tuberculous and Infectious Pericarditis |journal=Cardiol Clin |volume=35 |issue=4 |pages=615–622 |date=November 2017 |pmid=29025551 |doi=10.1016/j.ccl.2017.07.013 |url=}}</ref> | ||
===Complications=== | ===Complications=== | ||
*Common complications of tuberculous pericarditis include:<ref name="pmid290255512">{{cite journal |vauthors=Chang SA |title=Tuberculous and Infectious Pericarditis |journal=Cardiol Clin |volume=35 |issue=4 |pages=615–622 |date=November 2017 |pmid=29025551 |doi=10.1016/j.ccl.2017.07.013 |url=}}</ref> | *Common [[Complication (medicine)|complications]] of tuberculous pericarditis include:<ref name="pmid290255512">{{cite journal |vauthors=Chang SA |title=Tuberculous and Infectious Pericarditis |journal=Cardiol Clin |volume=35 |issue=4 |pages=615–622 |date=November 2017 |pmid=29025551 |doi=10.1016/j.ccl.2017.07.013 |url=}}</ref> | ||
**Constrictive pericarditis | **[[Constrictive pericarditis]] | ||
**Heart failure | **[[Heart failure]] | ||
===Prognosis=== | ===Prognosis=== | ||
Revision as of 18:59, 10 February 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].
OR
Common complications of [disease name] include [complication 1], [complication 2], and [complication 3].
OR
Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%.
Natural History, Complications, and Prognosis
Natural History
- Tuberculous pericarditis does not have the typical classic presentation of an acute pericarditis (sudden-onset chest pain and typical ECG changes).
- Instead, it most commonly presents with systemic signs and symptoms:[1]
- Cough (94%)
- Dyspnea (88%)
- Chest pain (76%)
- Fever (70%)
- Night sweats (56%)
- Orthopnea (53%)
- Weight loss (48%)
- If left untreated, tuberculous pericarditis can be complicated by constrictive pericarditis which can then ultimately lead to heart failure.[2]
Complications
- Common complications of tuberculous pericarditis include:[3]
Prognosis
- Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [--]%.
- Depending on the extent of the [tumor/disease progression] at the time of diagnosis, the prognosis may vary. However, the prognosis is generally regarded as poor/good/excellent.
- The presence of [characteristic of disease] is associated with a particularly [good/poor] prognosis among patients with [disease/malignancy].
- [Subtype of disease/malignancy] is associated with the most favorable prognosis.
- The prognosis varies with the [characteristic] of tumor; [subtype of disease/malignancy] have the most favorable prognosis.
References
- ↑ Fowler, Noble O. (1991). "Tuberculous Pericarditis". JAMA: The Journal of the American Medical Association. 266 (1): 99. doi:10.1001/jama.1991.03470010103039. ISSN 0098-7484.
- ↑ Chang SA (November 2017). "Tuberculous and Infectious Pericarditis". Cardiol Clin. 35 (4): 615–622. doi:10.1016/j.ccl.2017.07.013. PMID 29025551.
- ↑ Chang SA (November 2017). "Tuberculous and Infectious Pericarditis". Cardiol Clin. 35 (4): 615–622. doi:10.1016/j.ccl.2017.07.013. PMID 29025551.