Tuberculosis echocardiography or ultrasound: Difference between revisions
Joao Silva (talk | contribs) |
Joao Silva (talk | contribs) |
||
| Line 14: | Line 14: | ||
*[[Fibrin]] strands from [[pericardium]] protruding or crossing the [[pericardial]] space | *[[Fibrin]] strands from [[pericardium]] protruding or crossing the [[pericardial]] space | ||
Although rare, the [[myocardium]] may also be involved in TB. Echocardiographic findings may include: | Although rare, the [[myocardium]] may also be involved in TB and should be suspected in a patients with congestive heart failure with clinical features suggestive of TB. Echocardiographic findings may include:<ref name="pmid2389712">{{cite journal| author=Bali HK, Wahi S, Sharma BK, Anand IS, Datta BN, Wahi PL| title=Myocardial tuberculosis presenting as restrictive cardiomyopathy. | journal=Am Heart J | year= 1990 | volume= 120 | issue= 3 | pages= 703-6 | pmid=2389712 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2389712 }} </ref><ref name="pmid15857515">{{cite journal| author=Agarwal R, Malhotra P, Awasthi A, Kakkar N, Gupta D| title=Tuberculous dilated cardiomyopathy: an under-recognized entity? | journal=BMC Infect Dis | year= 2005 | volume= 5 | issue= | pages= 29 | pmid=15857515 | doi=10.1186/1471-2334-5-29 | pmc=PMC1090580 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15857515 }} </ref> | ||
*Hypokinesia | |||
*Enlargement of the left atrium and ventricle | |||
*Mitral regurgitation | |||
*Left ventricular systolic dysfunction | |||
*Right atrium and ventricle dilation | |||
*Tricuspid regurgitation | |||
==References== | ==References== | ||
Revision as of 12:31, 17 September 2014
|
Tuberculosis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Tuberculosis echocardiography or ultrasound On the Web |
|
American Roentgen Ray Society Images of Tuberculosis echocardiography or ultrasound |
|
Risk calculators and risk factors for Tuberculosis echocardiography or ultrasound |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Echocardiography or Ultrasound can be helpful in patients who develop pericardial effusion secondary to TB.[1]
Echocardiography
Tuberculosis involves the heart in 1-2% of the cases, and the pericardium is its the most commonly affected structure.[2][3] Patients with HIV have a high susceptibility for extra pulmonary tuberculosis including tuberculous pericarditis. Echocardiography is a good tool in diagnosing this extra pulmonary manifestation.
The common findings in echocardiography include:[4]
- Pericardial thickening
- Pericardial effusion classified as mild, moderate and severe
- Exudative deposits with echo dense mass around epicardium
- Fibrin strands from pericardium protruding or crossing the pericardial space
Although rare, the myocardium may also be involved in TB and should be suspected in a patients with congestive heart failure with clinical features suggestive of TB. Echocardiographic findings may include:[5][6]
- Hypokinesia
- Enlargement of the left atrium and ventricle
- Mitral regurgitation
- Left ventricular systolic dysfunction
- Right atrium and ventricle dilation
- Tricuspid regurgitation
References
- ↑ Kil UH, Jung HO, Koh YS, Park HJ, Park CS, Kim PJ; et al. (2008). "Prognosis of large, symptomatic pericardial effusion treated by echo-guided percutaneous pericardiocentesis". Clin Cardiol. 31 (11): 531–7. doi:10.1002/clc.20305. PMID 19006110.
- ↑ Custer, Edward W.; Charr, Robert (1939). "TUBERCULOSIS OF THE MYOCARDIUM". Journal of the American Medical Association. 112 (14): 1333. doi:10.1001/jama.1939.62800140003009a. ISSN 0002-9955.
- ↑ 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.
- ↑ George S, Salama AL, Uthaman B, Cherian G (2004). "Echocardiography in differentiating tuberculous from chronic idiopathic pericardial effusion". Heart. 90 (11): 1338–9. doi:10.1136/hrt.2003.020081. PMC 1768544. PMID 15486140.
- ↑ Bali HK, Wahi S, Sharma BK, Anand IS, Datta BN, Wahi PL (1990). "Myocardial tuberculosis presenting as restrictive cardiomyopathy". Am Heart J. 120 (3): 703–6. PMID 2389712.
- ↑ Agarwal R, Malhotra P, Awasthi A, Kakkar N, Gupta D (2005). "Tuberculous dilated cardiomyopathy: an under-recognized entity?". BMC Infect Dis. 5: 29. doi:10.1186/1471-2334-5-29. PMC 1090580. PMID 15857515.