Tuberculosis echocardiography or ultrasound: Difference between revisions
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*[[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 and should be suspected in | Although rare, the [[myocardium]] may also be involved in TB and should be suspected in patients with [[congestive heart failure]] and 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 | *[[Hypokinesia]] | ||
* | *Left atrium and ventricle enlargement | ||
*Mitral regurgitation | *Right atrium and ventricle enlargement | ||
*[[Mitral regurgitation]] | |||
*[[Tricuspid regurgitation]] | |||
*Left ventricular systolic dysfunction | *Left ventricular systolic dysfunction | ||
==References== | ==References== | ||
Revision as of 12:34, 17 September 2014
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Tuberculosis echocardiography or ultrasound On the Web |
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American Roentgen Ray Society Images of Tuberculosis echocardiography or ultrasound |
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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 patients with congestive heart failure and clinical features suggestive of TB. Echocardiographic findings may include:[5][6]
- Hypokinesia
- Left atrium and ventricle enlargement
- Right atrium and ventricle enlargement
- Mitral regurgitation
- Tricuspid regurgitation
- Left ventricular systolic dysfunction
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.