Key result
Pericardiocentesis with simultaneous pressure recording successfully diagnosed effusive constrictive pericarditis due to rheumatoid arthritis in a patient with recurrent pericardial effusion.
Case Report (n=1)
Simultaneous pressure recording during pericardiocentesis is crucial for diagnosing underlying effusive constrictive pericarditis that might otherwise be overlooked.
Suggests simultaneous pressure recording during pericardiocentesis may diagnose effusive constrictive pericarditis; leaves open its routine use in recurrent effusion.
A 59-year-old man had a history of rheumatoid arthritis. He presented with incurable pericardial effusion. He was repeatedly treated with pericardiocentesis with only transient attenuation of his symptoms because the underlying pericardial constriction had been overlooked. This time the authors diagnosed effusive constrictive pericarditis due to rheumatoid arthritis using the hemodynamic findings observed before and after pericardiocentesis.
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Harada et al. (2002) conducted a case report in Effusive constrictive pericarditis due to rheumatoid arthritis (n=1). Pericardiocentesis with simultaneous pressure recording was evaluated on Diagnosis of effusive constrictive pericarditis. Pericardiocentesis with simultaneous pressure recording successfully diagnosed effusive constrictive pericarditis due to rheumatoid arthritis in a patient with recurrent pericardial effusion.
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