تقرير
Constrictive pericarditis in the setting of repeated chest trauma in a mixed martial arts fighter.
| العنوان: | Constrictive pericarditis in the setting of repeated chest trauma in a mixed martial arts fighter. |
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| المؤلفون: | Ferrel MN; University of Utah School of Medicine, Salt Lake City, UT, 84132, USA., Iriana S; Division of Gastroenterology, Department of Medicine, University of Utah, Salt Lake City, UT, 84132, USA., Raymond Thomason I; Division of Gastroenterology, Department of Medicine, University of Utah, Salt Lake City, UT, 84132, USA., Ma CL; Division of Cardiovascular Medicine, Department of Medicine, University of Utah Health, 30 North 1900 East, Room 4A100, Salt Lake City, UT, 84132, USA., Tsarova K; Division of Cardiovascular Medicine, Department of Medicine, University of Utah Health, 30 North 1900 East, Room 4A100, Salt Lake City, UT, 84132, USA., Wilson BD; Division of Cardiovascular Medicine, Department of Medicine, University of Utah Health, 30 North 1900 East, Room 4A100, Salt Lake City, UT, 84132, USA., McKellar SH; Division of Cardiothoracic Surgery, Department of Surgery, University of Utah, Salt Lake City, UT, 84132, USA., Ryan JJ; Division of Cardiovascular Medicine, Department of Medicine, University of Utah Health, 30 North 1900 East, Room 4A100, Salt Lake City, UT, 84132, USA. john.ryan@hsc.utah.edu. |
| المصدر: | BMC cardiovascular disorders [BMC Cardiovasc Disord] 2021 Nov 22; Vol. 21 (1), pp. 561. Date of Electronic Publication: 2021 Nov 22. |
| نوع المنشور: | Case Reports; Research Support, Non-U.S. Gov't; Video-Audio Media |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968539 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2261 (Electronic) Linking ISSN: 14712261 NLM ISO Abbreviation: BMC Cardiovasc Disord Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Heart Injuries/*etiology , Martial Arts/*injuries , Pericarditis, Constrictive/*etiology, Cardiac Catheterization ; Electrocardiography ; Heart Injuries/diagnostic imaging ; Heart Injuries/physiopathology ; Heart Injuries/surgery ; Hemodynamics ; Humans ; Magnetic Resonance Imaging, Cine ; Male ; Middle Aged ; Pericardiectomy ; Pericarditis, Constrictive/diagnostic imaging ; Pericarditis, Constrictive/physiopathology ; Pericarditis, Constrictive/surgery ; Recovery of Function ; Time Factors ; Tomography, X-Ray Computed ; Treatment Outcome ; Ventricular Function, Left ; Ventricular Function, Right |
| مستخلص: | Background: Constrictive pericarditis (CP) is characterized by scarring and loss of elasticity of the pericardium. This case demonstrates that mixed martial arts (MMA) is a previously unrecognized risk factor for CP, diagnosis of which is supported by cardiac imaging, right and left heart catheterization, and histological findings of dense fibrous tissue without chronic inflammation. Case Presentation: A 47-year-old Caucasian male former mixed martial arts (MMA) fighter from the Western United States presented to liver clinic for elevated liver injury tests (LIT) and a 35-pound weight loss with associated diarrhea, lower extremity edema, dyspnea on exertion, and worsening fatigue over a period of 6 months. Past medical history includes concussion, right bundle branch block, migraine headache, hypertension, chronic pain related to musculoskeletal injuries and fractures secondary to MMA competition. Involvement in MMA was extensive with an 8-year history of professional MMA competition and 13-year history of MMA fighting with recurrent trauma to the chest wall. The patient also reported a 20-year history of performance enhancing drugs including testosterone. Physical exam was notable for elevated jugular venous pressure, hepatomegaly, and trace peripheral edema. An extensive workup was performed including laboratory studies, abdominal computerized tomography, liver biopsy, echocardiogram, and cardiac magnetic resonance imaging. Finally, right and left heart catheterization-the gold standard-confirmed discordance of the right ventricle-left ventricle, consistent with constrictive physiology. Pericardiectomy was performed with histologic evidence of chronic pericarditis. The patient's hospital course was uncomplicated and he returned to NYHA functional class I. Conclusions: CP can be a sequela of recurrent pericarditis or hemorrhagic effusions and may have a delayed presentation. In cases of recurrent trauma, CP may be managed with pericardiectomy with apparent good outcome. Further studies are warranted to analyze the occurrence of CP in MMA so as to better define the risk in such adults. (© 2021. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Case report; Constrictive; Diastolic heart failure; Hemodynamics; Imaging |
| تواريخ الأحداث: | Date Created: 20211123 Date Completed: 20220117 Latest Revision: 20220117 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC8607559 |
| DOI: | 10.1186/s12872-021-02378-8 |
| PMID: | 34809565 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1471-2261 |
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| DOI: | 10.1186/s12872-021-02378-8 |