揭示慢性缩窄性心包炎的心房颤动

Zakia Bennoui, Mourad Abdelbaki
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摘要

慢性缩窄性心包炎(CCP)很罕见,有多种病因,由于没有特殊体征,诊断较晚。它常常与限制性心肌病混淆。诊断可通过简单的胸部 X 光片来确定,X 光片显示心包钙化呈贝壳状包绕心脏轮廓,并通过心脏多普勒回声检查、右心导管检查以及某些情况下的心脏计算机断层扫描(CT)和核磁共振成像(MRI)来确诊。我们报告了一例 27 岁女性患者的病例,她因疑似局限性心肌病合并心房颤动而住院治疗,病程已持续数年。她被诊断为 CCP。通过本病例,我们将讨论该病症的诊断手段和治疗方法。
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Atrial Fibrillation Revealing Chronic Constrictive Pericarditis
Chronic constrictive pericarditis (CCP) is rare, has multiple cause and is diagnosed late due to the absence of specific signs. It often leads to confusion with restrictive cardiomyopathy. The diagnosis can be oriented by a simple chest x-ray which shows pericardial calcifications in the form of a shell enveloping the cardiac silhouette, and confirmed by cardiac Doppler echo, right heart catheterization, and in some cases cardiac computed tomography (CT) and MRI. We report the case of a 27-year-old female patient hospitalized for suspected restrictive cardiomyopathy with atrial fibrillation, which had been developing for several years. The diagnosis of CCP was made in her. Through this case, we will discuss the diagnostic means and management of this pathology.
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