Kardiologie pp 708-722 | Cite as

Perikarditis

  • Maurice Sokolow
  • Malcolm B. Mcllroy

Zusammenfassung

Jede Perikarderkrankung betrifft gewöhnlich auch das Epikard. Oft breitet sie sich von da aus auch auf das angrenzende Myokard aus. Zu den durch eine Infektion mit Viren, Bakterien oder Pilzen ausgelösten Veränderungen kommen praktisch immer auch mechanische und irritative Effekte. Die klinischen Manifestationen einer Perikarditis hängen von einer ganzen Reihe von Faktoren ab. Dies sind vor allem die Ursache der Erkrankung, die Geschwindigkeit ihres Fortschreitens, das Ausmaß von Fibrose oder Perikarderguß sowie die durch Perikardfibrosierungen oder Flüssigkeitsansammlungen im Perikardsack bedingte Beeinträchtigung von Kammerfüllung und Kammerentleerung. Die Perikarderkrankungen weisen ein weites Spektrum an klinischen Erscheinungen auf. Dieses reicht von einer völlig belanglosen Begleiterscheinung bis hin zu einer sehr ernsten kardiovaskulären Erkrankung, wie im Falle der akuten Perimyokarditis. Der Zusammenhang zwischen Perikaditis und Myokarditis wurde bereits im Kap. 17 erwähnt.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

Allgemein

  1. Chandraratna PAN, Aronow WS: Detection of pericardial metastases by chross-sectional echocardiography. Circulation 1981; 63:197.PubMedCrossRefGoogle Scholar
  2. Horowitz MS, Rossen R, Harrison DC: Echocardiographic diagnosis of pericardial disease. Am Heart J 1979: 97: 415.CrossRefGoogle Scholar
  3. John JT Jr, Hough A, Sergent JS: Pericardial disease in rheumatoid arthritis.Am J Med 1979: 66: 385.PubMedCrossRefGoogle Scholar
  4. Olson HG & others: Technitium-99m stannous pyrophosphate myocardial scintigrams in pericardial disease. Am Heart J 1980:99:459.PubMedCrossRefGoogle Scholar
  5. Teichholz LE: Echocardiographic evaluation of pericardial diseases. Prog Cardiovasc Dis 1978: 21:133.PubMedCrossRefGoogle Scholar

Perikarditis

  1. Applefeld MM & others: Delaved pericardial disease after radiotherapy Am J Cardiol 1981; 47: 210.PubMedCrossRefGoogle Scholar
  2. Applefeld MM & others: The late appearance of chronic pericardial disease in patients treated by radiotherapy for Hodgkin’s disease. Ann Intern Med 1981; 94: 338.PubMedGoogle Scholar
  3. Beaudry C: Uremic pericarditis and cardiac tamponade. Ann Intern Med 1966; 64: 990.PubMedGoogle Scholar
  4. Comty CM, Cohen SL, Shapiro FL: Pericarditis in chronic uremia and its sequels. Ann Intern Med 1971; 75:173.PubMedGoogle Scholar
  5. Dressier W: The post-myocardial infarction syndrome: A report on 44 cases. Arch Intern Med 1959; 103: 28.CrossRefGoogle Scholar
  6. Engle MA & others: Viral illness and the post-pericardiotomy syndrome: A prospective study in children. Circulation 1980; 62: 1151.PubMedGoogle Scholar
  7. Fowler NO, Manitsas GT: Infectious pericarditis. Prog Cardiovasc Dis 1973;16:323.PubMedCrossRefGoogle Scholar
  8. Goldman MJ: Pericarditis. West J Med 1975; 123: 467.Google Scholar
  9. Kumar S, Lesch M: Pericarditis in renal disease. Prog Cardiovasc Dis 1980; 22: 357.PubMedCrossRefGoogle Scholar
  10. Marini PV, Hull AR: Uremic pericarditis: A review of incidence and management. Kidney Int 1975; 7 (Suppl 2): 163.Google Scholar
  11. Martin RG & others: Radiation-related pericarditis. Am J Cardiol 1975; 35: 216.PubMedCrossRefGoogle Scholar
  12. Montgomery JZ & others: Hemodynamic and diagnostic features of pericardial disease. West J Med 1975; 122: 295.Google Scholar
  13. Ribot S & others: Treatment of uremic pericarditis. Clin Nephrol 1974; 2:127.PubMedGoogle Scholar
  14. Schrire V: Pericarditis (with particular reference to tuberculous pericarditis). Australasian Ann Med 1967; 16:41.Google Scholar
  15. Shabetai R & others: The pericardium and cardiac function. Prog Cardiovasc Dis 1979; 22:107.PubMedCrossRefGoogle Scholar
  16. Spodick DH: Differential diagnosis of acute pericarditis. Prog Cardiovasc Dis 1971; 14:192.PubMedCrossRefGoogle Scholar
  17. Wheat LJ & others: A large urban outbreak of histoplasmosis: Clinical features. Ann Intern Med 1981; 94: 331.PubMedGoogle Scholar

Perikarderguβ und Herzbeuteltamponade

  1. Antman EM, Cargill V, Grossman W: Low pressure cardiac tamponade. Ann Intern Med 1979; 91: 403.PubMedGoogle Scholar
  2. Buselmeier J & others: Treatment of intractable uremic pericardial effusion. JAMA 1978; 240:1358.PubMedCrossRefGoogle Scholar
  3. Davis S & others: Intrapericardial tetracycline for the management of cardiac tamponade secondary to malignant pericardial effusion. N Engl J Med 1978; 299:1113.PubMedCrossRefGoogle Scholar
  4. Gabor GE, Winsberg F, Bloom HS: Electrical and mechanical alternation in pericardial effusion. Chest 1971; 59: 341.PubMedCrossRefGoogle Scholar
  5. Hancock EW: Cardiac tamponade. Med Clin North Am 1979; 63: 223.PubMedGoogle Scholar
  6. Kleiman JH & others: Pericardial effusions in patients with end-stage renal disease. Br Heart J 1978; 40:190.PubMedCrossRefGoogle Scholar
  7. Krikorian JG, Hancock EW: Pericardiocentesis. Am J Med 1978; 65: 808.PubMedCrossRefGoogle Scholar
  8. Lokich JJ: The management of malignant pericardial effusions. JAMA 1973; 224:1401.PubMedCrossRefGoogle Scholar
  9. Martin RP & others: Localization of pericardial effusion with wide angle phased array echocardiography. Am J Cardiol 1978; 42:904.PubMedCrossRefGoogle Scholar
  10. Reddy PS & others: Cardiac tamponade: Hemodynamic observations in man. Circulation 1978; 58: 265.PubMedGoogle Scholar
  11. Rinkenberger RL & others: Mechanism of electrical alternans in patients with pericardial effusion. Cathet Cardiovasc Diagn 1978; 4: 63.PubMedCrossRefGoogle Scholar
  12. Schiller NB, Botvinick EH: Right ventricular compression as a sign of cardia tamponade: An analysis of echocardiographic ventricular dimensions and their clinical implications. Circulation 1977; 56:774.PubMedGoogle Scholar
  13. Tomoda H & others: Evaluation of pericardial effusion with computed tomography. Am Heart J 1980; 99: 701.PubMedCrossRefGoogle Scholar
  14. Wei JY, Taylor GJ, Achuff SC: Recurrent cardiac tamponade and large pericardial effusions: Management with an indwelling pericardial catheter. Am J Cardiol 1978; 42: 281.PubMedCrossRefGoogle Scholar
  15. Wong B & others: The risk of pericardiocentesis. Am J Cardiol 1979: 44: 1110.PubMedCrossRefGoogle Scholar

Perikardkonstriktion

  1. Candell-Riera J & others: Echocardiographic features of the interventricular septum in chronic constrictive endocarditis. Circulation 1978; 57:1154.PubMedGoogle Scholar
  2. Churchill ED: Decortication of the heart (Delorme) for adhesive pericarditis. Arch Surg 1929; 19:1457.CrossRefGoogle Scholar
  3. Hancock EW: Constrictive pericarditis: Modern view of diagnosis and management. J Cardiovasc Med 1980; 5: 367.Google Scholar
  4. Hancock EW: Subacute effusive constrictive pericarditis. Circulation 1971; 43:183.PubMedGoogle Scholar
  5. Hirschmann JV: Pericardial constriction. Am Heart J 1978; 96:110.PubMedCrossRefGoogle Scholar
  6. Mann T & others: Effusive-constrictive hemodynamic pattern due to neoplastic involvement of the pericardium. Am J Cardiol 1978; 41: 781.PubMedCrossRefGoogle Scholar
  7. Schnittger I & others: Echocardiography: Pericardial thickening and constrictive pericarditis. Am J Cardiol 1978; 42: 388.PubMedCrossRefGoogle Scholar
  8. Somers K & others: Hemodynamic features of severe endomyocardial fibrosis of the right ventricle, including comparison with constrictive pericarditis. Br Heart J 1968; 30: 322.PubMedCrossRefGoogle Scholar
  9. Spodick DH: Chronic & Constrictive Pericarditis. Grune & Stratton, 1964.Google Scholar
  10. Tyberg TI, Goodyer AVN, Langou RA: Genesis of pericardial knock in constrictive pericarditis. Am J Cardiol 1980; 46: 570.PubMedCrossRefGoogle Scholar
  11. Veerasamy KG & others: Subacute constrictive uremic pericarditis: Survival after pericardiectomy. JAMA 1976; 235:1351.CrossRefGoogle Scholar
  12. Voelkel AG & others: Echocardiographic features of constrictive pericarditis. Circulation 1978; 58: 871.PubMedGoogle Scholar
  13. White PD: Chronic constrictive pericarditis (Pick’s disease) treated by pericardial resection. Lancet 1935; 2: 597.CrossRefGoogle Scholar
  14. Wood P: Chronic constrictive pericarditis. Am J Cardiol 1961; 7: 48.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag, Berlin · Heidelberg 1985

Authors and Affiliations

  • Maurice Sokolow
    • 1
  • Malcolm B. Mcllroy
    • 2
  1. 1.University of CaliforniaSan FranciscoUSA
  2. 2.Cardiovascular Research InstituteUniversity of CaliforniaSan FranciscoUSA

Personalised recommendations