Constrictive Pericarditis

Where's the Beef? A Case of Left Ventricular Hypertrophy that Isn't

A 35-year-old man is admitted for evaluation of non-ST-elevation myocardial infarction (STEMI) and heart failure. He has a history of leukemia treated with chemotherapy and radiation as a child, but has not had a cardiac evaluation in 10 years. He had been well until he developed dyspnea with exertion that progressed to dyspnea at rest over two days. At presentation, his blood pressure is 80/60mmHg, his heart rate is 110bpm, and his oxygen saturation is 91% in room air.

Symptomatic Calcific Constrictive Pericarditis Presenting Years After Presumed Resolved Inflammatory Heart Disease

Inflammatory heart diseases are characterized as focal, diffuse, or sparse inflammatory processes of the myocardium and its adjacent structures, including pericardium and endocardium.1 Owing to shared etiologies and proximity, myocarditis is often accompanied by pericarditis, known as perimyocarditis or myopericarditis.2 In this article, we present a patient with predominantly right-sided dysfunction from presumed inflammatory heart disease, who became refractory to standard heart failure treatment nine years after initial presentation due to the la