Colchicine for large pericardial effusion.

Abstract:

:On the basis of our reported experience with colchicine for recurrent pericarditis, we administered colchicine to two patients with large pericardial effusions complicating idiopathic pericarditis. The first was a 26-year-old male who showed clinical deterioration following emergency pericardiocentesis and aspirin (3 g/day) for 10 days; the second was a 2-year-old girl who was unsuccessfully treated with aspirin (100 mg/kg/day) for 2 weeks, followed by corticosteroids for 7 months. Administration of colchicine (1 mg/day) instead of aspirin in the first case, and with a rapid tapering-off of the corticosteroids in the second case, led to complete regression of the pericardial effusion on echocardiography within 1 week and 1 month, respectively. Colchicine was discontinued after 1 month in the first patient and was continued for 6 months in the child. Neither has had a recurrence at 24 and 6 months of follow-up, respectively. No side effects of colchicine were observed. We conclude that colchicine may be effective in the treatment of large pericardial effusion when therapy with nonsteroidal anti-inflammatory drugs and/or corticosteroids fails.

journal_name

Clin Cardiol

journal_title

Clinical cardiology

authors

Adler Y,Guindo J,Finkelstein Y,Khouri A,Assali A,Bayes-Genis A,Bayes de Luna A

doi

10.1002/clc.4960210220

subject

Has Abstract

pub_date

1998-02-01 00:00:00

pages

143-4

issue

2

eissn

0160-9289

issn

1932-8737

journal_volume

21

pub_type

杂志文章
  • Impact of acute blood loss anemia and red blood cell transfusion on mortality after percutaneous coronary intervention.

    abstract::The clinical impact of increasing levels of blood loss has been shown to increase morbidity and mortality after percutaneous coronary intervention (PCI). The impact of red blood cell (RBC) transfusion for severe bleeding is unknown. We systematically collected baseline and 8-h postprocedure hematocrit (HCT) values on ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20231

    authors: Kim P,Dixon S,Eisenbrey AB,O'Malley B,Boura J,O'Neill W

    更新日期:2007-10-01 00:00:00

  • Regression of left ventricular mass in systemic hypertension.

    abstract::The importance of treatment in systemic hypertension and cardiovascular morbidity and mortality has been established. Although systemic hypertension is the most important factor in the pathogenesis of left ventricular hypertrophy, other factors such as catecholamines and renin-angiotensin system may be involved. Incre...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960150104

    authors: Georgiou D,Brundage BH

    更新日期:1992-01-01 00:00:00

  • Bilateral renal artery occlusion: an unusual presentation of atrial fibrillation and hypertrophic cardiomyopathy.

    abstract::Hypertrophic cardiomyopathy predisposes patients to atrial fibrillation and the development of systemic embolization. We describe a rare case of bilateral renal artery thrombosis which presented as acute renal failure requiring dialysis. The patient was successfully treated with a selective, continuous infusion of uro...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960171114

    authors: Fu GY,Candela RJ,Mishkind M,Obarski T,Yakubov SJ

    更新日期:1994-11-01 00:00:00

  • Diastolic subclinical primary alterations in Marfan syndrome and Marfan-related disorders.

    abstract:BACKGROUND:The extracellular matrix tissue of the myocardium importantly contributes to left ventricular (LV) performance. Inherited connective tissue disorders related to the FBN1 gene could involve cardiac interstitium resulting in functional abnormalities. HYPOTHESIS:To disclose a primary involvement of myocardium,...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960250905

    authors: Porciani MC,Giurlani L,Chelucci A,Pepe G,Giusti BH,Brunelli T,Attanasio M,Martinucci P,Fattrori R,Abbatea R,Gensini GF

    更新日期:2002-09-01 00:00:00

  • Plasma kinetics of chylomicron-like emulsion in renal transplant patients receiving cyclosporin-based immunosuppression.

    abstract:BACKGROUND:Atherosclerotic cardiovascular disease is prevalent among renal transplant patients. Increase in serum total cholesterol, low-density lipoprotein, and very low-density lipoprotein is common in those patients. Alterations in chylomicron metabolism, however, are also related to atherogenesis and were not studi...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960210608

    authors: De Lima JJ,Latrilha Mda C,Toffoletto O,Ianhez LE,Krieger EM,Maranhão RC

    更新日期:1998-06-01 00:00:00

  • Percutaneous coronary interventions in nonagenarians: in-hospital mortality and outcome at one year follow-up.

    abstract:BACKGROUND:Limited information is available regarding outcome of very elderly patients referred for percutaneous coronary intervention (PCI). PURPOSE:This study aimed to assess acute and intermediate term clinical outcomes among nonagenarians. METHODS:The study included 32 consecutive nonagenarian patients undergoing...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20596

    authors: Parikh R,Chennareddy S,Debari V,Hamdan A,Konlian D,Shamoon F,Bikkina M

    更新日期:2009-12-01 00:00:00

  • Impaired left ventricular filling during ST-segment depression provoked by dipyridamole infusion in patients with syndrome X.

    abstract::The left ventricular filling and regional wall motion patterns were compared in 6 normal subjects, 20 patients with coronary artery disease, and 10 patients with syndrome X by means of Doppler and two-dimensional echocardiography during high-dose (0.9 mg/kg body weight in 10 min) dipyridamole infusion. During the proc...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960141009

    authors: Nadazdin A,Shahi M,Foale RA

    更新日期:1991-10-01 00:00:00

  • Malignant restenosis after primary successful excimer laser coronary angioplasty.

    abstract::In a series of 20 coronary excimer laser angioplasties, two patients presented with a peculiar type of malignant restenosis 6 and 8 weeks after a successful laser angioplasty procedure. One patient had a successful recanalization of an occluded left anterior descending (LAD) coronary artery and the second patient had ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960130606

    authors: Buchwald A,Werner G,Unterberg C,Voth A,Wiegand V

    更新日期:1990-06-01 00:00:00

  • In-hospital mortality of elderly patients with acute myocardial infarction: data from the MITRA (Maximal Individual Therapy in Acute Myocardial Infarction) registry.

    abstract:BACKGROUND:Advanced age remains one of the principal determinants of mortality in patients with acute myocardial infarction (AMI). HYPOTHESIS:The aim of this study was to determine the in-hospital outcome of elderly (> 75 years) patients with AMI who were admitted to hospitals participating in the national MITRA (Maxi...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960231109

    authors: Haase KK,Schiele R,Wagner S,Fischer F,Burczyk U,Zahn R,Schuster S,Senges J

    更新日期:2000-11-01 00:00:00

  • Long-term results of combined cardiac contractility modulation and subcutaneous defibrillator therapy in patients with heart failure and reduced ejection fraction.

    abstract:BACKGROUND:Cardiac contractility modulation (CCM) is an electrical-device therapy for patients with heart failure with reduced ejection fraction (HFrEF). Patients with left ventricular ejection fraction (LVEF) ≤35% also have indication for an implantable cardioverter-defibrillator (ICD), and in some cases subcutaneous ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22919

    authors: Röger S,Rudic B,Akin I,Shchetynska-Marinova T,Fastenrath F,Tülümen E,Liebe V,El-Battrawy I,Baumann S,Kuschyk J,Borggrefe M

    更新日期:2018-04-01 00:00:00

  • Endothelial function, fibrinolysis, and angiotensin-converting enzyme inhibition.

    abstract::Experimental and clinical studies with angiotensin-converting enzyme (ACE) inhibitors have suggested that these agents may reduce the risk of atherothrombotic events. Recent studies have identified the role of angiotensin II and ACE in the regulation of fibrinolysis. There is now substantial evidence that the renin-an...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:

    authors: Vaughan DE

    更新日期:1997-11-01 00:00:00

  • Prolonged low-dose thrombolytic therapy: a novel adjunctive strategy in the management of an infected right atrial thrombus.

    abstract::An 81-year-old man presented with a large, infected right atrial thrombus that was refractory to anticoagulants and several courses of antibiotics. The risk of surgical removal of the thrombus, which was associated with a pacemaker electrode, was considered prohibitive. The patient was treated for 7 days with low-dose...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4950250709

    authors: Chuang S,Mehta RH,Fay WP

    更新日期:2002-07-01 00:00:00

  • Contemporary practice pattern of permanent pacing for conduction disorders in inferior ST-elevation myocardial infarction.

    abstract:BACKGROUND:Currently, there is no clear consensus regarding the optimal waiting period before permanent pacemaker implantation in patients with conduction disorders following an inferior myocardial infarction. HYPOTHESIS:We aimed to elucidate the contemporary practice pattern of pacing, especially the timing of pacema...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/clc.23210

    authors: Misumida N,Ogunbayo GO,Catanzaro J,Etaee F,Kim SM,Abdel-Latif A,Ziada KM,Elayi CS

    更新日期:2019-08-01 00:00:00

  • Hospital protocols and evidence-based therapies: the importance of integrating aldosterone blockade into the management of patients with post-acute myocardial infarction heart failure.

    abstract::Left ventricular systolic dysfunction (LVSD) and clinical heart failure are common complications of acute myocardial infarction (AMI) and result in substantially increased mortality and morbidity. Evidence-based cardiovascular protective therapies, including angiotensin-converting enzyme inhibitors, beta blockers, ant...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960290103

    authors: Fonarow GC

    更新日期:2006-01-01 00:00:00

  • Arrhythmias in Fabry cardiomyopathy.

    abstract:BACKGROUND:Prior studies suggest that the incidence of ventricular arrhythmias is high in patients with Fabry cardiomyopathy. This study evaluated the incidence of significant arrhythmias in a series of patients with Fabry cardiomyopathy. HYPOTHESIS:Arrhythmias are important causes of morbidity and mortality in Fabry ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22047

    authors: Acharya D,Robertson P,Kay GN,Jackson L,Warnock DG,Plumb VJ,Tallaj JA

    更新日期:2012-12-01 00:00:00

  • Assessment of Respiratory Distress by the Roth Score.

    abstract:INTRODUCTION:Health care demand is increasing due to greater longevity of patients with chronic comorbidities. This increasing demand is occurring in a setting of resource scarcity. To address these changes, high-value care initiatives, such as telemedicine, are valuable resource-preservation strategies. This study int...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22586

    authors: Chorin E,Padegimas A,Havakuk O,Birati EY,Shacham Y,Milman A,Topaz G,Flint N,Keren G,Rogowski O

    更新日期:2016-11-01 00:00:00

  • Rate-responsive pacing and atrial high rate episodes in cardiac resynchronization therapy patients: Is low heart rate the key?

    abstract:BACKGROUND:The role of atrial rate-responsive (RR) pacing in cardiac resynchronization therapy (CRT) is unclear due to the favorable effect of rate lowering in systolic heart failure. Atrial high rate episodes (AHREs) in CRT recipients are particularly worrisome since they cause loss of CRT, beyond representing a strok...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.23227

    authors: Biffi M,D'Onofrio A,Pignalberi C,Pisanò EC,Iacopino S,Curnis A,Senatore G,Capucci A,Della Bella P,Calvi V,Zanotto G,Caravati F,Maglia G,Manzo M,Santamaria M,Ziacchi M,Lissoni F,Giacopelli D,Gargaro A,Solimene F

    更新日期:2019-07-07 00:00:00

  • Atrial fibrillation: is there a role for low-molecular-weight heparin?

    abstract::Atrial fibrillation (AF) is the most common form of tachyarrhythmia and carries a significant risk of serious thromboembolic complications. Anticoagulation is used for long-term thromboprophylaxis and for short-term management in a number of clinical situations, among which is the medical or electrical cardioversion o...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960241306

    authors: Camm AJ

    更新日期:2001-03-01 00:00:00

  • Effect of cardiopulmonary bypass on cytokine network and myocardial cytokine production.

    abstract:BACKGROUND:In addition to the well-investigated proinflammatory cytokine expression, there is an ever increasing interest in the field of anti-inflammatory response to cardiopulmonary bypass (CPB). Evidence suggests that myocardium serves as an important source of cytokines during reperfusion and application of CPB. Th...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960290708

    authors: Gasz B,Lenard L,Racz B,Benko L,Borsiczky B,Cserepes B,Gal J,Jancso G,Lantos J,Ghosh S,Szabados S,Papp L,Alotti N,Roth E

    更新日期:2006-07-01 00:00:00

  • Sex-related differences in left ventricular diastolic function and arterial elastance during admission in patients with heart failure with preserved ejection fraction: The PURSUIT HFpEF study.

    abstract:BACKGROUND:We previously reported that an index of afterload-related left ventricular diastolic function, operant diastolic elastance (Ed)/effective arterial elastance (Ea) = E/e'/(0.9 × systolic blood pressure), was significantly higher in elderly hypertensive women. We aimed to determine sex-related differences in th...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/clc.23073

    authors: Hoshida S,Watanabe T,Shinoda Y,Ikeoka K,Minamisaka T,Fukuoka H,Inui H,Ueno K,Suna S,Nakatani D,Hikoso S,Yamada T,Yasumura Y,Fuji H,Sakata Y,PURSUIT HFpEF Investigators.

    更新日期:2018-12-01 00:00:00

  • Factors associated with the release of cardiac troponin T following percutaneous transluminal coronary angioplasty.

    abstract:BACKGROUND:Recent studies have suggested that immunoassay of cardiac troponin T (cTnT) provides a more sensitive measurement of myocardial necrosis than creatine kinase MB (CK-MB) mass concentration. HYPOTHESIS:The purpose of this study was to compare the release of cTnT and CK-MB isoenzyme in patients undergoing perc...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960191005

    authors: Abbas SA,Glazier JJ,Wu AH,Dupont C,Green SF,Pearsall LA,Waters DD,McKay RG

    更新日期:1996-10-01 00:00:00

  • Sudden death and its risk factors after atrioventricular junction ablation and pacemaker implantation in patients with atrial fibrillation.

    abstract:BACKGROUND:Although sudden death (SD) is a rare complication after atrioventricular junction (AVJ) ablation and permanent pacemaker implantation, the risk factors leading to this SD remain unknown. The purpose of this study was to investigate SD and its risk factors after ablate-and-pace strategy for rate control in at...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22600

    authors: Wang RX,Lee HC,Li JP,Hodge DO,Cha YM,Friedman PA,Munger TM,Srivathsan K,Pavri BB,Shen WK

    更新日期:2017-01-01 00:00:00

  • Elimination of unstable angina by diltiazem under temporary pacing.

    abstract::We describe two patients in whom spontaneous angina following acute myocardial infarction (postinfarction angina caused by coronary artery spasm) and worsening angina were successfully eliminated after clinical dosage of oral diltiazem, while marked sinus node suppression developed and temporary pacing was performed. ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960071110

    authors: Ishikawa T,Imamura T,Koiwaya Y,Tanaka K

    更新日期:1984-11-01 00:00:00

  • The anti-ischemic potential of angiotensin-converting enzyme inhibition: insights from the heart outcomes prevention evaluation trial.

    abstract::Therapy with an angiotensin-converting enzyme (ACE) inhibitor is established for reducing excessive blood pressure, reducing mortality in patients with congestive heart failure (CHF), preventing the development of CHF in patients with asymptomatic left ventricular (LV) dysfunction, and preventing death and CHF when in...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960230704

    authors: Pitt B

    更新日期:2000-07-01 00:00:00

  • Acute effects of alcohol on left ventricular dynamics during isometric exercise in normal subjects.

    abstract::The aim of this study was to assess whether drinking social amounts of alcohol impairs myocardial contractility in normal humans. To that end, 17 healthy volunteers performed isometric handgrip exercise before and 60 minutes after an intake of 1 g/kg body weight of ethanol within 60 minutes. Left ventricular M-mode ec...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960060302

    authors: Kupari M,Heikkilä J,Ylikahri R

    更新日期:1983-03-01 00:00:00

  • Cocaine: the newest risk factor for cardiovascular disease.

    abstract::Cocaine-related cardiovascular events escalated during the 1980s as cocaine became purer, cheaper, and easier to obtain. Cocaine abuse is a risk factor for myocardial ischemia and/or infarction, cardiac arrhythmias, pulmonary edema, ruptured aortic aneurysm, cerebral infarction, infective endocarditis, vascular thromb...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960140626

    authors: Cregler LL

    更新日期:1991-06-01 00:00:00

  • Catheter balloon valvuloplasty of stenotic aortic valves--Part II: Balloon valvuloplasty during life subsequent tissue examination.

    abstract::This review describes 23 patients with aortic valve stenosis who underwent balloon valvuloplasty during life and had subsequent valve tissue examined at the time of aortic valve replacement or at necropsy. Of 23 stenotic aortic valves, 17 were examined within 30 days (early) after balloon dilation. Of these 94% had no...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960141113

    authors: Waller BF,Dorros G,Lewin RF,King JF,McKay C,van Tassel JW

    更新日期:1991-11-01 00:00:00

  • Platelet reactivity in response to loading dose of atorvastatin or rosuvastatin in patients with stable coronary disease before percutaneous coronary intervention: The STATIPLAT randomized study.

    abstract:BACKGROUND:The acute effects of statin loading dose (LD) on platelet reactivity in patients with chronic stable angina (CSA) are not completely clear. HYPOTHESIS:We hypothesized that LDs of atorvastatin and rosuvastatin have different pharmacodynamic acute effects on platelet aggregability in CSA patients with baselin...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/clc.22709

    authors: Godino C,Pavon AG,Mangieri A,Salerno A,Cera M,Monello A,Chieffo A,Magni V,Cappelletti A,Margonato A,Colombo A

    更新日期:2017-08-01 00:00:00

  • Hypoadiponectinemia is associated with prehypertension in obese individuals of multiethnic origin.

    abstract:BACKGROUND:Considering that prehypertension is associated with an increase in cardiovascular risk, hypoadiponectinemia seems to be a predictor of hypertension. HYPOTHESIS:This study investigated whether adiponectin plasma levels are affected in Brazilian obese prehypertensives compared with those in normotensives and ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20657

    authors: Celoria BM,Genelhu VA,Pimentel Duarte SF,Delfraro PA,Francischetti EA

    更新日期:2010-06-01 00:00:00

  • Therapies on the horizon for cholesterol reduction.

    abstract::Statins are powerful agents for the reduction of low-density lipoprotein cholesterol (LDL-C) and reduction of cardiovascular risk. Newly developed statins with increased potency, such as rosuvastatin (Crestor) and NK-104 (in earlier clinical development), are capable of achieving marked LDL-C reductions. Cholesterol-l...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960241506

    authors: Brown WV

    更新日期:2001-08-01 00:00:00