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Heart 2002;87:496
© 2002 by Heart

Electronic pages

ELECTRONIC PAGES

The following electronic only articles are published in conjunction with this issue of Heart.

Paracardial lipodystrophy versus pericardial effusion in HIV positive patients

T Neumann, J Barkhausen, T Bartel

Objective: To present an epicardial manifestation of the lipodystrophy syndrome, a side effect of antiretroviral treatment in HIV positive patients, which illustrates the important danger of false diagnosis.

Patient: A 52 year old man with HIV (stage C3), diagnosed 10 years previously, was being treated with a combination of nelfinavir, nevirapine, and stavudine. Echocardiographic examination showed a low echogenic pericardial space that had increased tremendously from 4 mm to 18 mm over a 10 month period. The diagnosis of paracardial adipose tissue was verified by magnetic resonance tomography. Doppler echocardiographic parameters were not significantly altered (ratio of early to late ventricular filling 0.88 v 0.73, Tei index 0.30 v 0.36).

Conclusion: Even a pericardial manifestation of lipodystrophy causes negligible functional . . . [Full text of this article]


Relevant Articles

Paracardial lipodystrophy versus pericardial effusion in HIV positive patients
T Neumann, A Chanbay, J Barkhausen, and T Bartel
Heart 2002 87: e4. [Abstract] [Full Text] [PDF]

Churg-Strauss syndrome with critical endomyocardial fibrosis: 10 year survival after combined surgical and medical management
C R McGavin, A J Marshall, and C T Lewis
Heart 2002 87: e5. [Abstract] [Full Text] [PDF]





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