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KMID : 0368120090390030116
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Korean Circulation Journal
2009 Volume.39 No. 3 p.116 ~ p.120
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A Case of Constrictive Pericarditis Associated With Huge Epicardial Fat Volume
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Do Gi-Won
Ku Bon-Seung
Park Chan-Sung
Kim Shin-Jae
Shin Eun-Seok
Choi Seong-Hoon
Lee Sang-Gon
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Abstract
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Massive deposits of fat around heart are seen in overweight persons and are associated with coronary artery disease. Investigators have focused on the clinical significance of epicardial fat with respect to metabolic effects such as insulin resistance and inflammation, but the mechanical effects, such as constriction, have been largely ignored. We present an unusual case of a 59-year-old woman with obesity and diabetes mellitus who had been undergoing peritoneal dialysis due to end-stage renal disease, and who developed constrictive pericarditis, possibly secondary to extensive epicardial fatty accumulation.
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KEYWORD
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Epicardium, Fat, Pericarditis, constrictive, Echocardiography, Tomography, spiral computed, Heart
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