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Around the great vessels and the venae cavae, serving to anchor the heart in the central thorax. Because of its location, the pericardium may also function as a barrier to infection. The pericardium is well innervated such that pericardial inflammation may produce severe pain and trigger vagally mediated reflexes. The pericardium also secretes prostaglandins that modulate cardiac reflexes and coronary tone. 4 as a result of its relatively inelastic physical properties, the pericardium limits acute cardiac dilatation and enhances mechanical interactions of the cardiac chambers. 5 in response to long-standing stress, the pericardium dilates, shifting the pericardial pressure-volume relation substantially to the right (figure 1). 6–8 this allows a slowly accumulating pericardial effusion to become quite large without compressing the cardiac chambers and for left ventricular remodeling to occur without pericardial constriction. View larger version: in this window in a new window download as powerpoint slide figure 1. cheap generic viagra floridalighttacklecharters.com/thq-sales-viagra-xh/ buy cheap viagra cheap viagra online buy viagra online buy viagra viagra without a doctor prescription buy generic viagra viagra from cananda without prescription cheap generic viagra Pericardial pressure-volume relations determined in pericardium obtained from a normal experimental animal and from an animal with chronic cardiac dilation produced by volume loading. The pericardial pressure-volume relation is shifted to the right in the volume-loaded animal, demonstrating that the pericardium can dilate to accommodate slowly increasing volume. Reproduced with permission from freeman and lewinter. 6 copyright 1984, american heart association. Despite the known important functions of the normal pericardium, congenital absence or surgical resection of the pericardium does not appear to have any major untoward effects. 9 previous section next section acute pericarditis etiology acute inflammation of the pericardium with or without an associated pericardial effusion can occur as an isolated clinical problem or as a manifestation of systemic diseases. 1,10–13 although as many as 90% of isolated cases of acute pericarditis are idiopathic or viral, the list of other potential causes is extensive (table 1). Although formerly common, tuberculous and bacterial infections have become rare causes of pericarditis. 14 other causes of acute pericarditis include uremia, 15 collagen vascular diseases, 16 neoplasms, and pericardial inflammation after an acute myocardial infarction or pericardial.  

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Hours of Play

(in effect from September - June)                                       (Summer Hours)        
 
Monday                                           Monday
  
 9:00 am - 6:00 pm                           9:00 am - 6:00 pm

Tuesday - Thursday                Tuesday - Saturday

      9:00 am - 8:00 pm                          9:00 am - 8:00 pm

 Friday and Saturday                           Sunday              

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Sunday                                                    

   9:00 am - 7:00 pm                                                          

Holidays  9:00 am - 8:00 pm

   
 

 
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