Document Detail


Characteristics of ascitic fluid in cardiac ascites.
MedLine Citation:
PMID:  17710677     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Cardiac ascites remains a rare entity with unique clinical and pathogenetic features that are not adequately recognized by clinicians. The purpose of this study was to contribute towards elucidating the nature of cardiac ascites. MATERIAL AND METHODS: We describe a series of 26 ascitic fluid samples from eight patients with cardiac ascites that were referred and further evaluated for the etiology and nature of their ascites. RESULTS: In all samples ascitic fluid was an exudate with an increased serum-ascitic fluid albumin gradient, a pattern unique in ascites. Other causes of ascites were excluded, often through a protracted differential diagnostic procedure. CONCLUSIONS: The unique pattern of cardiac ascites should allow for rapid diagnosis and characterization: The clinical implications of furosemide use in its response and biochemical properties warrant further description.
Authors:
Leonidas Christou; Michael Economou; Georgios Economou; Theophilos M Kolettis; Epameinondas V Tsianos
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scandinavian journal of gastroenterology     Volume:  42     ISSN:  0036-5521     ISO Abbreviation:  Scand. J. Gastroenterol.     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-21     Completed Date:  2008-02-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0060105     Medline TA:  Scand J Gastroenterol     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  1102-5     Citation Subset:  IM    
Affiliation:
1st Department of Internal Medicine, Medical School, University of Ioannina, Greece.
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MeSH Terms
Descriptor/Qualifier:
Aged
Albumins / analysis
Ascites / etiology*,  therapy
Ascitic Fluid* / chemistry,  cytology
Diagnosis, Differential
Diuretics / therapeutic use
Erythrocyte Count
Exudates and Transudates*
Female
Follow-Up Studies
Furosemide / therapeutic use
Heart Failure / complications*,  diagnosis,  metabolism
Humans
L-Lactate Dehydrogenase / analysis
Leukocyte Count
Male
Middle Aged
Chemical
Reg. No./Substance:
0/Albumins; 0/Diuretics; 54-31-9/Furosemide; EC 1.1.1.27/L-Lactate Dehydrogenase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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