Document Detail


Diagnostic value of chest X-ray and echocardiography for cardiac tamponade in post cardiac surgery patients.
MedLine Citation:
PMID:  16696507     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the effectiveness of X-ray and echocardiography (ECHO) as a diagnostic tool for cardiac tamponade in adult cardiac surgery patients. METHODS: Thirty five coronary artery bypass and graft surgery patients who developed cardiac tamponade at Cleveland clinic foundation, were included in this study. Their diagnosis was confirmed at the time of re-exploration in the operating room. These patients were followed retrospectively for demographics, X-ray and echocardiography findings. Abnormal and enlarged cardiac silhouette which was different from first postoperative X-ray was used as radiological criteria for tamponade while echocardiographic diagnosis was left to the discretion of cardiologist. RESULTS: Twenty four males (69%) and 11 (31%) females with an average age of 60.7 +/- 15.2 years were included in this study. Only 7 (20%) patients met our criteria for radiological diagnosis of tamponade. All 35 patients showed pericardial effusion on ECHO while cardiac tamponade was present in 30 (86%) patients. Tamponade developed on an average on 4th postoperative day. CONCLUSION: Radiological diagnosis of cardiac tamponade based on changes in cardiac silhouette provide limited information while ECHO is a reliable diagnostic tool when combined with clinical findings.
Authors:
Mohammad Hamid; Mueen Ullah Khan; Allen C Bashour
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  JPMA. The Journal of the Pakistan Medical Association     Volume:  56     ISSN:  0030-9982     ISO Abbreviation:  J Pak Med Assoc     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-05-15     Completed Date:  2006-06-23     Revised Date:  2008-02-12    
Medline Journal Info:
Nlm Unique ID:  7501162     Medline TA:  J Pak Med Assoc     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  104-7     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia, Aga Khan University Hospital, Karachi.
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MeSH Terms
Descriptor/Qualifier:
Cardiac Tamponade / radiography*,  ultrasonography*
Coronary Artery Bypass*
Echocardiography
Female
Humans
Male
Middle Aged
Pericardial Effusion / radiography,  ultrasonography
Postoperative Complications / radiography*,  ultrasonography*
Radiography, Thoracic
Retrospective Studies

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