| Factors associated with pericardial effusion in acute Q wave myocardial infarction. | |
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MedLine Citation:
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PMID: 2297857 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To elucidate the clinical characteristics associated with pericardial effusion in the early phase of myocardial infarction, 330 patients with acute Q wave infarction were studied. According to echocardiography, 83 patients had pericardial effusion on the third day of hospitalization, and careful auscultation revealed that a pericardial rub was absent in 45 patients and was present in 38 patients. Based on seven clinical variables, multivariate analysis was performed to determine the important variables related to the occurrence of pericardial effusion with and without pericardial rub. Pulmonary capillary wedge pressure and left ventricular segments with advanced asynergy were the significant factors related to the occurrence of pericardial effusion without a pericardial rub. The presence of ventricular aneurysmal motion, left ventricular segments with advanced asynergy, and alveolar arterial oxygen difference were related to pericardial effusion with a pericardial rub. Therefore, a hemodynamic factor was the major mechanism associated with the increase in extravascular myocardial fluid and the consequent occurrence of hydropericardia in the absence of a pericardial rub, whereas an increase in the microvascular permeability in the myocardium with excessive fluid exudating through the irritated epicardial surface was the mechanism related to pericardial effusion with a pericardial rub in the early phase of acute myocardial infarction. |
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Authors:
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T Sugiura; T Iwasaka; Y Takayama; M Matsutani; T Hasegawa; N Takahashi; M Inada |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Circulation Volume: 81 ISSN: 0009-7322 ISO Abbreviation: Circulation Publication Date: 1990 Feb |
Date Detail:
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Created Date: 1990-03-13 Completed Date: 1990-03-13 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0147763 Medline TA: Circulation Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 477-81 Citation Subset: AIM; IM |
Affiliation:
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Second Department of Internal Medicine Kansai Medical University, Osaka, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Capillary Permeability Echocardiography Electrocardiography Female Heart Sounds Humans Male Middle Aged Multivariate Analysis Myocardial Infarction / complications* Pericardial Effusion / diagnosis, etiology* Pulmonary Gas Exchange Pulmonary Wedge Pressure |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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