Document Detail


Hemodynamically unstable pericardial effusion in the Intensive Cardiac Unit: prospective study.
MedLine Citation:
PMID:  14671824     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors have conducted a prospective investigation on 15 patients with hemodynamically unstable pericardial effusion (main criteria: echocardiographic signs of various degrees of right ventricular diastolic collapse and clinical instability) hospitalized in the Intensive Cardiac Unit (1.97% of all patients) for one year and have compared the results with literature data. The causes of pericardial effusion were neoplasms, infections, rupture of heart of aorta and hypothyroidism. Investigation revealed the most frequent findings: symptoms (dyspnea, retrosternal pain, loading intolerance, nonproductive cough), clinical signs (soft heart sounds, changes in pulmonal findings, fever, jugular venous distention, tachycardia, arterial hypotension and hepatomegaly), laboratory changes (elevated erythrocyte sedimentation rate, leukocytosis), ECG changes (ST-T abnormality, microvoltage, tachycardia) and chest X-rays changes (enlarged cardiac silhouette, pleural effusion). Echocardiography found an average width of pericardial effusion of 2.5 cm (+/- 1.2), frequently thickened pericardium and changes in heart motions. The most used drugs in therapy were indomethacin, antibiotics, analgesics and corticosteroids. In three patients pericardiocentesis, and in two pericardiectomy were performed. Two patients died, 13 patients were discharged from the ICU with an improved health condition. Literature data on this condition are either lacking, or differ from the above findings.
Authors:
Z Babic; V Nikolic-Heitzler; N Bulj; H Pintaric; D Planinc; S Mihatov
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta medica Austriaca     Volume:  30     ISSN:  0303-8173     ISO Abbreviation:  Acta Med. Austriaca     Publication Date:  2003  
Date Detail:
Created Date:  2003-12-15     Completed Date:  2004-01-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7501997     Medline TA:  Acta Med Austriaca     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  76-9     Citation Subset:  IM    
Affiliation:
Intensive Cardiac Unit, Department of Internal Medicine, University Hospital Sestre Milosrdnice, Zagreb, Croatia. zdrbabic@globalnet.hr
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MeSH Terms
Descriptor/Qualifier:
Cardiac Tamponade / physiopathology*,  ultrasonography
Croatia
Echocardiography
Hemodynamics / physiology*
Humans
Intensive Care Units
Monitoring, Physiologic / methods
Pericardial Effusion / physiopathology*,  ultrasonography

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