| Initial echocardiographic characteristics of pericardial effusion determine the pericardial complications. | |
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MedLine Citation:
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PMID: 18614247 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Clinical implications of the initial echocardiographic characteristics of pericardial effusion (PE) have not been clearly demonstrated. We sought to evaluate the clinical significance of echogenic materials in PE. METHODS: Echocardiographic evaluation was performed in consecutive 178 patients with moderate to severe PE, and the etiology of PE was determined by clinical and pathologic studies. Echocardiography was repeated for 46 +/- 56 weeks. RESULTS: Echo-free PE was shown in 142 patients (80%, group A), while echogenic PE was found in 36 patients (20%, group B). In group B, intrapericardial fibrinous strands and/or exudative frond-like materials were detected in 29 patients and diffuse echogenic PE was shown in 7 patients. The prevalence of echogenic PE was the highest in tuberculosis (56.3%). All 49 patients with uremia or congestive heart failure showed clear echo-free PE. During the follow-up, the incidence of constrictive pericarditis and recurrent PE were highest in malignancy (38.6%) and tuberculosis (31.3%), respectively. The incidence of constrictive pericarditis (3.5 vs. 27.8%, p < 0.001) and recurrent PE (9.2 vs. 22.2%, p < 0.05) were significantly lower in group A than group B. The echogenic PE was the major independent predictor of the events by multiple stepwise logistic regression analysis (p < 0.01), regardless of the PE etiology. CONCLUSION: Echogenic materials in PE predict pericardial complications such as recurrence and constrictive pericarditis, irrespective of underlying diseases. |
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Authors:
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Sang-Hyun Kim; Jong-Min Song; In-Hyun Jung; Mi-Jeong Kim; Duk-Hyun Kang; Jae-Kwan Song |
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Publication Detail:
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Type: Journal Article Date: 2008-07-09 |
Journal Detail:
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Title: International journal of cardiology Volume: 136 ISSN: 1874-1754 ISO Abbreviation: Int. J. Cardiol. Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-07-27 Completed Date: 2009-10-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: Netherlands |
Other Details:
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Languages: eng Pagination: 151-5 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Asan Medical Center, Seoul, South Korea. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Disease-Free Survival Echocardiography* Female Humans Incidence Logistic Models Male Middle Aged Pericardial Effusion / epidemiology*, ultrasonography* Pericarditis, Constrictive / epidemiology*, ultrasonography* Predictive Value of Tests Prevalence Prognosis Retrospective Studies Risk Factors Severity of Illness Index |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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