Correlation between clinical and Doppler echocardiographic findings in patients with moderate and large pericardial effusion: Implications for the diagnosis of cardiac tamponade

Mercé, Jordi; Sagristà-Sauleda, Jaume; Permanyer-Miralda, Gaietà; Evangelista, Arturo; Soler‐Soler, Jordi

doi:10.1016/s0002-8703(99)70193-6

Cited by 152 publications

(72 citation statements)

References 27 publications

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“…Therefore, when the usual echocardiographic findings of tamponade are not present, surgeons must decide whether to continue monitoring the patient and risk further surgical delay. [6] Although TTE specificity rates ranging from 30-90% have been previously reported, [7][8][9][10][11] these reports lacked the sensitivity rate that could have served as a diagnostic reference to prove or disprove post-cardiac surgery tamponade. In this study, surgical confirmation was considered as the base of reference for calculating both the specificity and sensitivity of TTE in the diagnosis of post-cardiac surgery tamponade, and those rates were compared with a combination of the most commonly observed clinical findings.…”

mentioning

confidence: 99%

An evaluation of diagnostic sensitivity of transthoracic echocardiography in diagnosis of post-cardiac surgery tamponade

Büyükbayrak¹

2014

Turk Gogus Kalp Dama

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Amaç: Bu çalışmada transtorasik ekokardiyografinin (TTE) kalp cerrahisi sonrası gelişen kardiyak tamponad tanısındaki tanısal özgüllüğü ve duyarlılığı değerlendirildi. Bul gu lar: İlk ameliyat sonrası geçen sürenin ortalama ve medyan değerleri sırasıyla 12.0±11.7 ve dokuz gün (0-62 gün) idi. Genel mortalite 28 hastada (%38.4) görüldü. Cerrahi olarak kanıtlanmış tamponad hastalarında, TTE %64.5 duyarlılığa sahip iken %92.0'sinde hipotansiyon, %80.6'sında oligüri ve %45.1'inde metabolik asidoz mevcuttu (p<0.001). Cerrahi olarak tamponad olmadığı doğrulanmış hastalarda, TTE %90.9 özgül-lüğe sahip iken, %54.5'inde hipotansiyon, %81.8'inde oligüri ve %45.4'ünde metabolik asidoz mevcuttu (p= 0.07). Özgüllük oranları geçen zamanla sabitken duyarlılık oranları yedi günden sonra artma eğilimindeydi. Ça lış ma pla nı: So nuç:Transtorasik ekokardiyografi ameliyat sonrası hemodinamik bozulmanın değerlendirilmesinde önemli bir role sahiptir. Ancak, testin kardiyak tamponad tanısındaki yüksek yanlış negatiflik oranı, yüksek klinik şüphe varlığında zaman kaybının önlenmesi için akılda tutulmalıdır.Anah tar söz cük ler: Ekokardiyografi; duyarlılık; özgüllük; tamponad.Background:This study aims to evaluate the diagnostic specificity and sensitivity of transthoracic echocardiography (TTE) for the diagnosis of cardiac tamponade after cardiac surgery.

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mentioning

confidence: 99%

An evaluation of diagnostic sensitivity of transthoracic echocardiography in diagnosis of post-cardiac surgery tamponade

Büyükbayrak¹

2014

Turk Gogus Kalp Dama

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“…On the other hand, not always can one fi nd correlation between clinical fi ndings and echocardiographic fi ndings when diagnosing tamponade pericardial effusion in patients reporting moderate to signifi cant pericardial effusion. Mercé and collaborators 6 found left chamber collapses in 53% of patients reporting signifi cant effusion. Approximately 89% of patients presenting tamponade clinical symptoms reported collapse in at least one chamber.…”

Section: Resultsmentioning

confidence: 98%

“…Left ventricle ejection fraction was obtained through Teichholz 5 method. Signifi cant previous pericardial effusion was defi ned as larger than 20 mm posterior pericardial effusion; moderate was considered to be between 10 and 20 mm 6 .…”

Section: Methodsmentioning

confidence: 99%

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Dosagem dos níveis de NT pro-BNP nas afecções pericárdicas e sua utilidade como método complementar de avaliação de restrição diastólica. Experiência inicial de 25 casos: 25 cases

Fernandes¹,

Almeida²,

Ramires³

et al. 2006

Arq. Bras. Cardiol.

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OBJECTIVETo determine whether NT pro-BNP levels are high in patients reporting pericardial diseases, as well as to investigate how they relate to diastolic dysfunction echocardiographic measures. METHODSTwenty-fi ve patients were split into two groups: 1) pericardial effusion (PE): 15 patients; 2) constrictive pericaditis (CP): 10 patients. A control group was made up with 30 individuals reporting no heart disease. Pericadial effusion was evaluated by bidimensional echocardiogram, with restriction evaluated by pulsed Doppler of mitral fl ow. CP diagnosis was confi rmed by MRI. NT pro-BNP levels were measured by immunoassay and detected by electrochemiluminescence. RESULTSFrom the 15 PD patients, 14 reported relevant PD, and only 1, moderate PD. Log NT pro-BNP was shown to be higher in PD (p <0.05), with log mean of 2.31 pg/ml and CP (p <0.05), with log mean of 2.67 pg/ml, when compared to control group, log mean of 1.32 pg/ ml. No difference was reported between PD and CP (p = 0.149). The NT pro-BNP log showed to be correlated to peak velocity of the E wave (r = 0.845; p = 0.001) and with E/A (r=0.717; p= 0.003). CONCLUSIONNT pro-BNP is shown to have increased in pericardial diseases, and is associated to diastolic dysfunction. It may serve as an additional method in quantifying restriction. KEY WORDSPericardial effusion, constrictive pericaditis, NT pro-BNP.

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“…This reflects a continuum of hemodynamic changes ultimately culminating in tamponade [22]. Rarely, the effusive constrictive pericarditis may develop, sometimes despite drainage, and requires extensive surgical management with both visceral and parietal pericardial stripping [23].…”

Section: Discussionmentioning

confidence: 99%

Progressive pericardial effusion during chemotherapy for advanced Hodgkin lymphoma

2011

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Correlation between clinical and Doppler echocardiographic findings in patients with moderate and large pericardial effusion: Implications for the diagnosis of cardiac tamponade

Cited by 152 publications

References 27 publications

An evaluation of diagnostic sensitivity of transthoracic echocardiography in diagnosis of post-cardiac surgery tamponade

An evaluation of diagnostic sensitivity of transthoracic echocardiography in diagnosis of post-cardiac surgery tamponade

Dosagem dos níveis de NT pro-BNP nas afecções pericárdicas e sua utilidade como método complementar de avaliação de restrição diastólica. Experiência inicial de 25 casos: 25 cases

Progressive pericardial effusion during chemotherapy for advanced Hodgkin lymphoma

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