Study of etiological and clinical profile of pericardial effusion in a tertiary care hospital in Kosi region of Bihar, India

Uddin, Jamal; Singh, Mrityunjay Pratap; Mehdi, Mehre Darakhshan

doi:10.18203/2349-3933.ijam20161844

Cited by 6 publications

(6 citation statements)

References 5 publications

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“…The causes of pericardial effusion varies with age. The most common age group in our study was 56-75 which is similar to study done by Uddin M., et al 7 .…”

Section: Discussionsupporting

confidence: 91%

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Clinical profile of patients admitted with pericardial effusion in Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Neupane,

Simkhada,

Manandhar

et al. 2023

Nepalese Heart J.

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Background and Aims: Pericardial effusion is a common finding in every day clinical practice. It is caused by a range of local and systemic disorders, many of which could be idiopathic. Pericardial effusions can be acute or chronic. The etiology of pericardial effusion varies in different parts of the world and is related to the relative prevalence of different diseases. Methods: This is a retrospective study where data from all the cases admitted with pericardial effusion in the SGNHC from January 2021 to December 2022 were included. Altogether 218 cases diagnosed with pericardial effusion established by Echocardiograpy were included. Evaluation for the cause of pericardial effusion was done. Iatrogenic (cardiac surgery, catheterization) and post-traumatic cases and age <15 years were excluded. Demographic profile, common causes, the presentation and the clinical outcome of the patients were documented. Results: Majority of patients were aged between 56-75 years. Most common etiology of pericardial effusion was tuberculosis (56%) followed by heart failure (11%), Hypothyroidism (6.4%) and malignancy (5.6%). Tachycardia was the most common ECG finding in 152 (69.7%) followed by Low voltage ECG in 96 (44%). The most common clinical feature was breathlessness in 85% followed by tachycardia in 56% of the patient. Conclusion: Tuberculosis, Heart Failure and Hypothyroidism were the common causes of Pericardial effusion with male predominance. Breathlessness was the most common presenting symptom.

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“…The causes of pericardial effusion varies with age. The most common age group in our study was 56-75 which is similar to study done by Uddin M., et al 7 .…”

Section: Discussionsupporting

confidence: 91%

“…Few patients underwent CT chest and abdomen to find out the cause of pericardial effusion. Seven (7) patients were found to have malignancy (lymphoma, thymoma) whereas three patients were found to have disseminated TB and were treated accordingly.…”

Section: % 9% 6%mentioning

confidence: 99%

Clinical profile of patients admitted with pericardial effusion in Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Neupane,

Simkhada,

Manandhar

et al. 2023

Nepalese Heart J.

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“…These patients usually presents to the emergency room requiring urgent drainage of the fluid. In our series, there is male preponderance which is what obtains in most studies without any statistically significant difference [7,[13][14]. Dyspnea was the predominant symptom in our patients and majority of our patients presented in tamponade which has been reported as the commonest mode of presentation in patients with massive pericardial effusion or posttraumatic acute haemopericardium [1,4,[15][16].…”

Section: Discussionsupporting

confidence: 70%

Subxiphoid Tube Pericardiostomy in the Management of Pericardial Effusion: Our Experience

Umar¹,

Ismail²,

Sani³

et al. 2019

IJCTS

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Introduction -There is minimal amount of fluid within the two layers of the pericardium. This serves to lubricate the layers preventing friction. Various disease processes can lead to increase in the amount of this fluid which cause haemodynamic compromise these patients. Various methods have been used to drain this fluid. We report our experience with subxiphoid tube pericardiotomy in the drainage of pericardial effusion. Material and Method -we reviewed case files of 30 patients that presented to us with pericardial effusion over a six-year period. Results -There were 19 males (63.3%) and 11 females (36.7%). Age range is between 2 yrs and 65 years with a mean of 27.3 yrs. Adult age group accounted for 25 (83.3%) while paediatric age group was 5 (16.7%). Predominant symptom was dyspnea and all patients had subxiphoid tube pericardiostomy for drainage. Majority of our patients (80%) had tuberculosis as the cause of their effusion. Mortality was 3 (10%) following the drainage but cause of death was progression of their disease. The was recurrence in one patient who had malignant effusion and was subsequently treated with pericardial window but later lost to follow up. Conclusion -Subxiphoid tube pericardiostomy still remains the main stay in the management of massive tuberculous pericardial effusion in our environment as it provides the opportunity to drain the fluid and take adequate fluid samples and tissue for diagnosis. Recurrence rate is also low.

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“…Similarly in the study conducted by Jamal Uddin et al [6] in India, most common etiology was tuberculosis 27.27% followed by idiopathic 19.69% then Uremia 16.66% and Malignant 13.63%.…”

Section: Discussionmentioning

confidence: 63%

Study of Etiological Profile, Clinical Profile and Short Term Outcome of Patients Presenting with Pericardial Effusion in a Tertiary Care Center, Nepal

Khanal¹,

Gajurel²,

Sahi³

et al. 2019

WJCD

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Introduction: Pericardial effusion is one of the common cardiac problems in our part of the world and adds burden to the health and economy of the country, as it is associated with high risk of morbidity and mortality. Our objective of the study was to determine the etiological spectrum of pericardial effusion, their clinical presentations and complications and assessing the usefulness of echocardiographic features of effusion in helping to determine the etiology. Methods: A cross-sectional observational prospective study of 63 patients with diagnosis of pericardial effusion was enrolled in the study. Pericardial effusion was diagnosed by echocardiography and pericardiocentesis was done in the cardiac catheterization room. Patients were followed up 3 monthly for 1 year and reassessed clinically and by echocardiography. Results: Patients presenting with pericardial effusion belonged to the age group of 8 to 88 years. The most common etiology was tuberculosis (36.5%) followed by malignancy (19%) and idiopathic/Viral (12.6%). Among malignancies, carcinoma lung was the most common cause followed by lymphoma. Pericardiocentesis was done in 46 patients (73%) and the approach was subxiphoid. The procedure-related complications were in 4 patients (6.3%) and there was no death as a consequence of the procedure. The total mortality was 12 (19%) with in-hospital death of 6 patients (9.5%). Conclusions: The study showed tuberculosis as the most common cause of pericardial effusion in developing countries like Nepal and as a cause of cardiac tamponade in contrast to the studies from the developed world where malignancy remains the leading cause.

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Study of etiological and clinical profile of pericardial effusion in a tertiary care hospital in Kosi region of Bihar, India

Cited by 6 publications

References 5 publications

Clinical profile of patients admitted with pericardial effusion in Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Clinical profile of patients admitted with pericardial effusion in Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Subxiphoid Tube Pericardiostomy in the Management of Pericardial Effusion: Our Experience

Study of Etiological Profile, Clinical Profile and Short Term Outcome of Patients Presenting with Pericardial Effusion in a Tertiary Care Center, Nepal

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