Relation of Pericardial Effusion to Degree of Fractional Shortening

The prevalence of significant pericardial effusion in patients with left ventricular (LV) dysfunction has not been reported. The goal of this study was to evaluate the prevalence and severity of pericardial effusion in patients with decreased fractional shortening (FS) using a large echocardiographi...

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Veröffentlicht in:The American journal of cardiology 2006-03, Vol.97 (6), p.910-911
Hauptverfasser: Movahed, Mohammad-Reza, Saito, Yuji, Ahmadi-Kashani, Mastaneh, Kasravi, Babak
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container_end_page 911
container_issue 6
container_start_page 910
container_title The American journal of cardiology
container_volume 97
creator Movahed, Mohammad-Reza
Saito, Yuji
Ahmadi-Kashani, Mastaneh
Kasravi, Babak
description The prevalence of significant pericardial effusion in patients with left ventricular (LV) dysfunction has not been reported. The goal of this study was to evaluate the prevalence and severity of pericardial effusion in patients with decreased fractional shortening (FS) using a large echocardiographic database. A retrospective analysis of 24,265 echocardiograms performed at our institution from 1984 to 1998 was undertaken. FS was measured in 18,015 of the echocardiograms. The occurrence of pericardial effusion was correlated with the degree of FS, and FS was stratified into 4 groups: (1) >25%, (2) 17.5% to 25%, (3) 10% to 17.5%, and (4)
doi_str_mv 10.1016/j.amjcard.2005.10.027
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The goal of this study was to evaluate the prevalence and severity of pericardial effusion in patients with decreased fractional shortening (FS) using a large echocardiographic database. A retrospective analysis of 24,265 echocardiograms performed at our institution from 1984 to 1998 was undertaken. FS was measured in 18,015 of the echocardiograms. The occurrence of pericardial effusion was correlated with the degree of FS, and FS was stratified into 4 groups: (1) &gt;25%, (2) 17.5% to 25%, (3) 10% to 17.5%, and (4) &lt;10%. On the basis of visual estimation, effusion was divided into 3 groups: mild, moderate, and severe. Pericardial effusion was present in 1,632 of the echocardiograms in which FS was measured. Pericardial effusion was significantly more common in patients with FS &lt;25% and was correlated with the severity of decreased FS (group 1: 8.4%; group 2: 12.8%; group 3: 13.2%; group 4: 14.4%; p &lt;0.0001). However, when categorizing pericardial effusion by severity, only mild pericardial effusion was correlated with decreased FS (group 1: 6.6%; group 2: 11.0%; group 3: 11.1%; group 4: 14.0%; p &lt;0000.1). Our results indicate that the occurrence of moderate to severe pericardial effusion cannot be explained by a decrease in LV systolic function.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2005.10.027</identifier><identifier>PMID: 16516600</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Cardiology ; Cardiology. 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The goal of this study was to evaluate the prevalence and severity of pericardial effusion in patients with decreased fractional shortening (FS) using a large echocardiographic database. A retrospective analysis of 24,265 echocardiograms performed at our institution from 1984 to 1998 was undertaken. FS was measured in 18,015 of the echocardiograms. The occurrence of pericardial effusion was correlated with the degree of FS, and FS was stratified into 4 groups: (1) &gt;25%, (2) 17.5% to 25%, (3) 10% to 17.5%, and (4) &lt;10%. On the basis of visual estimation, effusion was divided into 3 groups: mild, moderate, and severe. Pericardial effusion was present in 1,632 of the echocardiograms in which FS was measured. Pericardial effusion was significantly more common in patients with FS &lt;25% and was correlated with the severity of decreased FS (group 1: 8.4%; group 2: 12.8%; group 3: 13.2%; group 4: 14.4%; p &lt;0.0001). However, when categorizing pericardial effusion by severity, only mild pericardial effusion was correlated with decreased FS (group 1: 6.6%; group 2: 11.0%; group 3: 11.1%; group 4: 14.0%; p &lt;0000.1). Our results indicate that the occurrence of moderate to severe pericardial effusion cannot be explained by a decrease in LV systolic function.</description><subject>Biological and medical sciences</subject><subject>Cardiology</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the pericardium</subject><subject>Echocardiography</subject><subject>Heart</subject><subject>Humans</subject><subject>Hypertension - physiopathology</subject><subject>Medical sciences</subject><subject>Pericardial Effusion - diagnostic imaging</subject><subject>Pericardial Effusion - epidemiology</subject><subject>Pericardial Effusion - etiology</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><subject>Ultrasonic imaging</subject><subject>Ventricular Dysfunction, Left - complications</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkNtKxDAQhoMouh4eQVkEveuaNNs0vRJZ1wMsKB6uwzSdaEq30aQVfHtTtiB441XIzzf_DB8hx4zOGGXiop7Butbgq1lKaRazGU3zLTJhMi8SVjC-TSaU0jQp2LzYI_sh1PHLWCZ2yR4TGROC0glZPGEDnXXt1JnpI3o7VFpopktj-jDknZte45tHHIgbD3qgI_D87nyHrW3fDsmOgSbg0fgekNeb5cviLlk93N4vrlaJ5kJ2iYlbsTBQ8LkWnHJOgWdMyzmmGqjkspRZWlHGAVDnpoRSMCyKsuJ5JaWR_ICcb3o_vPvsMXRqbYPGpoEWXR-UyHMWi_MInv4Ba9f7eHRQaVws4loaoWwDae9C8GjUh7dr8N-KUTUoVrUaFatB8RBHxXHuZCzvyzVWv1Oj0wicjQAEDY3x0GobfrlcpGKeishdbjiMzr4sehW0xVZjZT3qTlXO_nPKD10emtY</recordid><startdate>20060315</startdate><enddate>20060315</enddate><creator>Movahed, Mohammad-Reza</creator><creator>Saito, Yuji</creator><creator>Ahmadi-Kashani, Mastaneh</creator><creator>Kasravi, Babak</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20060315</creationdate><title>Relation of Pericardial Effusion to Degree of Fractional Shortening</title><author>Movahed, Mohammad-Reza ; Saito, Yuji ; Ahmadi-Kashani, Mastaneh ; Kasravi, Babak</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-f165e9fa934c630330a351c84e2ca0838b852d013aaec7fbab61e99bd37d88f83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Biological and medical sciences</topic><topic>Cardiology</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the pericardium</topic><topic>Echocardiography</topic><topic>Heart</topic><topic>Humans</topic><topic>Hypertension - physiopathology</topic><topic>Medical sciences</topic><topic>Pericardial Effusion - diagnostic imaging</topic><topic>Pericardial Effusion - epidemiology</topic><topic>Pericardial Effusion - etiology</topic><topic>Prevalence</topic><topic>Retrospective Studies</topic><topic>Ultrasonic imaging</topic><topic>Ventricular Dysfunction, Left - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Movahed, Mohammad-Reza</creatorcontrib><creatorcontrib>Saito, Yuji</creatorcontrib><creatorcontrib>Ahmadi-Kashani, Mastaneh</creatorcontrib><creatorcontrib>Kasravi, Babak</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Movahed, Mohammad-Reza</au><au>Saito, Yuji</au><au>Ahmadi-Kashani, Mastaneh</au><au>Kasravi, Babak</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relation of Pericardial Effusion to Degree of Fractional Shortening</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>2006-03-15</date><risdate>2006</risdate><volume>97</volume><issue>6</issue><spage>910</spage><epage>911</epage><pages>910-911</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>The prevalence of significant pericardial effusion in patients with left ventricular (LV) dysfunction has not been reported. The goal of this study was to evaluate the prevalence and severity of pericardial effusion in patients with decreased fractional shortening (FS) using a large echocardiographic database. A retrospective analysis of 24,265 echocardiograms performed at our institution from 1984 to 1998 was undertaken. FS was measured in 18,015 of the echocardiograms. The occurrence of pericardial effusion was correlated with the degree of FS, and FS was stratified into 4 groups: (1) &gt;25%, (2) 17.5% to 25%, (3) 10% to 17.5%, and (4) &lt;10%. On the basis of visual estimation, effusion was divided into 3 groups: mild, moderate, and severe. Pericardial effusion was present in 1,632 of the echocardiograms in which FS was measured. Pericardial effusion was significantly more common in patients with FS &lt;25% and was correlated with the severity of decreased FS (group 1: 8.4%; group 2: 12.8%; group 3: 13.2%; group 4: 14.4%; p &lt;0.0001). However, when categorizing pericardial effusion by severity, only mild pericardial effusion was correlated with decreased FS (group 1: 6.6%; group 2: 11.0%; group 3: 11.1%; group 4: 14.0%; p &lt;0000.1). Our results indicate that the occurrence of moderate to severe pericardial effusion cannot be explained by a decrease in LV systolic function.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16516600</pmid><doi>10.1016/j.amjcard.2005.10.027</doi><tpages>2</tpages></addata></record>
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subjects Biological and medical sciences
Cardiology
Cardiology. Vascular system
Diseases of the pericardium
Echocardiography
Heart
Humans
Hypertension - physiopathology
Medical sciences
Pericardial Effusion - diagnostic imaging
Pericardial Effusion - epidemiology
Pericardial Effusion - etiology
Prevalence
Retrospective Studies
Ultrasonic imaging
Ventricular Dysfunction, Left - complications
title Relation of Pericardial Effusion to Degree of Fractional Shortening
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