Pericardial effusion early in acute myocardial infarction

The incidence and significance of pericardial effusions early in acute myocardial infarction remain unclear. Using two‐dimensional echocardiography, 172 patients with an acute myocardial infarction were evaluated within 72 h of presentation. Thirty patients (17%) had a pericardial effusion (29 small...

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Veröffentlicht in:Clinical cardiology (Mahwah, N.J.) N.J.), 1989-05, Vol.12 (5), p.252-254
Hauptverfasser: Charlap, S., Greenberg, S., Greengart, A., Budzilowicz, L., Gelbfish, J., Hollander, G., Shani, J., Lichstein, E.
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container_end_page 254
container_issue 5
container_start_page 252
container_title Clinical cardiology (Mahwah, N.J.)
container_volume 12
creator Charlap, S.
Greenberg, S.
Greengart, A.
Budzilowicz, L.
Gelbfish, J.
Hollander, G.
Shani, J.
Lichstein, E.
description The incidence and significance of pericardial effusions early in acute myocardial infarction remain unclear. Using two‐dimensional echocardiography, 172 patients with an acute myocardial infarction were evaluated within 72 h of presentation. Thirty patients (17%) had a pericardial effusion (29 small, 1 moderate) while 142 (83%) did not. No patient developed cardiac tamponade or required pericardiocentesis. Patients with pericardial effusions had higher peak creatine kinase as compared to patients without effusions (2036 ± 1466 vs. 1483 ± 1241, p>0.05) and a greater number of aneurysms (20% vs. 6%, p>0.05). In‐hospital mortality was higher in the patients with pericardial effusions (10% vs. 2%, p > 0.05). In conclusion, pericardial effusions are common in the early AMI period but are generally small and hemodynamically insignificant. They are associated with larger infarcts and greater mortality.
doi_str_mv 10.1002/clc.4960120505
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Using two‐dimensional echocardiography, 172 patients with an acute myocardial infarction were evaluated within 72 h of presentation. Thirty patients (17%) had a pericardial effusion (29 small, 1 moderate) while 142 (83%) did not. No patient developed cardiac tamponade or required pericardiocentesis. Patients with pericardial effusions had higher peak creatine kinase as compared to patients without effusions (2036 ± 1466 vs. 1483 ± 1241, p&gt;0.05) and a greater number of aneurysms (20% vs. 6%, p&gt;0.05). In‐hospital mortality was higher in the patients with pericardial effusions (10% vs. 2%, p &gt; 0.05). In conclusion, pericardial effusions are common in the early AMI period but are generally small and hemodynamically insignificant. 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Using two‐dimensional echocardiography, 172 patients with an acute myocardial infarction were evaluated within 72 h of presentation. Thirty patients (17%) had a pericardial effusion (29 small, 1 moderate) while 142 (83%) did not. No patient developed cardiac tamponade or required pericardiocentesis. Patients with pericardial effusions had higher peak creatine kinase as compared to patients without effusions (2036 ± 1466 vs. 1483 ± 1241, p&gt;0.05) and a greater number of aneurysms (20% vs. 6%, p&gt;0.05). In‐hospital mortality was higher in the patients with pericardial effusions (10% vs. 2%, p &gt; 0.05). In conclusion, pericardial effusions are common in the early AMI period but are generally small and hemodynamically insignificant. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Aged
Echocardiography
Female
Heart Aneurysm - epidemiology
Heart Aneurysm - etiology
Humans
Male
Middle Aged
myocardial
Myocardial Infarction - complications
Pericardial Effusion - diagnosis
Pericardial Effusion - etiology
Pericardial Effusion - mortality
pericardial effusions
Prospective Studies
two‐dimensional echocardiography
title Pericardial effusion early in acute myocardial infarction
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