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 |
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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>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.</description><identifier>ISSN: 0160-9289</identifier><identifier>EISSN: 1932-8737</identifier><identifier>DOI: 10.1002/clc.4960120505</identifier><identifier>PMID: 2721038</identifier><language>eng</language><publisher>New York: Wiley Periodicals, Inc</publisher><subject>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</subject><ispartof>Clinical cardiology (Mahwah, N.J.), 1989-05, Vol.12 (5), p.252-254</ispartof><rights>Copyright © 1989 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3805-572547eb27dad469013c5a5f05bfa880a96ea071714143704a5b2ceb5d6d00803</citedby><cites>FETCH-LOGICAL-c3805-572547eb27dad469013c5a5f05bfa880a96ea071714143704a5b2ceb5d6d00803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fclc.4960120505$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fclc.4960120505$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2721038$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Charlap, S.</creatorcontrib><creatorcontrib>Greenberg, S.</creatorcontrib><creatorcontrib>Greengart, A.</creatorcontrib><creatorcontrib>Budzilowicz, L.</creatorcontrib><creatorcontrib>Gelbfish, J.</creatorcontrib><creatorcontrib>Hollander, G.</creatorcontrib><creatorcontrib>Shani, J.</creatorcontrib><creatorcontrib>Lichstein, E.</creatorcontrib><title>Pericardial effusion early in acute myocardial infarction</title><title>Clinical cardiology (Mahwah, N.J.)</title><addtitle>Clin Cardiol</addtitle><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.</description><subject>Aged</subject><subject>Echocardiography</subject><subject>Female</subject><subject>Heart Aneurysm - epidemiology</subject><subject>Heart Aneurysm - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>myocardial</subject><subject>Myocardial Infarction - complications</subject><subject>Pericardial Effusion - diagnosis</subject><subject>Pericardial Effusion - etiology</subject><subject>Pericardial Effusion - mortality</subject><subject>pericardial effusions</subject><subject>Prospective Studies</subject><subject>two‐dimensional echocardiography</subject><issn>0160-9289</issn><issn>1932-8737</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LxDAQQIMo67p69Sb05K3rJGma5CjFL1jQg55DmiYQSVtNtkj_vZFdP26e5jBv3sBD6BzDGgOQKxPMupI1YAIM2AFaYklJKTjlh2gJuIZSEiGP0UlKr5kHQegCLQgnGKhYIvlkozc6dl6Hwjo3JT8OhdUxzIUfCm2mrS36efxG_OB0NNsMnaIjp0OyZ_u5Qi-3N8_Nfbl5vHtorjeloQJYyThhFbct4Z3uqloCpoZp5oC1TgsBWtZWA8ccV7iiHCrNWmJsy7q6AxBAV-hy532L4_tk01b1Phkbgh7sOCXFhcx_MM_gegeaOKYUrVNv0fc6zgqD-mqlciv12yofXOzNU9vb7gffx8l7udt_-GDnf2yq2TR_3J8kQXP9</recordid><startdate>198905</startdate><enddate>198905</enddate><creator>Charlap, S.</creator><creator>Greenberg, S.</creator><creator>Greengart, A.</creator><creator>Budzilowicz, L.</creator><creator>Gelbfish, J.</creator><creator>Hollander, G.</creator><creator>Shani, J.</creator><creator>Lichstein, E.</creator><general>Wiley Periodicals, Inc</general><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>7X8</scope></search><sort><creationdate>198905</creationdate><title>Pericardial effusion early in acute myocardial infarction</title><author>Charlap, S. ; Greenberg, S. ; Greengart, A. ; Budzilowicz, L. ; Gelbfish, J. ; Hollander, G. ; Shani, J. ; Lichstein, E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3805-572547eb27dad469013c5a5f05bfa880a96ea071714143704a5b2ceb5d6d00803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Aged</topic><topic>Echocardiography</topic><topic>Female</topic><topic>Heart Aneurysm - epidemiology</topic><topic>Heart Aneurysm - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>myocardial</topic><topic>Myocardial Infarction - complications</topic><topic>Pericardial Effusion - diagnosis</topic><topic>Pericardial Effusion - etiology</topic><topic>Pericardial Effusion - mortality</topic><topic>pericardial effusions</topic><topic>Prospective Studies</topic><topic>two‐dimensional echocardiography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Charlap, S.</creatorcontrib><creatorcontrib>Greenberg, S.</creatorcontrib><creatorcontrib>Greengart, A.</creatorcontrib><creatorcontrib>Budzilowicz, L.</creatorcontrib><creatorcontrib>Gelbfish, J.</creatorcontrib><creatorcontrib>Hollander, G.</creatorcontrib><creatorcontrib>Shani, J.</creatorcontrib><creatorcontrib>Lichstein, E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Charlap, S.</au><au>Greenberg, S.</au><au>Greengart, A.</au><au>Budzilowicz, L.</au><au>Gelbfish, J.</au><au>Hollander, G.</au><au>Shani, J.</au><au>Lichstein, E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pericardial effusion early in acute myocardial infarction</atitle><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle><addtitle>Clin Cardiol</addtitle><date>1989-05</date><risdate>1989</risdate><volume>12</volume><issue>5</issue><spage>252</spage><epage>254</epage><pages>252-254</pages><issn>0160-9289</issn><eissn>1932-8737</eissn><abstract>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.</abstract><cop>New York</cop><pub>Wiley Periodicals, Inc</pub><pmid>2721038</pmid><doi>10.1002/clc.4960120505</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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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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