Pericardial Effusion and Cardiac Tamponade: Etiology and Evolution in the Contemporary Era
Int. j. cardiovasc. sci. (Impr.)
; 34(5,supl.1): 24-31, Nov. 2021. tab, graf
Article
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| LILACS
| ID: biblio-1346355
Responsible library:
BR1.1
ABSTRACT
Abstract Background:
Pericardial effusion is a relatively common finding and can progress to cardiac tamponade; etiological diagnosis is important for guiding treatment decisions. With advances in medicine and improvement in the social context, the most frequent etiological causes have changed.Objectives:
To evaluate the clinical and laboratory characteristics, etiology, and clinical course of patients with pericardial effusion and cardiac tamponade. Materials andmethods:
Patients with pericardial effusion classified as small (< 10 mm), moderate (between 10-20 mm), or severe (> 20 mm) were included. Data from the clinical history, physical examination, laboratory tests, and complementary tests were evaluated in patients with pericardial effusion and cardiac tamponade. The significance level was set at 5%.Results:
A total of 254 patients with a mean age of 53.09 ± 17.9 years were evaluated, 51.2% of whom were female. A total of 40.4% had significant pericardial effusion (> 20 mm). Pericardial tamponade occurred in 44.1% of patients. Among pericardial effusion patients without tamponade, the most frequent etiologies were idiopathic (44.4%) and postsurgical (17.6%), while among those with tamponade, the most frequent etiologies were postsurgical (21.4%) and postprocedural (19.6%). The mean follow-up time was 2.2 years. Mortality was 42% and 23.2 in those with and without tamponade, respectively (p=0.001).Conclusions:
There is an etiological difference between pericardial effusion patients with and without cardiac tamponade. An idiopathic etiology is more common among those without tamponade, while postinterventional/postsurgical is more common among those with tamponade. The tamponade group had a higher mortality rate.Key words
全文:
1
索引:
LILACS
主要主题:
Pericardial Effusion
/
Cardiac Tamponade
研究类型:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
限制:
Adult
/
Aged
/
Female
/
Humans
/
Male
语言:
En
期刊:
Int. j. cardiovasc. sci. (Impr.)
期刊主题:
CARDIOLOGIA
年:
2021
类型:
Article