Acute pericarditis the new england journal of medicine. A clinical diagnosis of acute pericarditis can be made when at least two of these criteria are present. Effusion volume was taken as total volume heart volume. Keywords haemorrhagic pericardial effusion, cardiac tamponade. Pericardial effusion peff is defined by an increase in the physiological amount of fluid within the pericardial space. The diagnostic criteria for acute pericarditis include.
Article pdf available in jama the journal of the american medical. Pdf echocardiographic evaluation of pericardial effusion. Pericardial effusion is a common finding in everyday clinical practice. The aetiology is varied infectious, neoplastic, autoimmune, metabolic, and drugrelated, being. Pericardial effusion is a common finding in clinical practice either as incidental finding or manifestation of a systemic or cardiac disease.
Echocardiographic assessment of pericardial effusion. Cardiac tamponade as a complication of pericardial tuberculosis. In developed countries, 80 to 90% of cases are idiopathic and presumed to be viral. Management of pericardial effusion european heart journal. Pericardial effusion in celiac disease article pdf available in international journal of preventive medicine 53. Longterm followup of idiopathic chronic pericardial effusion. Idiopathic pericarditis and pericardial effusion in. Pericardial effusions can occur in the absence of cardiac tamponade. Among individuals with a pericardial effusion, 7% to 10% are at risk of developing a cardiac tamponade. Home journal of the american heart association vol. The new england journal of medicine 2410 n engl j med 371. Pericardial effusion and pericardiocentesis korean circulation. Guidelines on the diagnosis and management of pericardial. If the onset is rapid or if the volume of the pericardial effusion is large, cardiac tamponade can occur.
Pericardial effusion, tamponade, and, to a lesser extent, pericardial constriction can be readily and reliably. A pericardial effusion is excess fluid between the heart and the sac surrounding the heart, known as the pericardium. Contemporary epidemiology and management open access article pdf epub. Diagnosis and management of pericardial effusion ncbi. Most are not harmful, but they sometimes can make the heart work poorly. Cardiac tamponade diminishes the force of heart contractions because of compression by the fluid trapped within the pericardial space. The composition of normal pericardial fluid and its implications for. The space between the layers normally contains a thin layer of fluid. It can appear following different medical conditions, mainly related to. The detection of pericardial fluid accounted for much of the early interest in sonography as a useful cardiac diagnostic tool,1 and today echocardiography is routinely used to diagnose and manage diseases of the pericardium. Pericardial effusion symptoms and causes mayo clinic. Measurements of effusion size were compared to the total volume drained using linear regression.
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