PMID: 3745697Sep 1, 1986Paper

Incidence and significance of pericardial effusion in acute myocardial infarction as determined by two-dimensional echocardiography

Journal of the American College of Cardiology
L A PierardH E Kulbertus

Abstract

To determine the incidence and clinical significance of pericardial effusion after acute myocardial infarction, two-dimensional echocardiography was serially performed in 66 consecutive patients. Pericardial effusion was observed in 17 (26%); the effusion was small in 13 patients, moderate in 3 and large with signs of cardiac tamponade in 1. In this patient, two-dimensional echocardiography strongly suggested myocardial rupture. The observation of pericardial effusion was not associated with age, sex, previous myocardial infarction, atrial fibrillation or treatment with heparin. It was more often a complication of anterior than of inferior acute infarction. Patients with pericardial effusion had higher peak levels of creatine kinase and lactic dehydrogenase and a higher wall motion score index. More patients with pericardial effusion had congestive heart failure or ventricular arrhythmias, developed a ventricular aneurysm or died within 1 year after their infarction. In conclusion, pericardial effusion is frequently visualized by two-dimensional echocardiography after acute myocardial infarction and its presence is associated with an increased occurrence of complications and cardiac death.

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Citations

Oct 1, 1991·Clinical Cardiology·B EberW Klein
Jan 1, 1987·International Journal of Cardiac Imaging·W F Armstrong
Dec 10, 1997·Emergency Medicine Clinics of North America·M Rubin
Feb 15, 2001·Echocardiography·Pavel Gregor, Petr Widimský
Jan 24, 2009·Cardiovascular Ultrasound·Thang NguyenDavinder S Jassal
Jul 25, 2009·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·Christopher D SteadmanGerry P McCann
Feb 28, 2006·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Minako KatayamaShigefumi Morioka
Jan 1, 1994·Annals of Emergency Medicine·J MateerL Gussow
May 1, 1989·Clinical Cardiology·S CharlapE Lichstein
Nov 15, 1992·Postgraduate Medicine·S A Mamby, J J Lynch

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