Electrocardiographic abnormalities in patients with pericardial disease — Association of PR segment depression with arrhythmias and clinical signs: Experience of cardiac surgery center

Kudaiberdiev, Taalaibek Z.; Джумагулова, А. С.; Joshibayev, Seitkhan; Tilemanbetova, Kairnisa; Imanalieva, Gulzada

doi:10.1016/j.jelectrocard.2015.10.007

Cited by 3 publications

(1 citation statement)

References 38 publications

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“…ECGs were scanned and digitally analyzed as described previously [35] for presence of PR segment depression, low voltage QRS, QRS alternans, ST junction elevation/depression, and P-wave morphology abnormalities (notched P-wave, changes in amplitude — P mitrale and pulmonale patterns) [20], [36], [37]. Arrhythmias and conduction defects [38] were evaluated from ECGs, and whenever available Holter monitoring and telemetry records.…”

Section: Methodsmentioning

confidence: 99%

Predictors of tamponade and constriction in patients with pericardial disease undergoing interventional and surgical treatment

Kudaiberdiev¹,

Joshibayev²,

Imanalieva³

et al. 2016

IJC Heart & Vasculature

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ObjectiveThe aim of our study was to define predictors of cardiac compression development including clinical, electrocardiographic, echocardiographic, chest-X-ray and perioperative parameters and their diagnostic value.MethodsOverall 243 patients with pericardial disease, among them 123 with compression (tamponade, constriction) and 120 without signs of compression were included in the study. Clinical, laboratory, electrocardiographic, chest-X-Ray, echocardiographic and perioperative data were included in the logistic regression analysis to define predictors of tamponade/constriction development.ResultsLogistic regression analysis demonstrated large effusion (> 20 mm) (OR 5.393, 95%CI 1.202–24.199, p = 0.028), cardiac chamber collapse (OR 31.426, 95%CI 1.609–613-914, p = 0.023) and NYHA class > 3 (OR 8.671, 95%CI 1.730–43.451, p = 0.009) were multivariable predictors of compression development. The model including these three variables allowed predicting compression in 91.7% of cases.ROC analyses demonstrated that all three variables had significant diagnostic value with sensitivity of 75.6% and specificity of 74.2% for large effusion, low sensitivity and high specificity for cardiac chamber collapse (35% and 92%) and NYHA class (32.5% and 94.2%).ConclusionThe independent predictors of compression development are presence of large effusion > 20 mm, cardiac chamber collapse and high NYHA class. The model including all three parameters allows correctly predicting compression in 91.4% of cases. The diagnostic accuracy of each parameter is characterized by high sensitivity and specificity of large effusion, high specificity of cardiac chamber collapse and NYHA class.

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Section: Methodsmentioning

confidence: 99%

Predictors of tamponade and constriction in patients with pericardial disease undergoing interventional and surgical treatment

Kudaiberdiev¹,

Joshibayev²,

Imanalieva³

et al. 2016

IJC Heart & Vasculature

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Pericardial Disease Associated with Malignancy

Schusler

Meyerson

2018

Curr Cardiol Rep

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Pericardiocentesis should be the first intervention but has high recurrence rates (30-60%). For patients with recurrence, repeat pericardiocentesis is indicated in those with limited expected lifespans. Extended pericardial drainage decreases recurrence to 10-20%. The addition of sclerosing agents decreases recurrence slightly but creates significant pain and can lead to pericardial constriction and therefore has fallen out of favor. Most patients with symptomatic pericardial disease have a short median survival time due to their underlying disease. In patients with a longer life expectancy, surgical drainage offers the lowest recurrence rate. Surgical approach is based on effusion location and clinical condition. Subxiphoid and thoracoscopic approaches lead to similar outcomes. Thoracotomy should be avoided as it increases morbidity without improving outcomes.

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The ECG in the differential diagnosis between takotsubo cardiomyopathy and acute coronary syndrome

Guerra

Giannini

Capucci

2016

Expert Review of Cardiovascular Therapy

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Takotsubo cardiomyopathy (TC) is an acquired cardiomyopathy affecting mostly postmenopausal women mimicking an acute coronary syndrome (ACS). TC clinical presentation involves chest pain, elevated cardiac enzymes, wall motion abnormalities and electrocardiographic changes, all of which share striking similarities to ACS. Areas covered: Differential diagnosis between TC and ACS can be complex since there are no reliable and widely-accepted electrocardiographic criteria and, at the moment, only coronary angiography can rule out one of the two diagnoses with good certainty. The present review will discuss the pros and cons of the ECG in TC, focusing on how the signal changes through the acute phase, the hospitalization, and after discharge. Specific information will be provided for each component of the ECG trace, and potential pitfalls will be highlighted, in order get to the core of this important unmet clinical issue. Expert commentary: There are at least several reasons why the ECG is still not considered a useful tool in differential diagnosis between TC and ACS. These include recent awareness of the syndrome, lack of evidence-based therapy, and, more importantly, a wide range of ECG features according to race, patient characteristics, wall motion abnormalities, triggers, and time from symptoms onset.

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Electrocardiographic abnormalities in patients with pericardial disease — Association of PR segment depression with arrhythmias and clinical signs: Experience of cardiac surgery center

Cited by 3 publications

References 38 publications

Predictors of tamponade and constriction in patients with pericardial disease undergoing interventional and surgical treatment

Predictors of tamponade and constriction in patients with pericardial disease undergoing interventional and surgical treatment

Pericardial Disease Associated with Malignancy

The ECG in the differential diagnosis between takotsubo cardiomyopathy and acute coronary syndrome

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