Nature and progression of pericardial effusion in patients with a first myocardial infarction: Relationship to age and free wall rupture

Figueras, Jaume; Juncal, Alberto; Carballo, Julio; Cortadellas, Josefa; Soler, Jordi Soler

doi:10.1067/mhj.2002.123840

Cited by 32 publications

(16 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…4) "Pericardial effusion" was graded according to the maximal thickness of pericardial fluid on axial or coronal CT, as mild (> 0.5 cm, ≤ 1 cm), moderate (> 1 cm, ≤ 1.5 cm), and severe (> 1.5 cm) (10). …”

Section: Methodsmentioning

confidence: 99%

Fluid Retention Associated with Imatinib Treatment in Patients with Gastrointestinal Stromal Tumor: Quantitative Radiologic Assessment and Implications for Management

et al. 2015

View full text Add to dashboard Cite

ObjectiveWe aimed to describe radiologic signs and time-course of imatinib-associated fluid retention (FR) in patients with gastrointestinal stromal tumor (GIST), and its implications for management.Materials and MethodsIn this Institutional Review Board-approved, retrospective study of 403 patients with GIST treated with imatinib, 15 patients with imaging findings of FR were identified by screening radiology reports, followed by manual confirmation. Subcutaneous edema, ascites, pleural effusion, and pericardial effusion were graded on a four-point scale on CT scans; total score was the sum of these four scores.ResultsThe most common radiologic sign of FR was subcutaneous edema (15/15, 100%), followed by ascites (12/15, 80%), pleural effusion (11/15, 73%), and pericardial effusion (6/15, 40%) at the time of maximum FR. Two distinct types of FR were observed: 1) acute/progressive FR, characterized by acute aggravation of FR and rapid improvement after management, 2) intermittent/steady FR, characterized by occasional or persistent mild FR. Acute/progressive FR always occurred early after drug initiation/dose escalation (median 1.9 month, range 0.3-4.0 months), while intermittent/steady FR occurred at any time. Compared to intermittent/steady FR, acute/progressive FR was severe (median score, 5 vs. 2.5, p = 0.002), and often required drug-cessation/dose-reduction.ConclusionTwo distinct types (acute/progressive and intermittent/steady FR) of imatinib-associated FR are observed and each type requires different management.

show abstract

Section: Methodsmentioning

confidence: 99%

Fluid Retention Associated with Imatinib Treatment in Patients with Gastrointestinal Stromal Tumor: Quantitative Radiologic Assessment and Implications for Management

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Echocardiography has increased the number of cases diagnosed before death and the number of surgical repairs attempted [4,76]. The most frequent echocardiographic finding is pericardial effusion.…”

Section: Echocardiographic Findingsmentioning

confidence: 99%

Cardiac rupture complicating myocardial infarction

Wehrens¹,

Doevendans²

2004

International Journal of Cardiology

View full text Add to dashboard Cite

“…Asymptomatic pericardial effusion is common after STEMI [3]. The characteristic appearance of a clot in the pericardial space, right ventricular compression [11] and an early small pericardial effusion [12] may all raise suspicion of myocardial rupture. In these cases diagnostic coronary angiography should only be performed if the patient's condition allows it, and prompt surgical treatment is the only chance for these patients to survive.…”

Section: Discussionmentioning

confidence: 99%

Cardiac Rupture: New Features of the Old Disease

Leitman

Tsatskin²,

Hendler³

et al. 2016

Cardiology

View full text Add to dashboard Cite

Objectives: Myocardial rupture is a rare but a fatal complication of acute myocardial infarction. During recent years, treatment strategies of acute myocardial infarction have changed. Primary percutaneous coronary interventions have replaced fibrinolytic therapy, thus reducing one of the major risk factors for myocardial rupture. In this work, we describe a group of patients who suffered myocardial rupture, none of whom were treated with thrombolytic therapy. Methods: The digital database of our hospital was searched for all patients who experienced myocardial rupture between 2008 and 2015. The demographic, clinical, angiographic and echocardiographic data of these patients were analyzed. Results: Out of 2,380 patients admitted with acute myocardial infarction, 12 (0.5%) developed myocardial rupture. The mean age was 78 years, and there were 7 males and 5 females. Ten patients already had pericardial effusion on admission. Seven patients underwent coronary angiography, whilst primary percutaneous intervention was performed in 4 patients. Six patients entered the operating room and all survived the procedure. All patients who were treated conservatively died due to rupture. Factors related to the treatment strategy were advanced age (≥90 years) and cognitive impairment. Conclusions: The risk of myocardial rupture may be diminished by primary coronary intervention during myocardial infarction, but mortality remains high. An early, comprehensive echocardiographic examination and rapid surgery may contribute to improved survival.

show abstract

Nature and progression of pericardial effusion in patients with a first myocardial infarction: Relationship to age and free wall rupture

Cited by 32 publications

References 31 publications

Fluid Retention Associated with Imatinib Treatment in Patients with Gastrointestinal Stromal Tumor: Quantitative Radiologic Assessment and Implications for Management

Fluid Retention Associated with Imatinib Treatment in Patients with Gastrointestinal Stromal Tumor: Quantitative Radiologic Assessment and Implications for Management

Cardiac rupture complicating myocardial infarction

Cardiac Rupture: New Features of the Old Disease

Contact Info

Product

Resources

About