Predictive Factors of Pericardial Effusion After a First Acute Myocardial Infarction and Successful Reperfusion

Bière, Loïc; Mateus, Victor; Clerfond, Guillaume; Grall, Sylvain; Willoteaux, S.; Prunier, Fabrice; Furber, Alain

doi:10.1016/j.amjcard.2015.05.004

Cited by 5 publications

(8 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The authors primarily aimed to identify determinants of pericardial effusion post-infarction. Systolic wall stress, IS and MVO extent emerged as independent predictors of pericardial effusion presence and volume in multivariable analysis [129]. In this study with a relative limited power, pericardial effusion did not seem to be associated with adverse clinical events [129].…”

Section: Pericardial Injurymentioning

confidence: 63%

“…Systolic wall stress, IS and MVO extent emerged as independent predictors of pericardial effusion presence and volume in multivariable analysis [129]. In this study with a relative limited power, pericardial effusion did not seem to be associated with adverse clinical events [129]. The first and only multicenter CMR investigation looking at the prognostic significance of pericardial effusion was recently published by Jobs et al [130].…”

Section: Pericardial Injurymentioning

confidence: 63%

“…The prognostic significance of pericardial injury, however, remains unknown from this study. Biere et al reported on 193 first STEMI patients who underwent CMR within five days and three months after infarction [129]. The authors primarily aimed to identify determinants of pericardial effusion post-infarction.…”

Section: Pericardial Injurymentioning

confidence: 99%

See 2 more Smart Citations

Role of Cardiac Magnetic Resonance to Improve Risk Prediction following Acute ST-elevation Myocardial Infarction

Reindl

Eitel

Reinstadler

2020

JCM

View full text Add to dashboard Cite

Cardiac magnetic resonance (CMR) imaging allows comprehensive assessment of myocardial function and tissue characterization in a single examination after acute ST-elevation myocardial infarction. Markers of myocardial infarct severity determined by CMR imaging, especially infarct size and microvascular obstruction, strongly predict recurrent cardiovascular events and mortality. The prognostic information provided by a comprehensive CMR analysis is incremental to conventional risk factors including left ventricular ejection fraction. As such, CMR parameters of myocardial tissue damage are increasingly recognized for optimized risk stratification to further ameliorate the burden of recurrent cardiovascular events in this population. In this review, we provide an overview of the current impact of CMR imaging on optimized risk assessment soon after acute ST-elevation myocardial infarction.

show abstract

Section: Pericardial Injurymentioning

confidence: 63%

Section: Pericardial Injurymentioning

confidence: 63%

See 1 more Smart Citation

Role of Cardiac Magnetic Resonance to Improve Risk Prediction following Acute ST-elevation Myocardial Infarction

Reindl

Eitel

Reinstadler

2020

JCM

View full text Add to dashboard Cite

show abstract

“…This could stimulate antibodies formation, with further formation of immune complexes in pericardium, pleura and lungs, followed by an inflammatory response [4]. A recent French study evaluated 193 patients with a first episode of ST-elevation myocardial infarction, 58.5% of whom complicated by the presence of pericardial effusion [5]. All patients, symptomatic or not, were investigated with cardiac NMR.…”

Section: Discussionmentioning

confidence: 99%

Acute Hypotension and Chest Pain as the Presentation of a Post-Myocardial Infarction Acute Pericarditis (Dressler’s Syndrome)

Giorgi

Guarino

Moro

et al. 2017

ICFJ

View full text Add to dashboard Cite

We report a case of a 53-year old man admitted because of fever (38.5°C) and atypical chest pain. He also complained of epigastric pain spread to left hypochondrium and exacerbated by breathing. In his past medical history, Hodgkin's lymphoma, gastric MALToma (oncologic follow-up only), hypothyroidism, and hypertension are recorded. Fifteen days prior actual hospital admission, the patient underwent angioplasty with stenting due to a ST elevation myocardial infarction. Moreover, he was enrolled in the experimental clinical double-blind trial GEMINI-ACS [1], designed to compare the safety of rivaroxaban vs aspirin in addition to either clopidogrel or ticagrelor. Thus, his complete therapy included also ticagrelor, bisoprolol, perindopril, levothyroxine, pantoprazole, and atorvastatin. At the time of admission chest X-ray showed bilateral pleural effusion. Blood chemistry panel showed moderate anemia, increase of inflammatory indexes, in particular fibrinogen 1057 mg/dl (normal range 150-400 mg/dl), C-reactive-protein 17.6 mg/dl (normal range <0.5 mg/dl), serum ferritin 650 ng/ ml (normal range 11-306 ng/ml), while serum pro-calcitonin was normal. Electrocardiography and cardiac troponin I were not suggestive of further heart ischemic damage. Two days later, the patient showed hypotension, exacerbation of chest pain, as well as a rapid drop hemoglobin values. A thoracicabdominal CT (figure 1) was performed, showing peri-hepatic and pericardial effusions associated with hyper-reflectivity of pericardial leaflets. After a precautionary discontinuation of the experimental drugs, acetylsalicylic acid and clopidogrel were only given, together with antibiotics, diuretics and steroids. Clinical conditions slowly improved, blood pressure levels raised, together with hemoglobin values, and inflammatory parameters decreased. The patient was discharged in good clinical conditions, with the conclusive discharge diagnosis of Dressler syndrome (DS) related to angioplasty and stenting procedure for acute myocardial infarction. DiscussionDS, also known as post-myocardial infarction syndrome and first characterized by William Dressler in 1956, is a delayed complication of acute myocardial infarction occurring within 1 to 8 weeks after cardiac acute events. In the pre-thrombolysis era, * Corresponding author. E-mail: degiorgialfredo@libero.it Keywords:Dressler syndrome; acute myocardial infarction; acute pericarditis.

show abstract

“…With modern therapies including early reperfusion strategies, its incidence has decreased. In MI cases, PE is reported currently in 4% to 19% (Bière et al 2015). PE in AMI is correlated with worse outcome.…”

Section: Introductionmentioning

confidence: 99%

Pericardial effusion as a complication of myocardial infarction : how and what to do?

Novitalia¹,

Aminuddin²

2021

IJRP

View full text Add to dashboard Cite

Pericardial effusion after myocardial infarction is relatively common, however the management and prognosis is not always straightforward. Regardless of effusion size, data suggests that pericardial effusion which occurs early post myocardial infarction were correlated with higher morbidity and mortality. This report describes a case of pericardial effusion occurrence after myocardial infarction and reviews published literature about the etiology and management of this complication. A 59 years old man with typical chest pain since 26 hours before refered to emergency room, sign and symptoms of cardiogenic shock, elevated cardiac marker, and electrocardiogram showing ST elevation in V1-V6, I, aVL (extensive anterior). He was observed and conservatively treated in intensive cardiology care unit. After 9 days of care, moderate pericardial effusion is revealed by echocardiography examination, which did not exist at the admission. Pericardial effusion (PE) as the complication of myocardial infarction is associated with anterior ST-segment elevation myocardial infarction (STEMI) and when there is heart failure. Poor ST-segment resolution is clearly associated with presence of PE and especially with tamponade or electromechanical dissociation. The most frequent cause of moderate PE in STEMI patients is bleeding from the infarcted wall. STEMI patients with moderate PE have increased mortality than those with small PE or without PE, and death was attributable to free wall rupture (FWR). It is necessary to detect PE earlier with echocardiography and some deserve close monitoring to detect FWR.

show abstract

Predictive Factors of Pericardial Effusion After a First Acute Myocardial Infarction and Successful Reperfusion

Cited by 5 publications

References 31 publications

Role of Cardiac Magnetic Resonance to Improve Risk Prediction following Acute ST-elevation Myocardial Infarction

Role of Cardiac Magnetic Resonance to Improve Risk Prediction following Acute ST-elevation Myocardial Infarction

Acute Hypotension and Chest Pain as the Presentation of a Post-Myocardial Infarction Acute Pericarditis (Dressler’s Syndrome)

Pericardial effusion as a complication of myocardial infarction : how and what to do?

Contact Info

Product

Resources

About