دورية أكاديمية
أعرض في EDS

Post-cardiac injury syndrome and pericardial effusion recurrence after pericardial effusion drainage in chronic idiopathic pericardial effusion.

التفاصيل البيبلوغرافية
العنوان: Post-cardiac injury syndrome and pericardial effusion recurrence after pericardial effusion drainage in chronic idiopathic pericardial effusion.
المؤلفون: Conte E; Centro Cardiologico Monzino IRCCS, Milan, Italy; Department of Biomedical Science for Health, University of Milan, Milan, Italy. Electronic address: edoardo.conte86@gmail.com., Tamanini S; Internal Medicine Department, Fatebenefratelli Hospital, Milan, Italy., Bizzi E; Internal Medicine Department, Fatebenefratelli Hospital, Milan, Italy., Maestroni S; Internal Medicine Department, Papa Giovanni XXIII Hospital, Bergamo, Italy., Cumetti D; Internal Medicine Department, Papa Giovanni XXIII Hospital, Bergamo, Italy., Novembre ML; Ospedale Galeazzi-Sant'Ambrogio IRCCS, Milan, Italy., Lauri G; Centro Cardiologico Monzino IRCCS, Milan, Italy., Agalbato C; Centro Cardiologico Monzino IRCCS, Milan, Italy., Cia AD; Centro Cardiologico Monzino IRCCS, Milan, Italy., Paolisso P; Ospedale Galeazzi-Sant'Ambrogio IRCCS, Milan, Italy., Pontone G; Centro Cardiologico Monzino IRCCS, Milan, Italy; Dipartimento di Scienze Biomediche, Chirurgiche e Odontoiatriche, Universita' degli Studi di Milano., Pepi M; Centro Cardiologico Monzino IRCCS, Milan, Italy., Andreini D; Centro Cardiologico Monzino IRCCS, Milan, Italy; Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy., Imazio M; Cardiothoracic Department, University Hospital 'Santa Maria della Misericordia,' ASUFC, and Department of Medicine, University of Udine, Italy., Lazaros G; Cardiology Clinic, National and Kapodistrian University of Athens, School of Medicine, Hippokration General Hospital, Athens, Greece., Benetti A; Internal Medicine Department, Papa Giovanni XXIII Hospital, Bergamo, Italy., Brucato A; Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
المصدر: European journal of internal medicine [Eur J Intern Med] 2024 May; Vol. 123, pp. 132-137. Date of Electronic Publication: 2024 Jan 23.
نوع المنشور: Journal Article; Multicenter Study
اللغة: English
بيانات الدورية: Publisher: Elsevier Science Country of Publication: Netherlands NLM ID: 9003220 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-0828 (Electronic) Linking ISSN: 09536205 NLM ISO Abbreviation: Eur J Intern Med Subsets: MEDLINE
أسماء مطبوعة: Publication: 1999- : Amsterdam, The Netherlands : Elsevier Science
Original Publication: Basingstoke, Hampshire, UK : Published by the Macmillan Press on behalf of the European Association of Internal Medicine, c1989-
مواضيع طبية MeSH: Pericardial Effusion*/etiology , Recurrence* , Drainage* , Pericardiocentesis*, Humans ; Female ; Male ; Middle Aged ; Retrospective Studies ; Aged ; Pericarditis/etiology ; Pericardial Window Techniques ; Pericardiectomy ; Heart Injuries/complications
مستخلص: Introduction: The management of even large pericardial effusions in asymptomatic patients is still a matter of debate. Aim of the present study is to explore, in a multicenter setting, the rate of post-cardiac injury syndromes (PCIS) and pericardial effusion recurrence after pericardial effusion drainage procedure.
Material and Methods: This is a multicenter international retrospective study including a consecutive cohort of patients diagnosed with large, chronic and idiopathic pericardial effusions, prospectively evaluated from January 2003 to December 2021 who underwent a clinically indicated pericardial drainage procedure. Two separate end-points were recorded: 1) recurrence of pericardial effusion after drainage without any sign of pericardial inflammation 2) occurrence of PCIS, defined as the new onset of pericarditis 1 to 6 weeks after pericardial intervention.
Results: 124 patients were enrolled (50 % female, mean age 64 years old). A mean follow-up of 29.6 ± 25.6 months was obtained in 110 patients (88 %). 110 patients were treated with pericardiocentesis (89 %), 25 with pleuro-pericardial windows (20 %), and 1 with pericardiectomy (1 %). PCIS occurred in 21 out of 124 patients followed for at least 6 weeks (16.9%). Recurrence of pericardial effusion after drainage without any sign of pericardial inflammation occurred in 68 out of 110 patients at a longer follow-up (61.8 %). At multivariate analysis only inflammatory cells in pericardial fluid was associated with PCIS and pericardiocentesis with pericardial effusion recurrency.
Conclusion: Our data support the need of caution with the use of pericardiocentesis in asymptomatic patients with large pericardial effusion as it is often associated with pericardial effusion recurrence. Of interest the presence of inflammatory cells in the pericardial fluid is associated with PCIS after pericardial drainage procedures.
(Copyright © 2024 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.)
فهرسة مساهمة: Keywords: Pericardial effusion; Pericardiocentesis; Post-pericardiotomy sindrome
SCR Disease Name: Pericardial Effusion, Chronic
تواريخ الأحداث: Date Created: 20240123 Date Completed: 20240509 Latest Revision: 20240620
رمز التحديث: 20240621
DOI: 10.1016/j.ejim.2024.01.024
PMID: 38262844
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-0828
DOI:10.1016/j.ejim.2024.01.024