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Paper Information

Journal:   JOURNAL OF ARDABIL UNIVERSITY OF MEDICAL SCIENCES (JAUMS)   FALL 2006 , Volume 6 , Number 3 (21); Page(s) 227 To 232.
 
Paper: 

ETIOLOGICAL AND CLINICAL CHARACTERISTICS OF PATIENTS WITH MODERATE TO MASSIVE PERICARDIAL EFFUSION IN BUALI HOSPITAL ARDABIL, 2001- 2003

 
 
Author(s):  AZAMI A.*, HABIBZADEH SHAHRAM, DOUSTKAMI H., AMANI F., AJRI F.
 
* INTERNAL MEDICINE DEPT., ARDABIL UNIVERSITY OF MEDICAL SCIENCES, ARDABIL, IRAN
 
Abstract: 

Background and Objectives: pericardial effusion is characterized by the accumulation of excessive fluid in the pericardial space, which can lead to cardiac dysfunction or death. Most of the previous studies have been performed in developed countries and its epidemiologic aspects in developing countries were not well-recognized. The aim of this research was determination of etiology, clinical and paraclinical findings in patients with pericardial effusion.
Methods: This was a cross-sectional, descriptive and retrospective study. From all of the patients admitted to Buali hospital between 2001 to 2003, 49 patients that showed moderate to massive pericardial effusion in echocardiography were selected and studied in terms of history, physical examination, CXR, ECG and pericardial fluid analysis (if performed).
Results: From 49 patients 25 (51%) were female and 24 were male. Age range of patients was 11 to 85 years. The age of 42% of the patients was above 60 years. The most common clinical complaints were dyspnea (44.9%) and chest pain (24.5%). ECG in most of them (53.1%) were normal sinus rhythm. Cardiac electrical axis in 83.7 % was normal, but ECG in 83.7% of cases showed low voltage QRS complex. The most common findings in CXR was cardiomegaly (85.7%) and 14.3% of patients had normal CXR. Common etiologies of pericardial effusion were chronic renal failure (16.3%), tuberculosis (8.2%), heart failure (8.2%) and malignancies (6.1%). Etiology of disease was unknown in 44.8% of patients.
Conclusion: It seems that most of pericardial effusions occur in higher ages. It can be due to high prevalence of different diseases such as heart failure, chronic renal failure or malignancies in senile persons.

 
Keyword(s): PERICARDIAL EFFUSION, HEART FAILURE, CHRONIC RENAL FAILURE, MALIGNANT
 
References: 
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