Etiology and prognostic implications of a large pericardial effusion in men

摘要: To assess the etiology and prognosis of a large pericardial effusion, we reviewed 25 consecutive patients who presented with effusion underwent drainage procedure. Large was defined as: (1) an echo-free space greater than or equal to 10 mm anteriorly posteriorly by M-mode echocardiography (2) removal 350 ml fluid at drainage. The etiologies were: neoplastic (36%), idiopathic (32%), uremic (20%), postmyocardial infarction (8%), acute rheumatic fever (4%). Of our patients, 44% cardiac tamponade, while 25% pericarditis had hemorrhage tamponade. At follow-up, 37 +/- 17 months after drainage, 68% died from complications their underlying disease. There were no deaths attributed While 88% alive none survived longer 5 initial (p less 0.001). Additionally, survival better 0.05). We conclude: neoplastic, idiopathic, are most common causes in men, can be hemorrhagic cause (3) is related patients'