Prognostic value of echocardiography in hospitalized patients with pericardial effusion.

摘要: It is often difficult to predict outcome in hospitalized patients with pericardial effusion. To address this issue, the prognostic value of echocardiography was studied 187 diagnosed effusions over a 1-year period. The index echocardiogram showed that 11 were large (6%), 39 moderate (21%), and 137 small (73%). Right ventricular collapse present 7% cases (13 178), right atrial 12% (21 168), inferior vena cava (IVC) plethora blunted response respiration 35% (46 132). During course hospitalization, 9 (5%) had cardiac tamponade 16 (9%) tamponade, pericardiocentesis and/or surgical drainage (combined end point). By univariate analysis, each echocardiographic sign associated both combined point (p less than or equal 0.01 for comparisons size right-sided chamber collapse; p 0.07 IVC plethora). When data analyzed logistic regression modeling, effusion most powerful predictor (cardiac tamponade: odds ratio 51, 95% confidence interval 3.5-729, = 0.004; point: 78, 14-421, 0.0001), neither nor retained significant associations. concluded echocardiographically determined effusion, add little if any additional information.