Abstract: Poster Presentations |

Pericardial Effusion in Patients with Left Ventricular Dysfunction FREE TO VIEW

Mohammad Reza Movahed, MD*; Babak Kasravi, MD; Mastaneh Ahmadi-Kashani; Seyed Ahmad Samsam Shariat, MD
Author and Funding Information

University of California, Irvine Medical Center, Orange, CA


Chest. 2004;126(4_MeetingAbstracts):792S. doi:10.1378/chest.126.4_MeetingAbstracts.792S-a
Text Size: A A A
Published online


PURPOSE:  Prevalence of pericardial effusion in patients with left ventricular dysfunction is not known. The goal of this study was to evaluate the prevalence and severity of pericardial effusion in patients with decreased fractional shortening (FS) using a large echocardiography data Base.

METHODS:  We retrospectively analyzed 24,265 echocardiograms performed at our institution between 1984 and 1998. FS were recorded in 18,015 echocardiograms. We correlated the occurrence of pericardial effusion with the degree of fractional shortening. We stratified FS in 4 groups ( 1. FS > 25%, 2. FS between 17.5 and 25%, 3. FS between 10 and 17.5 % and 4. FS < 10%.) Effusion was divided in 3 groups (mild, moderate and severe).

RESULTS:  Pericardial effusion was present in 1,632 (9.1%) of echocardiograms with documented FS. Pericardial effusion was significantly more common in patients with FS < 25 % and correlated with the severity of decreased FS (group 1: 8.4%, group 2: 12,8%. group 3: 13.2%, group 4: 14.4%, p<0.0001). However, only mild pericardial effusion was correlated with low FS (group 1: 6.6%, group 2: 11.0%. group 3: 11.1%, group 4: 14.0%, p<0.0001).

CONCLUSION:  Decreased left ventricular systolic function correlates with only mild pericardial effusion. Therefore, moderate or severe pericardial effusion can not be explained by decreased LV systolic Function.

CLINICAL IMPLICATIONS:  Occurence of moderate to large effusion can not be secondery to left ventricular dysfunction.

DISCLOSURE:  M. Movahed, None.

Wednesday, October 27, 2004

12:30 PM - 2:00 PM




Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
Bridging the gap: Hybrid cardiac echo in the critically ill. J Trauma Acute Care Surg 2016;81(5 Suppl 2 Proceedings of the 2015 Military Health System Research Symposium):S157-S161.
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543