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[Symptomatic pericardial effusions in childhood].

M L de la Morena Pardo1, M I Chamorro Romero, R Prados Bueno

  • 1Servicio de Pediatria II, Hospital Gregorio Marañón, Madrid.

Anales Espanoles De Pediatria
|December 1, 1989
PubMed
Summary

Symptomatic pericardial effusion (PE) in children requires echocardiography for diagnosis. Treatment varies by cause, with aspirin as first-line therapy and pericardiocentesis for cardiac tamponade.

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Area of Science:

  • Pediatrics
  • Cardiology
  • Internal Medicine

Context:

  • Symptomatic pericardial effusion (PE) in pediatric patients presents diagnostic challenges due to non-specific symptoms.
  • Etiologies of PE in this cohort included chronic renal failure, viral infections, post-cardiac surgery, juvenile rheumatoid arthritis, and chronic myelocytic leukemia, with four idiopathic cases.

Purpose:

  • To present clinical data and management strategies for twelve pediatric patients diagnosed with symptomatic pericardial effusion.
  • To highlight the diagnostic utility of echocardiography and the importance of hemodynamic assessment in managing PE.

Summary:

  • Echocardiography is crucial for diagnosing PE in children when symptoms are non-specific.
  • Hemodynamic assessment differentiates between PE and cardiac tamponade.

Related Experiment Videos

  • Management involves identifying the underlying etiology, with aspirin as the primary treatment and pericardiocentesis indicated for cardiac tamponade.

    • Impact:

    • This study underscores the necessity of echocardiography for timely PE diagnosis in children.
    • It provides insights into diverse etiologies and effective management protocols, including medical and interventional approaches.
    • Findings aid clinicians in optimizing treatment strategies for pediatric pericardial effusion.