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Echocardiographic characteristics of primary malignant pericardial mesothelioma and outcomes analysis: a

Lingyun Kong1, Ziwang Li2, Jingrui Wang3

  • 1Echocardiography Department of Heart Center, Beijing Chao-Yang Hospital, Capital Medical University, 8 Gongren Tiyuchang Nanlu, Chaoyang District, Beijing, 100020, China.

Cardiovascular Ultrasound
|April 27, 2018
PubMed
Abstract

Insights

Primary malignant pericardial mesothelioma (PPM) rarely shows specific echocardiographic signs, with large pericardial effusion being most common. No echocardiographic factors were linked to in-hospital mortality in this study.

Area of Science:

  • Cardiology
  • Oncology
  • Medical Imaging

Background:

  • Primary malignant pericardial mesothelioma (PPM) is rare, limiting understanding of its echocardiographic features.
  • Echocardiography is crucial for diagnosing and managing pericardial diseases.

Purpose of the Study:

  • To investigate sex-specific echocardiographic patterns of PPM.
  • To identify echocardiographic risk factors for in-hospital mortality in PPM patients.

Main Methods:

  • Retrospective analysis of 64 histopathologically confirmed PPM cases from China (1981-2015).
  • Inclusion criteria: availability of echocardiographic descriptions.
  • Logistic regression used to assess mortality risk factors.

Main Results:

  • Most common findings: pericardial effusion (85.9%), masses (36.4%), thickening (17.3%).
  • Pericardiocentesis positive rate was low (20.9%).
  • No significant associations found between clinical/echocardiographic parameters and in-hospital mortality.

Conclusions:

  • Echocardiographic signs of PPM are generally nonspecific.
  • Massive pericardial effusion is the most frequent echocardiographic manifestation.
  • No sex-specific echocardiographic differences or mortality predictors were identified.
Keywords:
DiagnosisEchocardiographyPericardial mesotheliomaPrognosis

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