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Prevalencia de derrame pericárdico en enfermedades sistémicas
Oscar Orihuela-Rodríguez1, Héctor Carmona-Ruiz1
1Instituto Mexicano del Seguro Social, Centro Médico Siglo XXI, Hospital de Especialidades, Ciudad de México, México.
Insights
Pericardial effusion, fluid in the heart sac, affects 3.5% of patients with systemic diseases. Uremic causes were most common, with moderate to severe effusions frequent.
Area of Science:
- Cardiology
- Internal Medicine
- Diagnostic Imaging
Background:
- Pericardial effusion is defined as 50 mL or more of fluid in the pericardial sac.
- Systemic diseases are frequently associated with pericardial effusion.
Purpose of the Study:
- To determine the prevalence of pericardial effusion in patients diagnosed with systemic diseases.
- To analyze the etiological factors and severity of pericardial effusion in this population.
Main Methods:
- Retrospective review of 10,653 echocardiographic studies conducted between 2006 and 2016.
- Classification of pericardial effusion severity (mild, moderate, severe) based on Weitzman's criteria (mm).
Main Results:
- A prevalence of 3.5% (380 cases) of pericardial effusion was identified.
- Uremic etiology was the most frequent cause (59.7%), followed by reduced lymphatic drainage (15.8%).
- Effusions were predominantly of moderate (38.7%) and severe (38.4%) classification.
Conclusions:
- The study confirms a 3.5% prevalence of pericardial effusion among patients with systemic diseases.
- Understanding the etiology and severity is crucial for managing these patients effectively.
Introduction:
The presence of 50 mL of fluid or more in the pericardial sac is known as pericardial effusion.
Objective:
To determine the prevalence of pericardial effusion in patients with systemic diseases.
Method:
Echocardiographic studies performed at the National Medical Center Siglo XXI Specialty Hospital Cardiology Department between 2006 and 2016 were reviewed. According to Weitzman's criteria, pericardial effusion was classified as mild, < 10 mm, moderate, 10 to 20 mm and severe, > 20 mm.
Results:
In total, 10,653 studies were reviewed; the prevalence of pericardial effusion was 3.5 % (380), in 209 women (55 %, 45.9 ± 19.0 years) and 171 men (45 %, 41.9 ± 18.5 years). Etiology was uremic in 227 (59.7 %), lymphatic drainage reduction in 73 (15.8 %), autoimmune diseases in 30 (7.9 %), neoplastic in 26 (6.8 %), infectious in 19 (5 %), idiopathic in 14 (3.7 %), hypothyroidism in two (0.5 %), iatrogenic in one (0.3 %) and post-infarction in one (0.3 %). Severity was mild in 87 (22.9 %), moderate in 147 (38.7 %) and severe in 146 (38.4 %).
Conclusions:
The prevalence of pericardial effusion was 3.5% in patients with systemic diseases.
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