经超声心动图检测发现意外的大量心包积液。

Unsuspected substantial pericardial effusions detected by echocardiography.

作者信息

Riba A L, Morganroth J

出版信息

JAMA. 1976 Dec 6;236(23):2623-5.

Abstract

In a consecutive series of 1,225 routine echocardiograms, a pericardial effusion (PE) was present in 15% and was considered substantial in 10%. Sixty-one percent (68/111) of the latter were clinically unsuspected. A retrospective analysis of these patients showed that 60% (41/68) had underlying heart disease such as congestive heart failure, left ventricular hypertrophy, or asymmetric septal hypertrophy without other discernible causes for PE. In patients referred specifically for suspected pericardial effusion, 67% (29/43) had diseases recognized as causes of pericardial effusion. Unsuspected substantial PE are commonly detected by echocardiography, especially in patients with underlying heart disease.

摘要

在连续的1225例常规超声心动图检查中，15%的患者存在心包积液（PE），其中10%被认为积液量较大。后者中有61%（68/111）在临床上未被怀疑。对这些患者的回顾性分析显示，60%（41/68）有潜在的心脏病，如充血性心力衰竭、左心室肥厚或不对称性室间隔肥厚，且无其他可识别的导致心包积液的原因。在专门因疑似心包积液而转诊的患者中，67%（29/43）有被认为是心包积液病因的疾病。未被怀疑的大量心包积液通常通过超声心动图检测到，尤其是在有潜在心脏病的患者中。