Clinical significance of pleural effusions and association with outcome in patients hospitalized with a first episode of acute pericarditis

Autor: Christodoulos Stefanadis, Emilia Lazarou, Alexios S. Antonopoulos, Massimo Imazio, Dimitrios Vassilopoulos, Yehuda Adler, George Lazaros, Dimitris Tousoulis, Eirini Solomou
Rok vydání: 2019
Předmět:
Zdroj: Internal and Emergency Medicine. 14:745-751
ISSN: 1970-9366
1828-0447
Popis: The clinical significance of pleural effusions (PLEs) in the setting of acute pericarditis remains poorly investigated. We sought to identify predictive factors for PLEs and their association with the short- and long-term prognosis of patients with acute pericarditis. We enrolled 177 patients hospitalized with a first episode of acute pericarditis. In all cases an extensive clinical, biochemical, and diagnostic work-up to detect PLEs and establish etiological diagnosis was performed. All patients included were prospectively followed for a maximum of 18 months (median 12, range 1–18) and complications were recorded. PLEs were detected in n = 94 cases (53.1% of the cohort; bilateral 53.2%, left-sided 28.7%, right-sided 18.1%) and were strongly associated with c-reactive protein (CRP) levels at admission (rho = 0.328, p
Databáze: OpenAIRE