Electrocardiographic changes resulting from pericardial effusion drainage

American Journal of Cardiology

Volumn 106, Issue 3, 2010, Pages 437-441

  Jung, Hae Ok ^a   Seung, Ki Bae ^a   Madias, John E ^b,c  

^a The Catholic University of Korea   (South Korea)

^b NEW YORK UNIVERSITY   (United States)

^c ELMHURST HOSPITAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; ATTENUATION; BODY SURFACE; CLINICAL ARTICLE; CLINICAL ASSESSMENT; CLINICAL LABORATORY; COMPLEX FORMATION; DYNAMICS; ELECTRIC POTENTIAL; ELECTROCARDIOGRAM; FEMALE; HEART ATRIUM; HEART RATE; HEART VENTRICLE; HUMAN; LABORATORY TEST; MALE; P WAVE; PERICARDIAL EFFUSION; PERICARDIOCENTESIS; PERIPHERAL EDEMA; PR INTERVAL; PRIORITY JOURNAL; QRS COMPLEX; QUANTITATIVE ANALYSIS;

DRAINAGE; ECHOCARDIOGRAPHY; ELECTROCARDIOGRAPHY; FEMALE; HUMANS; MALE; MIDDLE AGED; PERICARDIAL EFFUSION; PROSPECTIVE STUDIES; RETROSPECTIVE STUDIES; TREATMENT OUTCOME;

EID: 77955470129     PISSN: 00029149     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.amjcard.2010.03.044     Document Type: Article

References (19)

1. D.H. Spodick Electrocardiographic abnormalities in pericardial disease D.H. Spodick The Pericardium: a Comprehensive Textbook 1997 Marcel Dekker New York 42 69
2. D.H. Spodick Pericardial diseases E. Braunwald, D.P. Zipes, P. Libby, Heart Disease 6th Ed. 2001 WB Saunders Company Philadelphia 1823, 1829
3. D.G. Meyers, R.G. Bagin, and J.F. Levene Electrocardiographic changes in pericardial effusion Chest 104 1993 1422 1426
4. M.J. Eisenberg, L.M. de Romeral, P.A. Heidenreich, N.B. Schiller, and G.T. Evans Jr The diagnosis of pericardial effusion and cardiac tamponade by 12-lead ECG A technology assessment Chest 110 1996 318 324
5. Y. Kudo, F. Yamasaki, T. Doi, and T. Sugiura Clinical significance of low voltage in asymptomatic patients with pericardial effusion free of heart disease Chest 124 2003 2064 2067
6. D.H. Spodick Low voltage with pericardial effusion: complexity of mechanisms Chest 124 2003 2044 2045
7. C.M. Karatay, C.T. Fruehan, G.W. Lighty Jr, R.M. Spear, and H. Smulyan Acute pericardial distension in pigs: effect of fluid conductance on body surface electrocardiogram QRS size Cardiovasc Res 27 1993 1033 1038
8. C. Bruch, A. Schmermund, N. Dagres, T. Bartel, G. Caspari, S. Sack, and R. Erbel Changes in QRS voltage in cardiac tamponade and pericardial effusion: reversibility after pericardiocentesis and after anti-inflammatory drug treatment J Am Coll Cardiol 38 2001 219 226
9. J.E. Madias, R. Bazaz, H. Agarwal, M. Win, and L. Medepalli Anasarca mediated attenuation of the amplitude of electrocardiogram complexes A description of a heretofore unrecognized phenomenon J Am Coll Cardiol 38 2001 756 764
10. J.E. Madias, H. Agarwal, M. Win, and L. Medepalli Effects of weight loss in congestive heart failure from idiopathic dilated cardiomyopathy on electrocardiographic QRS voltage Am J Cardiol 89 2002 86 88
11. J.E. Madias, J. Song, C.M. White, J.S. Kalus, and J. Kluger Response of the ECG to short-term diuresis in patients with heart failure Ann Noninvasive Electrocardiol 10 2005 288 296
12. H. Feigenbaum, W.F. Armstrong, and T. Ryan Feigenbaum's Echocardiography 6th Ed. 2005 Lippincott Williams &Wilkins Philadelphia 247, 248, 250, 251, 254
13. J.E. Madias The importance of the P-waves in the differentiation of attenuation of the QRS voltage due to pericardial effusion versus due to peripheral edema J Card Fail 14 2008 55 60
14. J.E. Madias P-waves in patients with changing edematous states: implications on interpreting repeat P-wave measurements in patients developing anasarca or undergoing hemodialysis Pacing Clin Electrophysiol 27 2004 749 756
15. J.E. Madias Peripheral edema masks the diagnoses of P-pulmonale, P-mitrale, and biatrial abnormality: clinical implications for patients with heart failure Congest Heart Fail 12 2006 20 24
16. J.E. Madias Reversible attenuation of voltage of QRS complexes and P-waves and shortening of QRS duration and QTc interval consequent to large perioperative intravenous fluid infusions J Electrocardiol 39 2006 415 418
17. U.H. Kil, H.O. Jung, Y.S. Koh, H.J. Park, C.S. Park, P.J. Kim, S.H. Baek, K.B. Seung, and K.B. Choi Prognosis of large, symptomatic pericardial effusion treated by echo-guided percutaneous pericardiocentesis Clin Cardiol 31 2008 531 537
18. J.E. Madias Significance of shortening of the mean QRS duration of the standard electrocardiogram in patients developing peripheral edema Am J Cardiol 89 2002 1444 1446
19. J.E. Madias, and P.W. Macfarlane Artificial attenuation of ECG voltage produces shortening of the corresponding QRS duration: clinical implications for patients with edema Pacing Clin Electrophysiol 28 2005 1060 1065