RESUMO
Abstract Background: Pericardial effusion is a relatively common finding and can progress to cardiac tamponade; etiological diagnosis is important for guiding treatment decisions. With advances in medicine and improvement in the social context, the most frequent etiological causes have changed. Objectives: To evaluate the clinical and laboratory characteristics, etiology, and clinical course of patients with pericardial effusion and cardiac tamponade. Materials and methods: Patients with pericardial effusion classified as small (< 10 mm), moderate (between 10-20 mm), or severe (> 20 mm) were included. Data from the clinical history, physical examination, laboratory tests, and complementary tests were evaluated in patients with pericardial effusion and cardiac tamponade. The significance level was set at 5%. Results: A total of 254 patients with a mean age of 53.09 ± 17.9 years were evaluated, 51.2% of whom were female. A total of 40.4% had significant pericardial effusion (> 20 mm). Pericardial tamponade occurred in 44.1% of patients. Among pericardial effusion patients without tamponade, the most frequent etiologies were: idiopathic (44.4%) and postsurgical (17.6%), while among those with tamponade, the most frequent etiologies were postsurgical (21.4%) and postprocedural (19.6%). The mean follow-up time was 2.2 years. Mortality was 42% and 23.2 in those with and without tamponade, respectively (p=0.001). Conclusions: There is an etiological difference between pericardial effusion patients with and without cardiac tamponade. An idiopathic etiology is more common among those without tamponade, while postinterventional/postsurgical is more common among those with tamponade. The tamponade group had a higher mortality rate.
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Derrame Pericárdico/etiologia , Derrame Pericárdico/terapia , Tamponamento Cardíaco/etiologia , Tamponamento Cardíaco/terapia , Derrame Pericárdico/complicações , Derrame Pericárdico/mortalidade , Pericardite , Tamponamento Cardíaco/mortalidade , Estudos RetrospectivosAssuntos
Humanos , Masculino , Adulto , Feminino , Criança , Cardiomiopatia Chagásica/fisiopatologia , Ecocardiografia Doppler/métodos , Doença de Chagas/história , Doença de Chagas/patologia , Febre/diagnóstico , Cardiomiopatia Chagásica/etiologia , Derrame Pericárdico/mortalidade , Insuficiência Cardíaca/etiologiaRESUMO
Pericardite purulenta é doença rara e potencialmente fatal. O diagnóstico e tratamento são difíceis. Antibioticoterapia e drenagem do pericárdio são essenciais para o tratamento de pericardite purulenta. Descrevemos caso não usual de paciente diabético com pericardite purulenta e abscesso prostático com boa evolução após tratamento adequado.