What question did this study set out to answer?

To systematically review the clinical presentation, onset timeline, inflammatory pathogenesis, and management strategies for postpericardiotomy syndrome following cardiac operations.

January 1, 2020Journal of College of Physicians And Surgeons PakistanOpen Access

Postpericardiotomy Syndrome after Cardiac Operations

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Why the study?

Postpericardiotomy syndrome is an important cause of morbidity and mortality following heart surgery.

Population

Patients with postpericardiotomy syndrome after cardiac operations

Design

Systematic review

Authors

SYShi‐Min YuanReproductive & Genetic Hospital CITIC-Xiangya

Discussion

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Implication

Heightened vigilance for PPS ~18 days after CABG or MVR may aid early diagnosis; extends timing and symptom characterization from prior reports.

Key Points

To systematically review the clinical presentation, onset timeline, inflammatory pathogenesis, and management strategies for postpericardiotomy syndrome following cardiac operations.
Systematic review evaluating published literature on postpericardiotomy syndrome following cardiac surgery, focusing on presentation timing, surgical triggers, inflammatory markers, and therapeutic interventions.
Postpericardiotomy syndrome occurred at a mean of 18.3 ± 15.9 days postoperatively—most commonly after coronary artery bypass grafting and mitral valve replacement—manifesting with pericardial effusions, pleuritic chest pain, fever, and elevated C-reactive protein and erythrocyte sedimentation rate.
Conservative management was employed in 472 (83.5%) patients and associated with higher recovery rates, whereas surgical pericardial drainage was required in 85 (15.0%), thora-/pericardiocentesis in 3 (0.5%), surveillance alone in 5 (0.9%), and surgical intervention for cardiac tamponade in 2.6%.

Structured PICO

Population

565 patients with postpericardiotomy syndrome (PPS) after cardiac operations

Postpericardiotomy syndrome typically presents around 18 days after cardiac surgery and is predominantly managed conservatively with good recovery rates.

Cite This Study

Shi‐Min Yuan (2020) studied this question.

synapsesocial.com/papers/6a7101edce524a4339c4a76e https://doi.org/10.29271/jcpsp.2020.01.62

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Implication

Heightened vigilance for PPS ~18 days after CABG or MVR may aid early diagnosis; extends timing and symptom characterization from prior reports.

Postpericardiotomy Syndrome after Cardiac Operations

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Postpericardiotomy Syndrome after Cardiac Operations

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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