December 1, 1994Cardiovascular Surgery

Pericarditis: A Persisting Surgical Problem

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Population

86 patients aged 5 months to 60 years with pericarditis in NYHA functional class III or IV, in a tropical…

Design

Case_series

Follow-up

hospital stay (early survivors)

Authors

CAC H AnyanwuUniversity of Oxford BUBeatrice UmehUniversity of Nigeria Teaching Hospital

Discussion

Member takes

Implication

May inform risk-benefit discussions for pericardiectomy in severe chronic pericarditis; leaves open need for prospective studies to guide selection.

Structured PICO

Population

86 patients (58 males and 28 females) aged 5 months to 60 years (mean 21.1 years) with pericarditis (effusive n=41, calcific n=33, fibrous n=12) in NYHA functional class III or IV, in a tropical environment.

Intervention

Surgical treatment (pericardiotomy with tube drainage n=32, pericardiectomy n=49, and pericardiotomy with subsequent pericardiectomy n=5)

Outcome

Hospital mortality rate and NYHA functional class improvementhard clinical

Surgical treatment for severe chronic pericarditis carries an 8% hospital mortality but results in significant functional improvement (91% reaching NYHA I/II) among survivors.

Cite This Study

Anyanwu et al. (1994) studied this question.

synapsesocial.com/papers/6a87fc85b0d802598bf4cadc https://doi.org/10.1177/096721099400200607

Topics

Pericardial disease

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Implication

May inform risk-benefit discussions for pericardiectomy in severe chronic pericarditis; leaves open need for prospective studies to guide selection.

Pericarditis: A Persisting Surgical Problem

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Pericarditis: A Persisting Surgical Problem

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider