What is the clinical evidence from this study?

Study design: Cohort. Population: Wolff-Parkinson-White syndrome (n=161). Intervention: Postpericardiotomy syndrome vs. No postpericardiotomy syndrome. Primary outcome: Significant radiographic abnormalities.

What does this research mean for the field?

Postpericardiotomy syndrome is associated with significant radiographic abnormalities in 79% of affected patients, whereas these abnormalities are essentially absent in surgical patients without the syndrome. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To determine the incidence, clinical features, and radiographic signs of postpericardiotomy syndrome following pericardial incision during cardiac surgery.

March 1, 1982American Journal of Roentgenology

Postpericardiotomy syndrome

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Key result

Postpericardiotomy syndrome linked to significant radiographic abnormalities in 79% of affected patients.

n=161

Why the study?

What is the incidence and what are the radiographic features of postpericardiotomy syndrome following surgical treatment for Wolff-Parkinson-White syndrome?

Population

161 patients with Wolff-Parkinson-White syndrome who underwent surgical treatment

Design

Cohort

Follow-up

4-12 days (time to onset)

Authors

MKME Kaminsky BRBA RodanDuke University DODR Osborne

Discussion

Member takes

Implication

Suggests value of postoperative radiographs for syndrome detection; extends prior observations to WPW surgery but should not yet change practice.

Key Points

To determine the incidence, clinical features, and radiographic signs of postpericardiotomy syndrome following pericardial incision during cardiac surgery.
Monitored 161 patients who underwent surgical treatment for Wolff-Parkinson-White syndrome for postpericardiotomy syndrome.
Analyzed clinical records and serial postoperative radiographs in 38 affected individuals and compared them with 76 unaffected surgical controls.
Postpericardiotomy syndrome developed in 50 of 161 patients (31%) within 4 to 12 days after surgical incision.
Radiographic abnormalities occurred in 30 of 38 analyzed patients (79%), including pleural effusions in 26 (68%), pericardial effusions in 19 (50%), and pulmonary infiltrates in 4 (10%).
Radiographic findings presented within 2 days of clinical symptoms and were virtually absent in 76 patients without the syndrome.

Study Design

Type

Cohort (n=161)

Structured PICO

What is the incidence and what are the radiographic features of postpericardiotomy syndrome following surgical treatment for Wolff-Parkinson-White syndrome?

Population

161 patients with Wolff-Parkinson-White syndrome who underwent surgical treatment, evaluated for the development of postpericardiotomy syndrome.

Exposure

Surgical treatment involving incision of the pericardium

Outcome

Incidence of postpericardiotomy syndrome and associated radiographic abnormalities

Postpericardiotomy syndrome is a common complication (31%) following surgical treatment for Wolff-Parkinson-White syndrome, and postoperative radiographs are highly valuable for early detection.

Limitations

12 of the 50 patients who developed the syndrome lacked sufficiently complete records for analysis

Cite This Study

Kaminsky et al. (1982) conducted a cohort in Wolff-Parkinson-White syndrome (n=161). Postpericardiotomy syndrome vs. No postpericardiotomy syndrome was evaluated on Significant radiographic abnormalities. Postpericardiotomy syndrome was associated with significant radiographic abnormalities in 79% of affected patients, whereas these signs were essentially absent in those without the syndrome.

synapsesocial.com/papers/6aa6aae65175d8ad94398e56 https://doi.org/10.2214/ajr.138.3.503

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Implication

Suggests value of postoperative radiographs for syndrome detection; extends prior observations to WPW surgery but should not yet change practice.

Postpericardiotomy syndrome

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Limitations

Cite This Study

Postpericardiotomy syndrome

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider