Pericarditis. Clinical Presentation and Characteristics of a Pediatric Population
Autor(a) principal: | |
---|---|
Data de Publicação: | 2019 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/3321 |
Resumo: | INTRODUCTION: Pericarditis is an inflammation of the pericardium. It may be infectious or secondary to a systemic disease. The aim of this study was to analyze the clinical findings, course, treatment and follow-up of children diagnosed with pericarditis at our center. METHODS: We performed a retrospective analysis of all children admitted to our pediatric cardiology unit with pericarditis between 2003 and 2015. Patient characteristics were summarized using frequencies and percentages for categorical variables and medians with percentiles for continuous variables. RESULTS: Fifty patients were analyzed (40 male, 10 female) with a median age of 14 years. The most common diagnosis was acute pericarditis (80%). Thirty-five patients (70%) presented with chest pain and 26% reported fever. Cardiomegaly was identified on chest X-ray in 11 patients (22%), 30 patients (60%) had an abnormal ECG and 44 patients (80%) had alterations on the transthoracic echocardiogram. In 17 cases (34%) there was myocardial involvement. Forty-eight percent of patients presented with infectious pericarditis and the pathologic agent was identified in half of them. Postpericardiotomy syndrome was diagnosed in five cases. The first-line therapy was aspirin in 50% of cases. Pericardiocentesis was performed in 12 patients. The median length of stay was nine days. There was symptom recurrence in seven children. CONCLUSIONS: In this study, acute infectious pericarditis was the most common presentation and about one third of patients also had myocarditis. The symptom recurrence rate was not negligible and is probably related to the type of therapy employed. |
id |
RCAP_905d428c74616992c1dc3d6a4da3e03e |
---|---|
oai_identifier_str |
oai:repositorio.chlc.min-saude.pt:10400.17/3321 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Pericarditis. Clinical Presentation and Characteristics of a Pediatric PopulationHSM CAR PEDAcute DiseaseEchocardiography/methodsElectrocardiographyFollow-Up StudiesPericardial Effusion/diagnosisPericardial Effusion/etiologyPericardial Effusion/surgeryPericardiocentesisPericarditis/complicationsPericarditis/diagnosisPericardium/diagnostic imagingRecurrenceRetrospective StudiesINTRODUCTION: Pericarditis is an inflammation of the pericardium. It may be infectious or secondary to a systemic disease. The aim of this study was to analyze the clinical findings, course, treatment and follow-up of children diagnosed with pericarditis at our center. METHODS: We performed a retrospective analysis of all children admitted to our pediatric cardiology unit with pericarditis between 2003 and 2015. Patient characteristics were summarized using frequencies and percentages for categorical variables and medians with percentiles for continuous variables. RESULTS: Fifty patients were analyzed (40 male, 10 female) with a median age of 14 years. The most common diagnosis was acute pericarditis (80%). Thirty-five patients (70%) presented with chest pain and 26% reported fever. Cardiomegaly was identified on chest X-ray in 11 patients (22%), 30 patients (60%) had an abnormal ECG and 44 patients (80%) had alterations on the transthoracic echocardiogram. In 17 cases (34%) there was myocardial involvement. Forty-eight percent of patients presented with infectious pericarditis and the pathologic agent was identified in half of them. Postpericardiotomy syndrome was diagnosed in five cases. The first-line therapy was aspirin in 50% of cases. Pericardiocentesis was performed in 12 patients. The median length of stay was nine days. There was symptom recurrence in seven children. CONCLUSIONS: In this study, acute infectious pericarditis was the most common presentation and about one third of patients also had myocarditis. The symptom recurrence rate was not negligible and is probably related to the type of therapy employed.Elsevier EspañaRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEPerez-Brandão, CTrigo, CPinto, MF2019-10-11T10:38:22Z20192019-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/3321engRev Port Cardiol. 2019 Feb;38(2):97-101.10.1016/j.repc.2018.05.017info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:42:23Zoai:repositorio.chlc.min-saude.pt:10400.17/3321Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:20:38.231641Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Pericarditis. Clinical Presentation and Characteristics of a Pediatric Population |
title |
Pericarditis. Clinical Presentation and Characteristics of a Pediatric Population |
spellingShingle |
Pericarditis. Clinical Presentation and Characteristics of a Pediatric Population Perez-Brandão, C HSM CAR PED Acute Disease Echocardiography/methods Electrocardiography Follow-Up Studies Pericardial Effusion/diagnosis Pericardial Effusion/etiology Pericardial Effusion/surgery Pericardiocentesis Pericarditis/complications Pericarditis/diagnosis Pericardium/diagnostic imaging Recurrence Retrospective Studies |
title_short |
Pericarditis. Clinical Presentation and Characteristics of a Pediatric Population |
title_full |
Pericarditis. Clinical Presentation and Characteristics of a Pediatric Population |
title_fullStr |
Pericarditis. Clinical Presentation and Characteristics of a Pediatric Population |
title_full_unstemmed |
Pericarditis. Clinical Presentation and Characteristics of a Pediatric Population |
title_sort |
Pericarditis. Clinical Presentation and Characteristics of a Pediatric Population |
author |
Perez-Brandão, C |
author_facet |
Perez-Brandão, C Trigo, C Pinto, MF |
author_role |
author |
author2 |
Trigo, C Pinto, MF |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Perez-Brandão, C Trigo, C Pinto, MF |
dc.subject.por.fl_str_mv |
HSM CAR PED Acute Disease Echocardiography/methods Electrocardiography Follow-Up Studies Pericardial Effusion/diagnosis Pericardial Effusion/etiology Pericardial Effusion/surgery Pericardiocentesis Pericarditis/complications Pericarditis/diagnosis Pericardium/diagnostic imaging Recurrence Retrospective Studies |
topic |
HSM CAR PED Acute Disease Echocardiography/methods Electrocardiography Follow-Up Studies Pericardial Effusion/diagnosis Pericardial Effusion/etiology Pericardial Effusion/surgery Pericardiocentesis Pericarditis/complications Pericarditis/diagnosis Pericardium/diagnostic imaging Recurrence Retrospective Studies |
description |
INTRODUCTION: Pericarditis is an inflammation of the pericardium. It may be infectious or secondary to a systemic disease. The aim of this study was to analyze the clinical findings, course, treatment and follow-up of children diagnosed with pericarditis at our center. METHODS: We performed a retrospective analysis of all children admitted to our pediatric cardiology unit with pericarditis between 2003 and 2015. Patient characteristics were summarized using frequencies and percentages for categorical variables and medians with percentiles for continuous variables. RESULTS: Fifty patients were analyzed (40 male, 10 female) with a median age of 14 years. The most common diagnosis was acute pericarditis (80%). Thirty-five patients (70%) presented with chest pain and 26% reported fever. Cardiomegaly was identified on chest X-ray in 11 patients (22%), 30 patients (60%) had an abnormal ECG and 44 patients (80%) had alterations on the transthoracic echocardiogram. In 17 cases (34%) there was myocardial involvement. Forty-eight percent of patients presented with infectious pericarditis and the pathologic agent was identified in half of them. Postpericardiotomy syndrome was diagnosed in five cases. The first-line therapy was aspirin in 50% of cases. Pericardiocentesis was performed in 12 patients. The median length of stay was nine days. There was symptom recurrence in seven children. CONCLUSIONS: In this study, acute infectious pericarditis was the most common presentation and about one third of patients also had myocarditis. The symptom recurrence rate was not negligible and is probably related to the type of therapy employed. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-10-11T10:38:22Z 2019 2019-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/3321 |
url |
http://hdl.handle.net/10400.17/3321 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Rev Port Cardiol. 2019 Feb;38(2):97-101. 10.1016/j.repc.2018.05.017 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier España |
publisher.none.fl_str_mv |
Elsevier España |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799131302628163584 |