TITLE

Frequency and Preictors of Urgent Coronary Angiography in Patients With Acute Pericarditis

AUTHOR(S)
Salisbury, Adam C.; Olalla-Gómez, Cristina; Rihal, Charanjit S.; Bell, Malcolm R.; Ting, Henry H.; Casaclang-Verzosa, Grace; Jae K. Oh
PUB. DATE
January 2009
SOURCE
Mayo Clinic Proceedings;Jan2009, Vol. 84 Issue 1, p11
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
OBJECTIVES: To determine the frequency of urgent coronary angiography In patients with acute pericarditis and to examine clinical characteristics associated with coronary angiography. PATIENTS AND METHODS: This is a retrospective analysis of all incident cases of acute viral or Idiopathic pericarditis evaluated at Mayo Clinic's site In Rochester, MN, between January 1, 2000, and December 31, 2006. The main outcome measures were use of urgent coronary angiography and rate of concomitant coronary artery disease In patients with pericarditis. RESULTS: There were 238 patients with a final diagnosis of acute pericarditis (mean age, 47.7±17.9 years; 157 [66.0%] were male). On the initial electrocardiogram, 146 patients (61.3%) had ST-segment elevation, and 92 (38.7%) had no ST-segment elevation. Coronary angiography was performed in 40 patients (16.8% of all patients); the frequency was 5-fold higher among those with ST-segment elevation (24.7% vs 4.3%; P<.001). Additionally, 7 patients (4.8%) with ST-segment elevation received thrombolytics transfer to our institution; no patients without ST-segment elevation received thrombolysis (P=.05). Characteristics associated with a higher likelihood of coronary angiography included typical atonal cheat pain, ST-segment elevation, previous percutaneous coronary intervention, elevated troponin T values, diaphoresis, and male sex. Coronary angiography revealed concomitant mild to moderate coronary artery disease in 14 (35.0%) of the 40 patients who underwent this procedure. CONCLUSION: Urgent coronary angiography is commonly performed in patients with acute pericarditis, particularly those with ST-segment elevation, typical myocardial Infarction symptoms, and elevated troponin T values. Coronary artery disease was present angiographically In one-third of patients undergoing the procedure. Although patients with ST-segment elevation myocardial Infarction must receive prompt reperfusion, clinicians must also consider the diagnosis of pericarditis to avoid unneeded coronary angiography.
ACCESSION #
36024796

 

Related Articles

  • Diagnostic performance and potential clinical impact of advanced care paramedic interpretation of ST-segment elevation myocardial infarction in the field. Le May, Michel R.; Dionne, Richard; Maloney, Justin; Trickett, John; Watpool, Irene; Ruest, Michel; Stiell, Ian; Ryan, Sheila; Davies, Richard F. // CJEM: Canadian Journal of Emergency Medicine;Nov2006, Vol. 8 Issue 6, p401 

    Objectives: Most studies of pre-hospital management of ST-elevation myocardial infarction (STEMI) have involved physicians accompanying the ambulance crew, or electrocardiogram (ECG) transmission to a physician at the base hospital. We sought to determine if Advanced Care Paramedics (ACP5) could...

  • Contribution of guidance by optical coherence tomography (OCT) in rescue management of spontaneous coronary artery dissection. Combaret, Nicolas; Souteyrand, Géraud; Amonchot, Aimé; Coupez, Elisabeth; Motreff, Pascal // European Heart Journal - Cardiovascular Imaging;Jul2013, Vol. 14 Issue 7, p714 

    The article describes a case which indicates the contribution of guidance by optical coherence tomography (OCT) in rescue management of spontaneous coronary artery dissection in a 43-year-old nurse with acute myocardial infarction complicated by cardiogenic shock. Antangiography results...

  • Rescue percutaneous coronary intervention for failed thrombolysis: results from a district general hospital. Balachandran, K. P.; Miller, J.; Pell, A. C. H.; Valiance, B. D.; Oldroyd, K. G. // Postgraduate Medical Journal;Jun2002, Vol. 78 Issue 920, p330 

    Objective: To assess the outcome of a policy of emergency percutaneous coronary intervention (PCI) in patients with acute myocardial infarction and electrocadiographic (ECG) evidence of failed reperfusion after thrombolysis. Design: Observational study. Setting: District general hospital....

  • Hints in electrocardiography for coming myocardial infarction. Ünlüer, Erden Erol; Karagöz, Arif // Journal of Emergencies, Trauma & Shock;Apr-Jun2015, Vol. 8 Issue 2, p121 

    The article describes the case of a 54-year-old woman who complained of sweating, discomfort and palpitation. Particular focus is given to her blood pressure, as well as changes in her electrocardiography (ECG) results. Also mentioned are her thrombolytic therapy, coronary angiography findings,...

  • Simultaneous single-vessel plaque rupture causing acute coronary syndrome detected by optical coherence tomography. Mutha, Vivek; Asrar Ul Haq, Muhammad; Barlis, Peter // European Heart Journal - Cardiovascular Imaging;Aug2014, Vol. 15 Issue 8, p945 

    The article describes the use of optical coherence tomography (OCT) to detect simultaneous single-vessel plaque rupture that caused acute coronary syndrome (ACS) in a 67-year-old man. Topics covered include the dominant right coronary artery (RCA) of the patient and the hallmark pathological...

  • Prognostic Value of TIMI Frame Count in Patients with Metabolic Syndrome. Mammadov, Vusal; Kırılmaz, Bahadır; Yıldız, Hicran; Dashdemirov, Rafael; Mahmudov, Rashad; Bakhshaliyev, Adil // Turkish Journal of Endocrinology & Metabolism;Mar2011, Vol. 15 Issue 1, p1 

    Background: The aim of our study was to determine the coronary angiographic distribution and frequency of atherosclerotic lesions in the coronary arteries in patients with stable angina and metabolic syndrome (MS) as well as to assess the association of these lesions with TIMI frame count and...

  • Sarcoidal Pericardial Effusion Masquerading As Acute Myocardial Infarction. Madan, Vishal; Cottrell, Barrie; Sharpstone, Dan // Internet Journal of Internal Medicine;2007, Vol. 7 Issue 1, p4 

    Sarcoidosis is a multisystemic granulomatous disease, with varying modes of presentation. Pericardial sarcoidosis is rare and cardiac tamponade secondary topericardial sarcoidosis is very uncommon. We present a case of a young man who presented with signs and symptoms suggestive of acute...

  • Country cardiograms case 53: Answer. Helm, Charles // Canadian Journal of Rural Medicine;Spring2015, Vol. 20 Issue 2, p71 

    The article provides information on the case of a 73-year-old man who was taken to a rural emergency department with chest pain and was diagnosed with intermittent left bundle branch block (LBBB) and evidence for ischemia based on his electrocardiograms (ECGs). It explains how the intermittent...

  • Assessment of coronary blood flow in non-ischemic dilated cardiomyopathy with the TIMI frame count method. Yaşar, Ayşe Saatçi; Bilen, Emine; Yüksel, İsa Öner; İpek, Göktürk; Kurt, Mustafa; İpek, Emrah; Bilge, Mehmet // Anatolian Journal of Cardiology / Anadolu Kardiyoloji Dergisi;Dec2010, Vol. 10 Issue 6, p514 

    Objective: We aimed to evaluate coronary blood flow by means of the TIMI (Thrombolysis in Myocardial Infarction) frame count in patients with idiopathic dilated cardiomyopathy who had angiographically proven normal coronary arteries and compare the results with those of healthy subjects....

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics