Clinical characteristics of constrictive pericarditis diagnosed by echo-Doppler technique in Korea

Hyun Suk Yang, Jae Kwan Song, Jong Min Song, Duk Hyun Kang, Cheol Whan Lee, Gi Byoung Nam, Kee Joon Choi, You Ho Kim, Myeong Ki Hong, Jae Joong Kim, Seong Wook Park, Seung Jung Park, Hyun Song, Jae Won Lee, Meong Gun Song

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Abstract

A retrospective analysis of clinical data of 71 patients with constrictive pericarditis (CP) diagnosed by echo-Doppler technique (mean age, 49±17) was done. In 27 patients (38%), the etiology was unknown, and the three most frequent identifiable causes were tuberculosis (23/71, 32%), cardiac surgery (8/71, 11%), and mediastinal irradiation (6/71, 9%). Pericardiectomy was performed in 35 patients (49%) with a surgical mortality of 6% (2/35), and 11 patients (15%, 11/ 71) showed complete resolution of constrictive physiology with medical treatment. Patients with transient CP were characterized by absence of pericardial calcification, shorter symptom duration, and higher incidence of fever, weight loss, and tuberculosis. The 5-yr survival rates of patients with transient CP and those undergoing pericardiectomy were 100% and 85±6%, respectively, which were significantly higher than that of patients without undergoing pericardiectomy (33±17%, p=0.0083). Mediastinal irradiation, higher functional class, low voltage in ECG, low serum albumin, and old age were the independent variables associated with a higher mortality. Tuberculosis is still the most important etiology of CP in Korea, and not infrequently, it may cause transient CP. Early diagnosis and decision-making using follow-up echocardiography are crucial to improve the prognosis of patients with CP.

Original languageEnglish
Pages (from-to)558-566
Number of pages9
JournalJournal of Korean medical science
Volume16
Issue number5
DOIs
Publication statusPublished - 2001 Oct

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Constrictive Pericarditis
Korea
Pericardiectomy
Tuberculosis
Mortality
Serum Albumin
Thoracic Surgery
Echocardiography
Weight Loss
Early Diagnosis
Decision Making
Electrocardiography
Fever
Survival Rate
Incidence

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Yang, H. S., Song, J. K., Song, J. M., Kang, D. H., Lee, C. W., Nam, G. B., ... Song, M. G. (2001). Clinical characteristics of constrictive pericarditis diagnosed by echo-Doppler technique in Korea. Journal of Korean medical science, 16(5), 558-566. https://doi.org/10.3346/jkms.2001.16.5.558
Yang, Hyun Suk ; Song, Jae Kwan ; Song, Jong Min ; Kang, Duk Hyun ; Lee, Cheol Whan ; Nam, Gi Byoung ; Choi, Kee Joon ; Kim, You Ho ; Hong, Myeong Ki ; Kim, Jae Joong ; Park, Seong Wook ; Park, Seung Jung ; Song, Hyun ; Lee, Jae Won ; Song, Meong Gun. / Clinical characteristics of constrictive pericarditis diagnosed by echo-Doppler technique in Korea. In: Journal of Korean medical science. 2001 ; Vol. 16, No. 5. pp. 558-566.
@article{4014c30741d7474087f2e4ec368c14b0,
title = "Clinical characteristics of constrictive pericarditis diagnosed by echo-Doppler technique in Korea",
abstract = "A retrospective analysis of clinical data of 71 patients with constrictive pericarditis (CP) diagnosed by echo-Doppler technique (mean age, 49±17) was done. In 27 patients (38{\%}), the etiology was unknown, and the three most frequent identifiable causes were tuberculosis (23/71, 32{\%}), cardiac surgery (8/71, 11{\%}), and mediastinal irradiation (6/71, 9{\%}). Pericardiectomy was performed in 35 patients (49{\%}) with a surgical mortality of 6{\%} (2/35), and 11 patients (15{\%}, 11/ 71) showed complete resolution of constrictive physiology with medical treatment. Patients with transient CP were characterized by absence of pericardial calcification, shorter symptom duration, and higher incidence of fever, weight loss, and tuberculosis. The 5-yr survival rates of patients with transient CP and those undergoing pericardiectomy were 100{\%} and 85±6{\%}, respectively, which were significantly higher than that of patients without undergoing pericardiectomy (33±17{\%}, p=0.0083). Mediastinal irradiation, higher functional class, low voltage in ECG, low serum albumin, and old age were the independent variables associated with a higher mortality. Tuberculosis is still the most important etiology of CP in Korea, and not infrequently, it may cause transient CP. Early diagnosis and decision-making using follow-up echocardiography are crucial to improve the prognosis of patients with CP.",
author = "Yang, {Hyun Suk} and Song, {Jae Kwan} and Song, {Jong Min} and Kang, {Duk Hyun} and Lee, {Cheol Whan} and Nam, {Gi Byoung} and Choi, {Kee Joon} and Kim, {You Ho} and Hong, {Myeong Ki} and Kim, {Jae Joong} and Park, {Seong Wook} and Park, {Seung Jung} and Hyun Song and Lee, {Jae Won} and Song, {Meong Gun}",
year = "2001",
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doi = "10.3346/jkms.2001.16.5.558",
language = "English",
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Yang, HS, Song, JK, Song, JM, Kang, DH, Lee, CW, Nam, GB, Choi, KJ, Kim, YH, Hong, MK, Kim, JJ, Park, SW, Park, SJ, Song, H, Lee, JW & Song, MG 2001, 'Clinical characteristics of constrictive pericarditis diagnosed by echo-Doppler technique in Korea', Journal of Korean medical science, vol. 16, no. 5, pp. 558-566. https://doi.org/10.3346/jkms.2001.16.5.558

Clinical characteristics of constrictive pericarditis diagnosed by echo-Doppler technique in Korea. / Yang, Hyun Suk; Song, Jae Kwan; Song, Jong Min; Kang, Duk Hyun; Lee, Cheol Whan; Nam, Gi Byoung; Choi, Kee Joon; Kim, You Ho; Hong, Myeong Ki; Kim, Jae Joong; Park, Seong Wook; Park, Seung Jung; Song, Hyun; Lee, Jae Won; Song, Meong Gun.

In: Journal of Korean medical science, Vol. 16, No. 5, 10.2001, p. 558-566.

Research output: Contribution to journalArticle

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T1 - Clinical characteristics of constrictive pericarditis diagnosed by echo-Doppler technique in Korea

AU - Yang, Hyun Suk

AU - Song, Jae Kwan

AU - Song, Jong Min

AU - Kang, Duk Hyun

AU - Lee, Cheol Whan

AU - Nam, Gi Byoung

AU - Choi, Kee Joon

AU - Kim, You Ho

AU - Hong, Myeong Ki

AU - Kim, Jae Joong

AU - Park, Seong Wook

AU - Park, Seung Jung

AU - Song, Hyun

AU - Lee, Jae Won

AU - Song, Meong Gun

PY - 2001/10

Y1 - 2001/10

N2 - A retrospective analysis of clinical data of 71 patients with constrictive pericarditis (CP) diagnosed by echo-Doppler technique (mean age, 49±17) was done. In 27 patients (38%), the etiology was unknown, and the three most frequent identifiable causes were tuberculosis (23/71, 32%), cardiac surgery (8/71, 11%), and mediastinal irradiation (6/71, 9%). Pericardiectomy was performed in 35 patients (49%) with a surgical mortality of 6% (2/35), and 11 patients (15%, 11/ 71) showed complete resolution of constrictive physiology with medical treatment. Patients with transient CP were characterized by absence of pericardial calcification, shorter symptom duration, and higher incidence of fever, weight loss, and tuberculosis. The 5-yr survival rates of patients with transient CP and those undergoing pericardiectomy were 100% and 85±6%, respectively, which were significantly higher than that of patients without undergoing pericardiectomy (33±17%, p=0.0083). Mediastinal irradiation, higher functional class, low voltage in ECG, low serum albumin, and old age were the independent variables associated with a higher mortality. Tuberculosis is still the most important etiology of CP in Korea, and not infrequently, it may cause transient CP. Early diagnosis and decision-making using follow-up echocardiography are crucial to improve the prognosis of patients with CP.

AB - A retrospective analysis of clinical data of 71 patients with constrictive pericarditis (CP) diagnosed by echo-Doppler technique (mean age, 49±17) was done. In 27 patients (38%), the etiology was unknown, and the three most frequent identifiable causes were tuberculosis (23/71, 32%), cardiac surgery (8/71, 11%), and mediastinal irradiation (6/71, 9%). Pericardiectomy was performed in 35 patients (49%) with a surgical mortality of 6% (2/35), and 11 patients (15%, 11/ 71) showed complete resolution of constrictive physiology with medical treatment. Patients with transient CP were characterized by absence of pericardial calcification, shorter symptom duration, and higher incidence of fever, weight loss, and tuberculosis. The 5-yr survival rates of patients with transient CP and those undergoing pericardiectomy were 100% and 85±6%, respectively, which were significantly higher than that of patients without undergoing pericardiectomy (33±17%, p=0.0083). Mediastinal irradiation, higher functional class, low voltage in ECG, low serum albumin, and old age were the independent variables associated with a higher mortality. Tuberculosis is still the most important etiology of CP in Korea, and not infrequently, it may cause transient CP. Early diagnosis and decision-making using follow-up echocardiography are crucial to improve the prognosis of patients with CP.

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