STUDY OF PERICARDIAL DISEASE WITH TEN YEAR FOLLOW UP IN A TERTIARY CARE HOSPITAL

Abstract

Objective

Methodology

Results

Conclusion:

Pericardial constriction mostly occurred in the group with proven tuberculosis so was the

mortality. After the initial one year period, none developed constriction in the 10 years period.

: 102 cases of moderate and large pericardial effusions were studied etiology wise in detail and

were followed up for ten years. End points were death or 10 years of follow-up. On work-up it was

observed that 36% were having proven tuberculous, another 26% cases were highly suggestive of

tuberculosis. Contribution of other etiologies was pyogenic 8%, idiopathic 8%, rheumatic heart disease

5%, cardiomyopathies 5%, malignancy 4%, uremia 3%, rheumatoid arthritis 2%, pneumonia 1%, Dressler

1%, post cardiotomy 1%. Follow-up revealed that over all mortality was 21.56% at one year. Mortality

and constriction was most common in the group with proven tuberculosis 30% and 27% respectively.

Similarly malignant and uremic pericardial effusions had also a worst prognosis soon after the diagnosis.

Mortality after one year and followup was not found to be related to the initial disease process.

:This descriptive study was conducted at Cardiology Unit Lady Reading Hospital Peshawar.

All serial cases with moderate and large pericardial effusions presenting to Echo Room were enrolled in

the study after fulfilling the inclusion and exclusion criteria. The cases were worked-up etiologically for

the causes of pericardial effusion and planned to be followed up for ten years.

: To study etiology, morbidity and mortality of pericardial disease and frequency of constrictive

pericarditis with long term follow up of ten years.