Abstract
To determine the sensitivity and specificity of chest roentgenography and electrocardiography in the detection of pericardial effusion, echocardiography was used as the diagnostic standard. Chest roentgenograms and electrocardiograms of 124 patients, 57 of whom had pericardial effusion, were read without knowledge of the echocardiographic interpretation. The sensitivity of roentgenographic diagnosis was low (20%), as was that of diagnosis from decreased voltage on the electrocardiogram (26%). The specificity of the chest roentgenogram was 89% and that of the low-voltage electrocardiogram 97%. The high specificity of the low-voltage electrocardiogram may have been due in part to the exclusion of obese and emphysematous subjects from the study. When cardiomegaly detected roentgenographically or a low-voltage electrocardiogram or both were considered as evidence of pericardial effusion, sensitivity improved to 82% but specificity declined to 29%. It is concluded the chest roentgenography and electrocardiography are unsatisfactory as screening investigations for the detection of pericardial effusion.
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- Christensen E. E., Bonte F. J. The relative accuracy of echocardiography, intravenous CO2 studies, and blood-pool scanning in detecting pericardial effusions in dogs. Radiology. 1968 Aug;91(2):265–270. doi: 10.1148/91.2.265. [DOI] [PubMed] [Google Scholar]
- EFFERT S., ERKENS H., GROSSEBROCKHOFF F. Uber die Anwendung des Ultraschall-Echoverfahrens in der Herzdiagnostik. Dtsch Med Wochenschr. 1957 Aug 2;82(31):1253–1257. doi: 10.1055/s-0028-1116862. [DOI] [PubMed] [Google Scholar]
- Ellis K., King D. L. Pericarditis and pericardial effusion. Radiologic and echocardiographic diagnosis. Radiol Clin North Am. 1973 Aug;11(2):393–413. [PubMed] [Google Scholar]
- FEIGENBAUM H., WALDHAUSEN J. A., HYDE L. P. ULTRASOUND DIAGNOSIS OF PERICARDIAL EFFUSION. JAMA. 1965 Mar 1;191:711–714. doi: 10.1001/jama.1965.03080090025006. [DOI] [PubMed] [Google Scholar]
- Goldberg B. B., Ostrum B. J., Isard H. J. Ultrasonic determination of pericardial effusion. JAMA. 1967 Dec 4;202(10):927–930. [PubMed] [Google Scholar]
- Horowitz M. S., Schultz C. S., Stinson E. B., Harrison D. C., Popp R. L. Sensitivity and specificity of echocardiographic diagnosis of pericardial effusion. Circulation. 1974 Aug;50(2):239–247. doi: 10.1161/01.cir.50.2.239. [DOI] [PubMed] [Google Scholar]
- Kerber R. E., Sherman B. Echocardiographic evaluation of pericardial effusion in myxedema. Incidence and biochemical and clinical correlations. Circulation. 1975 Nov;52(5):823–827. doi: 10.1161/01.cir.52.5.823. [DOI] [PubMed] [Google Scholar]
- Moss A. J., Bruhn F. The echocardiogram. An ultrasound technic for the detection of pericardial effusion. N Engl J Med. 1966 Feb 17;274(7):380–384. doi: 10.1056/NEJM196602172740704. [DOI] [PubMed] [Google Scholar]
- Rothman J., Chase N. E., Kricheff I. I., Mayoral R., Beranbaum E. R. Ultrasonic diagnosis of pericardial effusion. Circulation. 1967 Feb;35(2):358–364. doi: 10.1161/01.cir.35.2.358. [DOI] [PubMed] [Google Scholar]
- Vecchio T. J. Predictive value of a single diagnostic test in unselected populations. N Engl J Med. 1966 May 26;274(21):1171–1173. doi: 10.1056/NEJM196605262742104. [DOI] [PubMed] [Google Scholar]