Skip to main content
British Heart Journal logoLink to British Heart Journal
. 1984 Feb;51(2):202–204. doi: 10.1136/hrt.51.2.202

Dynamic effects of pericardial effusion without tamponade. Respiratory responses in the absence of pulsus paradoxus.

V S Wayne, R L Bishop, D H Spodick
PMCID: PMC481484  PMID: 6691870

Abstract

Fourteen patients with pericardial effusions without clinical signs of tamponade (pulsus paradoxus or other cardiac and circulatory abnormalities) showed inspiratory reductions in echocardiographic left ventricular internal diastolic diameter which correlated directly with the exaggerated respiratory changes in systolic time intervals (both pre-ejection period and left ventricular ejection time). Excessive pericardial fluid affects left ventricular function even in the absence of clinical manifestations.

Full text

PDF
202

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brenner J. I., Waugh R. A. Effect of phasic respiration on left ventricular dimension and performance in a normal population. An echocardiographic study. Circulation. 1978 Jan;57(1):122–127. doi: 10.1161/01.cir.57.1.122. [DOI] [PubMed] [Google Scholar]
  2. Bruce M. A., Spodick D. H. Atypical electrocardiogram in acute pericarditis: characteristics and prevalence. J Electrocardiol. 1980;13(1):61–66. doi: 10.1016/s0022-0736(80)80011-2. [DOI] [PubMed] [Google Scholar]
  3. D'Cruz I. A., Cohen H. C., Prabhu R., Glick G. Diagnosis of cardiac tamponade by echocardiography: changes in mitral valve motion and ventricular dimensions, with special reference to paradoxical pulse. Circulation. 1975 Sep;52(3):460–465. doi: 10.1161/01.cir.52.3.460. [DOI] [PubMed] [Google Scholar]
  4. Nandi P. S., Pigott V. M., Spodick D. H. Sequential cardiac responses during the respiratory cycle: patterns of change in systolic intervals. Chest. 1973 Mar;63(3):380–385. doi: 10.1378/chest.63.3.380. [DOI] [PubMed] [Google Scholar]
  5. Pigott V. M., Spodick D. H. Effects of normal breathing and expiratory apnea on duration of the phases of cardiac systole. Am Heart J. 1971 Dec;82(6):786–793. doi: 10.1016/0002-8703(71)90200-6. [DOI] [PubMed] [Google Scholar]
  6. Settle H. P., Adolph R. J., Fowler N. O., Engel P., Agruss N. S., Levenson N. I. Echocardiographic study of cardiac tamponade. Circulation. 1977 Dec;56(6):951–959. doi: 10.1161/01.cir.56.6.951. [DOI] [PubMed] [Google Scholar]
  7. Spodick D. H., Paladino D., Flessas A. P. Respiratory effects on systolic time intervals during pericardial effusion. Am J Cardiol. 1983 Mar 15;51(6):1033–1035. doi: 10.1016/s0002-9149(83)80183-0. [DOI] [PubMed] [Google Scholar]
  8. Spodick D. H. The normal and diseased pericardium: current concepts of pericardial physiology, diagnosis and treatment. J Am Coll Cardiol. 1983 Jan;1(1):240–251. doi: 10.1016/s0735-1097(83)80025-4. [DOI] [PubMed] [Google Scholar]
  9. WALLACE A. G., MITCHELL J. H., SKINNER N. S., SARNOFF S. J. Duration of the phases of left ventricular systole. Circ Res. 1963 Jun;12:611–619. doi: 10.1161/01.res.12.6.611. [DOI] [PubMed] [Google Scholar]
  10. WEISSLER A. M., PEELER R. G., ROEHLL W. H., Jr Relationships between left ventricular ejection time, stroke volume, and heart rate in normal individuals and patients with cardiovascular disease. Am Heart J. 1961 Sep;62:367–378. doi: 10.1016/0002-8703(61)90403-3. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES