Skip to main content
British Heart Journal logoLink to British Heart Journal
. 1980 Apr;43(4):382–387. doi: 10.1136/hrt.43.4.382

Left ventricular function in presence of small pericardial effusion. Echocardiography study.

G Firestein, C Hensley, P J Varghese
PMCID: PMC482296  PMID: 7397039

Abstract

Using echocardiography, various indices of left ventricular function were studied in a group of 11 patients with small posterior pericardial effusion. The only index of left ventricular function that was abnormal in this group was maximum diastolic endocardial velocity (DEVM), a measure of left ventricular relaxation. When evaluated as a group, DEVM was significantly decreased in the presence of effusion as compared with the control group. This change in DEVM in the presence of small effusion, without any other associated changes in left ventricular function, suggests that the mechanism of impaired left ventricular relaxation is a change in compliance of the pericardium. In large effusions, left ventricular relaxation abnormalities are associated with changes in left ventricular dimensions, and impaired relaxation may also be the result of shift in intracardiac structures.

Full text

PDF
382

Selected References

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

  1. Bartle S. H., Hermann H. J., Cavo J. W., Moore R. A., Costenbader J. M. Effect of the pericardium on left ventricular volume and function in acute hypervolaemia. Cardiovasc Res. 1968 Jul;2(3):284–289. doi: 10.1093/cvr/2.3.284. [DOI] [PubMed] [Google Scholar]
  2. Cosío F. G., Martínez J. P., Serrano C. M., de la Calada C. S., Alcaine C. C. Abnormal septal motion in cardiac tamponande with pulse paradoxus. Echocardiographic and hemodynamic observations. Chest. 1977 Jun;71(6):787–788. doi: 10.1378/chest.71.6.787. [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. DeMaria A. N., Miller R. R., Amsterdam E. A., Markson W., Mason D. T. Mitral valve early diastolic closing velocity in the echocardiogram: relation to sequential diastolic flow and ventricular compliance. Am J Cardiol. 1976 Apr;37(5):693–700. doi: 10.1016/0002-9149(76)90362-3. [DOI] [PubMed] [Google Scholar]
  5. 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]
  6. Feigenbaum H., Zaky A., Grabhorn L. L. Cardiac motion in patients with pericardial effusion. A study using reflected ultrasound. Circulation. 1966 Oct;34(4):611–619. doi: 10.1161/01.cir.34.4.611. [DOI] [PubMed] [Google Scholar]
  7. Fogelman A. M., Abbasi A. S., Pearce M. L., Kattus A. A. Echocardiographic study of the abnormal motion of the posterior left ventricular wall during angina pectoris. Circulation. 1972 Nov;46(5):905–913. doi: 10.1161/01.cir.46.5.905. [DOI] [PubMed] [Google Scholar]
  8. 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]
  9. ISAACS J. P., BERGLUND E., SARNOFF S. J. Ventricular function. III. The pathologic physiology of acute cardiac tamponade studied by means of ventricular function curves. Am Heart J. 1954 Jul;48(1):66–76. doi: 10.1016/0002-8703(54)90273-2. [DOI] [PubMed] [Google Scholar]
  10. Klein J. J., Segal B. L. Pericardial effusion diagnosed by reflected ultrasound. Am J Cardiol. 1968 Jul;22(1):57–64. doi: 10.1016/0002-9149(68)90247-6. [DOI] [PubMed] [Google Scholar]
  11. Kovick R. B., Fogelman A. M., Abbasi A. D., Peter J. B., Pearce M. L. Echocardiographic evaluation of posterior left ventricular wall motion in muscular dystrophy. Circulation. 1975 Sep;52(3):447–454. doi: 10.1161/01.cir.52.3.447. [DOI] [PubMed] [Google Scholar]
  12. Kuno Y. The significance of the pericardium. J Physiol. 1915 Oct 11;50(1):1–36. doi: 10.1113/jphysiol.1915.sp001732. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Levisman J. A., Abbasi A. S. Abnormal motion of the mitral valve with pericardial effusion: Pseudo-prolapse of the mitral valve. Am Heart J. 1976 Jan;91(1):18–20. doi: 10.1016/s0002-8703(76)80429-2. [DOI] [PubMed] [Google Scholar]
  14. 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]
  15. Nanda N. C., Gramiak R., Gross C. M. Echocardiography of cardiac valves in pericardial effusion. Circulation. 1976 Sep;54(3):500–504. doi: 10.1161/01.cir.54.3.500. [DOI] [PubMed] [Google Scholar]
  16. Pegram B. L., Kardon M. B., Bishop V. S. Changes in left ventricular internal diameter with increasing pericardial pressure. Cardiovasc Res. 1975 Nov;9(6):707–714. doi: 10.1093/cvr/9.6.707. [DOI] [PubMed] [Google Scholar]
  17. Schiller N. B., Botvinick E. H. Right ventricular compression as a sign of cardiac tamponade: an analysis of echocardiographic ventricular dimensions and their clinical implications. Circulation. 1977 Nov;56(5):774–779. doi: 10.1161/01.cir.56.5.774. [DOI] [PubMed] [Google Scholar]
  18. 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]
  19. Vignola P. A., Pohost G. M., Curfman G. D., Myers G. S. Correlation of echocardiographic and clinical findings in patients with pericardial effusion. Am J Cardiol. 1976 Apr;37(5):701–707. doi: 10.1016/0002-9149(76)90363-5. [DOI] [PubMed] [Google Scholar]
  20. Voelkel A. G., Pietro D. A., Folland E. D., Fisher M. L., Parisi A. F. Echocardiographic features of constrictive pericarditis. Circulation. 1978 Nov;58(5):871–875. doi: 10.1161/01.cir.58.5.871. [DOI] [PubMed] [Google Scholar]
  21. Zoneraich S., Zoneraich O., Rhee J. J. New, poorly recognized echocardiographic findings. Occurrence in patients with pericardial effusion. JAMA. 1976 Oct 25;236(17):1954–1957. [PubMed] [Google Scholar]

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

RESOURCES