ArticleWorld journal of emergency medicine2017
Clinical and historical features of emergency department patients with pericardial effusions.
Article in World journal of emergency medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 51 citations in OpenAlex.
- Clinical indicators associated with pericardial effusion in rheumatoid arthritis: a machine learning-based analysis.Clinical rheumatology · 2026Article
- Can FoCUS Speed Up the Management of Acute Coronary Syndrome in the Emergency Department?Medicina (Kaunas, Lithuania) · 2026Review
- Preoperative and anesthetic management of high-risk cardiovascular complications of mediastinal masses: a narrative review.Mediastinum (Hong Kong, China) · 2026Review
- Prehospital Detection of a Large Pericardial Effusion Using Screening Sonography: A Case Report.Cureus · 2025Article
- Brazilian Guideline for the Evaluation and Diagnosis of Chest Pain in the Emergency Department - 2025.Arquivos brasileiros de cardiologia · 2025Article
- Low-pressure tamponade due to hemothorax after transcatheter edge-to-edge repair of the mitral valve.World journal of cardiology · 2025Article
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- 54-year-old Woman with Chest Pain.Clinical practice and cases in emergency medicine · 2024Article
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- Cardiac tamponade.Nature reviews. Disease primers · 2023Review
- Congenital Atrial Septal Defect Presenting With Tamponade Physiology and an Associated Viral Illness.Cureus · 2023Article
- Saved by point of care echo.Journal of the American College of Emergency Physicians open · 2023Article
- Point of care ultrasonography in onco-nephrology: A stride toward better physical examination.World journal of nephrology · 2023Review
- Pericardial tamponade, a diagnostic chameleon: from the historical perspectives to contemporary management.Journal of cardiothoracic surgery · 2023Review
- Postsurgical Left Atrial Compression due to Hemopericardium Resulting in Liver Failure: A Rare Cause of Cardiac Tamponade.CASE (Philadelphia, Pa.) · 2022Article
- A Case Report of Cardiac Tamponade.Journal of education & teaching in emergency medicine · 2021Article
- Perioperative implications of pericardial effusions and cardiac tamponade.BJA education · 2020Review
- Comparison between Emergency Severity Index and Heart Failure Triage Scale in heart failure patients: A randomized clinical trial.World journal of emergency medicine · 2019Article
- Traumatic retrosternal hematoma leading to extra-pericardial cardiac tamponade-Case report.International journal of surgery case reports · 2019Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiagnosing pericardial effusion is critical for optimal patient care. Typically, clinicians use physical examination findings and historical features suggesting pericardial effusion to determine which patients require echocardiography. The diagnostic characteristics of these tools are not well described. The objective of this study is to determine the prevalence of historical features and sensitivity of clinical signs to inform clinicians when to proceed with echocardiogram.
methodsA retrospective review of point-of-care echocardiograms performed over a two and a half year period in two emergency departments were reviewed for the presence of a pericardial effusion. Patient charts were reviewed and abstracted for presenting symptoms, historical features and clinical findings. The prevalence of presenting symptoms and historical features and the sensitivity of classic physical examination findings associated with pericardial effusion and tamponade were determined.
resultsOne hundred and fifty-three patients with pericardial effusion were identified. Of these patients, the most common presenting complaint was chest pain and shortness of breath. Patients had no historical features that would suggest pericardial effusion in 37.5% of cases. None of the patients with pericardial effusion or pericardial tamponade had all of the elements of Beck's triad. The sensitivity of Beck's triad was found to be 0 (0%-19.4%). The sensitivity for one finding of Beck's triad to diagnose pericardial tamponade was 50% (28.0%-72.0%).
conclusionHistory and physical examination findings perform poorly as tests for the diagnosis of pericardial effusion or pericardial tamponade. Clinicians must liberally evaluate patients suspected of having a pericardial effusion with echocardiography.
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