ArticleThe ultrasound journal2021
The role of point-of-care ultrasound in the diagnosis of pericardial effusion: a single academic center retrospective study.
Article in The ultrasound journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 38 citations in OpenAlex.
- Clinical application of point-of-care ultrasound during cardiopulmonary resuscitation: a systematic review and meta-analysis.Quantitative imaging in medicine and surgery · 2026Article
- Clinical indicators associated with pericardial effusion in rheumatoid arthritis: a machine learning-based analysis.Clinical rheumatology · 2026Article
- The rise of point-of-care ultrasound in cardiopulmonary diagnostics.European heart journal. Imaging methods and practice · 2026Review
- Prehospital Detection of a Large Pericardial Effusion Using Screening Sonography: A Case Report.Cureus · 2025Article
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- Heart in Focus: Advancing Pericardial Effusion Diagnosis With Point-of-Care Ultrasound.Cureus · 2024Review
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- The Role of POCUS and Monitoring Systems during Emergency Pericardial Effusion in the NICU.Life (Basel, Switzerland) · 2024Article
- Point-of-Care Ultrasound for the Diagnosis of Frequent Cardiovascular Diseases: A Review.Cureus · 2023Review
- Agreement on Interpretation of Point-of-Care Ultrasonography for Cardiac Tamponade Among Emergency Physicians.Cureus · 2023Article
- Indications, Clinical Impact, and Complications of Critical Care Transesophageal Echocardiography: A Scoping Review.Journal of intensive care medicine · 2023Article
- Point-of-care ultrasonography in nephrology comes of age.Clinical kidney journal · 2022Review
- ED point-of-care ultrasonography is associated with earlier drainage of pericardial effusion: A retrospective cohort study.The American journal of emergency medicine · 2022Article
- Pericardial Effusion Identified by Point-of-Care Ultrasound in a Pediatric Patient with Covid-19.Visual journal of emergency medicine · 2022Article
- Cardiac Tamponade: A Case for Point-of-Care Ultrasound.CASE (Philadelphia, Pa.) · 2022Article
- Prevalence of left ventricular systolic dysfunction by single echocardiographic view: towards an evidence-based point of care cardiac ultrasound scanning protocol.The international journal of cardiovascular imaging · 2022Article
- Pericardial effusion in idiopathic inflammatory myopathies: A cross-sectional study from Asia and review of the literature.International journal of immunopathology and pharmacologyReview
- Unlocking the Mystery: Resident-Led POCUS Intervention in Community Hospital Revealing Pericardial Tamponade in a Complex Case.Journal of investigative medicine high impact case reportsArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSymptomatic pericardial effusion (PCE) presents with non-specific features and are often missed on the initial physical exam, chest X-ray (CXR), and electrocardiogram (ECG). In extreme cases, misdiagnosis can evolve into decompensated cardiac tamponade, a life-threatening obstructive shock. The purpose of this study is to evaluate the impact of point-of-care ultrasound (POCUS) on the diagnosis and therapeutic intervention of clinically significant PCE.
methodsIn a retrospective chart review, we looked at all patients between 2002 and 2018 at a major Canadian academic hospital who had a pericardiocentesis for clinically significant PCE. We extracted the rate of presenting complaints, physical exam findings, X-ray findings, ECG findings, time-to-diagnosis, and time-to-pericardiocentesis and how these were impacted by POCUS.
resultsThe most common presenting symptom was dyspnea (64%) and the average systolic blood pressure (SBP) was 120 mmHg. 86% of people presenting had an effusion > 1 cm, and 89% were circumferential on departmental echocardiogram (ECHO) with 64% having evidence of right atrial systolic collapse and 58% with early diastolic right ventricular collapse. The average time-to-diagnosis with POCUS was 5.9 h compared to > 12 h with other imaging including departmental ECHO. Those who had the PCE identified by POCUS had an average time-to-pericardiocentesis of 28.1 h compared to > 48 h with other diagnostic modalities.
conclusionPOCUS expedites the diagnosis of symptomatic PCE given its non-specific clinical findings which, in turn, may accelerate the time-to-intervention.
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