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Ultrasonic Determination of Pericardial Effusion FREE

Barry B. Goldberg, MD; Bernard J. Ostrum, MD; Harold J. Isard, MD
[+] Author Affiliations

Reprint requests to Albert Einstein Medical Center, York and Tabor roads, Philadelphia 19141 (Dr. Isard).


JAMA. 1967;202(10):927-930. doi:10.1001/jama.1967.03130230053006
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The accuracy of ultrasonic diagnosis of pericardial effusion can be improved by adoption of a standard technique so that results are reproducible. Knowledge of anatomic landmarks is important for both the proper positioning of the transducer and the prevention of errors in diagnosis. The characteristic posterior echo complex that is recorded in the presence of pericardial effusion arises from the pericardial structures in the vicinity of the left atrioventricular groove. Anterior echo complexes can be obtained in approximately 50% of patients with pericardial effusion. B-mode ultrasound can be used for the detection of cardiac tamponade and the demonstration of changes following pericardiocentesis. Pulmonary and pleural lesions such as atelectasis, consolidation, and basilar effusion cause false echo complexes and it is important that these be recognized.

REFERENCES

Feigenbaum, H.; Waldhausen, J.A.; and Hyde, L.P.:  Ultrasound Diagnosis of Pericardial Effusion , JAMA 191:711-714 ( (March 1) ) 1965;.
Moss. A.J., and Bruhn, F.:  The Echocardiogram , New Eng J Med 274:380-384 ( (Feb 17) ) 1966;.
Feigenbaum, H., and Zagy, A.:  Use of Diagnostic Ultrasound in Clinical Cardiology , J Indiana Med Assoc 59:140-145 < (Feb) ) 1966;.
Soulen, R.L.; Lapayowker, M.S.; and Gimenez, J.L.:  Echocardiography in the Diagnosis of Pericardial Effusion , Radiology 86:1047-1051 ( (June) ) 1966;.
Edler, I.:  Diagnostic Use of Ultrasound in Heart Disease , Acta Med Scand 308:32-36, 1955;.
Feigenbaum, H.; Zagy, A.; and Waldhausen. J.A.:  Use of Ultrasound in the Diagnosis of Pericardial Effusion , Ann Intern Med 65:443-452 ( (Sept) ) 1966;.
Joyner, C.R., Jr.; Reid, J.M.; and Bond, J.P.:  Reflected Ultrasound in the Assessment of Mitral Valve Disease , Circulation 27:503-511 ( (April) ) 1963;.
Rabinowitz. J.G., and Wolf, B.S.:  Roentgen Significance of Pulmonary Ligament , Radiology 87:1013-1020 ( (Dec) ) 1966;.
Mellins, H.Z.; Kottmeier, P.; and Kelly, B.:  Radiologic Signs of Pericardial Effusion , Radiology 73:9-17 ( (July) ) 1959;.
Jorgens. J.; Kundel, R.; and Lieber, A.:  The Cinefluorographic Approach to the Diagnosis of Pericardial Effusion , Amer J Roentgen 87:911-916 ( (May) ) 1962;.
Steinberg, I.; von Gal, H.V.; and Finby, N.:  Roentgen Diagnosis of Pericardial Effusion: New Angiocardiographic Observations , Amer J Roentgen 79:321-332 ( (Feb) ) 1958;.
Stauffer, H.M., et al:  Gas and Opaque Contrast in Roentgenographic Diagnosis of Pericardial Disease , JAMA 172:1122-1126 ( (March 12) ) 1960;.

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Feigenbaum, H.; Waldhausen, J.A.; and Hyde, L.P.:  Ultrasound Diagnosis of Pericardial Effusion , JAMA 191:711-714 ( (March 1) ) 1965;.
Moss. A.J., and Bruhn, F.:  The Echocardiogram , New Eng J Med 274:380-384 ( (Feb 17) ) 1966;.
Feigenbaum, H., and Zagy, A.:  Use of Diagnostic Ultrasound in Clinical Cardiology , J Indiana Med Assoc 59:140-145 < (Feb) ) 1966;.
Soulen, R.L.; Lapayowker, M.S.; and Gimenez, J.L.:  Echocardiography in the Diagnosis of Pericardial Effusion , Radiology 86:1047-1051 ( (June) ) 1966;.
Edler, I.:  Diagnostic Use of Ultrasound in Heart Disease , Acta Med Scand 308:32-36, 1955;.
Feigenbaum, H.; Zagy, A.; and Waldhausen. J.A.:  Use of Ultrasound in the Diagnosis of Pericardial Effusion , Ann Intern Med 65:443-452 ( (Sept) ) 1966;.
Joyner, C.R., Jr.; Reid, J.M.; and Bond, J.P.:  Reflected Ultrasound in the Assessment of Mitral Valve Disease , Circulation 27:503-511 ( (April) ) 1963;.
Rabinowitz. J.G., and Wolf, B.S.:  Roentgen Significance of Pulmonary Ligament , Radiology 87:1013-1020 ( (Dec) ) 1966;.
Mellins, H.Z.; Kottmeier, P.; and Kelly, B.:  Radiologic Signs of Pericardial Effusion , Radiology 73:9-17 ( (July) ) 1959;.
Jorgens. J.; Kundel, R.; and Lieber, A.:  The Cinefluorographic Approach to the Diagnosis of Pericardial Effusion , Amer J Roentgen 87:911-916 ( (May) ) 1962;.
Steinberg, I.; von Gal, H.V.; and Finby, N.:  Roentgen Diagnosis of Pericardial Effusion: New Angiocardiographic Observations , Amer J Roentgen 79:321-332 ( (Feb) ) 1958;.
Stauffer, H.M., et al:  Gas and Opaque Contrast in Roentgenographic Diagnosis of Pericardial Disease , JAMA 172:1122-1126 ( (March 12) ) 1960;.
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