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Frequency and severity of pericardial effusion after acute myocardial infarction

Abid Ullah Shah, Muhammad Imran, Jafar Iqbal, Adeel Ahmed Khalil, Syed Arshad Ullah, Waleed Ahmad

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Int. J. Biosci.15( 6), 441-449, December 2019

DOI: http://dx.doi.org/10.12692/ijb/15.6.441-449


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Pericardial Effusion (PE) is a complication after acute myocardial infarction (AMI), the objectives of this study was to determine the frequency and severity of PE after AMI and its association with other AMI complications. This cross sectional study was conducted in tertiary care hospital, Peshawar from March to August 2018. A total of 160 patients having AMI were included and data were collected through questionnaire after echocardiography test. PE was considered, if there is echo-free space in between visceral and parietal pericardium, when persist throughout cardiac cycle considered mild if <1cm, moderate 1-2cm and large > 2cm echo-free space. Both gender were included having age 25-85 years while patients with cardiomyopathies, heart failure, malignancy, TB and renal diseases were excluded from this study. All data was analyzed by SPSS-23. Out of 160 patients having AMI, 115 (71.9%) were male and 45 (28.1%) were female with mean age of 56.9±11.6 years. PE was found in 29 (18.1%) patients, mild and moderate PE was in 23 (14.4%) and 6 (3.8%) patients respectively. Majority of patients 82 (51%) were with acute anterior wall MI and no significant association (p > 0.05) were observed between location of AMI and PE. Other AMI complications such as mitral regurgitation, left ventricular dysfunction, LV clot, Ventricular aneurysm and ventricular septal rupture observed more in patients with PE and their association with PE proved statistically significant (p < 0.05). It is concluded that PE is a common complication after AMI and its complications are more in Patients with PE.


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