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. 2012 Jun;23(5):281-5.
doi: 10.5830/CVJA-2011-072. Epub 2012 Jan 12.

The prevalence and outcome of effusive constrictive pericarditis: a systematic review of the literature

Mpiko Ntsekhe  1 , Charles Shey Wiysonge, Patrick J Commerford, Bongani M Mayosi
Affiliations

The prevalence and outcome of effusive constrictive pericarditis: a systematic review of the literature

Mpiko Ntsekhe et al. Cardiovasc J Afr. 2012 Jun.

Abstract

There is sparse information on the epidemiology of effusive constrictive pericarditis (ECP). The objective of this article was to review and summarise the literature on the prevalence and outcome of ECP, and identify gaps for further research. The prevalence of ECP ranged from 2.4 to 14.8%, with a weighted average of 4.5% [95% confidence interval (CI) 2.2-7.5%]. Sixty-five per cent (95% CI: 43-82%) of patients required pericardiectomy regardless of the aetiology. The combined death rate across the studies was 22% (95(CI: 4-50%). The prevalence of ECP is low in non-tuberculous pericarditis, while pericardiectomy rates are high and mortality is variable. In this review, of 10 patients identified with tuberculous ECP, only one presumed case had a definite diagnosis of ECP. Appropriate studies are needed to determine the epidemiology of ECP in tuberculous pericarditis, which is one of the leading causes of pericardial disease in the world.

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Figures

Fig. 1.
Fig. 1.
Flow chart for selection process.
Fig. 2.
Fig. 2.
Forest plot for the prevalence of ECP (random effects).
See this image and copyright information in PMC

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