You are here

Responses

Article menu

Download PDFPDF

Special populations
Original research
Age-stratified patterns in clinical presentation, treatment and outcomes in acute pericarditis: a retrospective cohort study
Free
Compose a Response to This Article
Compose Response

More information about text formats

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests

PLEASE NOTE:

  • A rapid response is a moderated but not peer reviewed online response to a published article in a BMJ journal; it will not receive a DOI and will not be indexed unless it is also republished as a Letter, Correspondence or as other content. Find out more about rapid responses.
  • We intend to post all responses which are approved by the Editor, within 14 days (BMJ Journals) or 24 hours (The BMJ), however timeframes cannot be guaranteed. Responses must comply with our requirements and should contribute substantially to the topic, but it is at our absolute discretion whether we publish a response, and we reserve the right to edit or remove responses before and after publication and also republish some or all in other BMJ publications, including third party local editions in other countries and languages
  • Our requirements are stated in our rapid response terms and conditions and must be read. These include ensuring that: i) you do not include any illustrative content including tables and graphs, ii) you do not include any information that includes specifics about any patients,iii) you do not include any original data, unless it has already been published in a peer reviewed journal and you have included a reference, iv) your response is lawful, not defamatory, original and accurate, v) you declare any competing interests, vi) you understand that your name and other personal details set out in our rapid response terms and conditions will be published with any responses we publish and vii) you understand that once a response is published, we may continue to publish your response and/or edit or remove it in the future.
  • By submitting this rapid response you are agreeing to our terms and conditions for rapid responses and understand that your personal data will be processed in accordance with those terms and our privacy notice.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

Other responses

Jump to comment:

  • Published on: 10 September 2024
    The need for a high index of suspicion for infective endocarditis

    The observation that older age is associated with fewer recurrences of pericarditis but more severe complications[1] needs to be qualified to include a recognition of the entity of acute pericarditis attributable to infective endocarditis(IE)[2],[3]..
    A prospective cohort study which covered the period January 1990 to December 2007 enrolled 459 subjects with native valve infective endocarditis associated with 479 episodes of IE. Among those there was a subgroup of 118 subjects with pericardial effusion. In that cohort IE patients who did not have pericardial effusion had a mean age of 57 versus a mean age of 47.6 in those with pericardial effusion(p < 0.001 on multivariate analysis[2]. Large-to-very large pericardial effusions were associated with an increase in 1-year mortality(Odds Ratio 3.0; 95% Confidence Interval 1.2 to 7.9)[2].
    An observational study enrolled 338 subjects embracing a wider spectrum of IE which included native valve infective endocarditis, prosthetic valve IE, and IE attributable to implantable electronic devices. In that study it was also shown that IE patients who had pericardial effusion were significantly(p < 0.003) younger than counterparts who did not have pericardial effusion[3].
    neither of the two studies documented the presence of IE without cardiac murmurs.
    Given the observation that IE patients with pericardial effusion have more severe infections than patients without pericardial effusions[2],[3], and...

    Show More
    Conflict of Interest:
    None declared.