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The diagnostic value of pericardial aspiration at Groote Schuur hospital

In this MMed thesis I have reviewed retrospectively the pericardial aspirations performed between 1 July 1987 and 12th October 1989 at Groote Schuur Hospital, Cape Town. Documenting the reasons for aspiration, the complications of pericardiocentesis, and how cytologic, bacteriologic and biochemical...

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Main Author: Jennison, S H
Format: Thesis
Language:English
Published: Division of Cardiology 2018
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access_status_str Open Access
author Jennison, S H
author_browse Jennison, S H
author_facet Jennison, S H
author_sort Jennison, S H
collection Thesis
description In this MMed thesis I have reviewed retrospectively the pericardial aspirations performed between 1 July 1987 and 12th October 1989 at Groote Schuur Hospital, Cape Town. Documenting the reasons for aspiration, the complications of pericardiocentesis, and how cytologic, bacteriologic and biochemical examination of the aspirate influenced the clinicians' management of the 52 patients reviewed. The relatively low mortality of less than 2% is noted, in a procedure carried out for the relief of cardiac tamponade in 57% of the patients. A significant relationship between an ADA level higher than 51 international units per litre and a positive culture of mycobacterium tuberculosis from pericardial aspiration is demonstrated. The relatively low successful culture of mycobacterium tuberculosis (32% of the 29 patients clinically assessed as having tuberculous pericarditis) is noted, and recommendations to improve the yield from culture are made.
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institution University of Cape Town (South Africa)
language eng
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2018
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spelling oai:open.uct.ac.za:11427/27170 The diagnostic value of pericardial aspiration at Groote Schuur hospital Jennison, S H Pericardial Effusion - diagnosis Pericardiectomy - methods Pericarditis - diagnosis Pericardium - anatomy and histology In this MMed thesis I have reviewed retrospectively the pericardial aspirations performed between 1 July 1987 and 12th October 1989 at Groote Schuur Hospital, Cape Town. Documenting the reasons for aspiration, the complications of pericardiocentesis, and how cytologic, bacteriologic and biochemical examination of the aspirate influenced the clinicians' management of the 52 patients reviewed. The relatively low mortality of less than 2% is noted, in a procedure carried out for the relief of cardiac tamponade in 57% of the patients. A significant relationship between an ADA level higher than 51 international units per litre and a positive culture of mycobacterium tuberculosis from pericardial aspiration is demonstrated. The relatively low successful culture of mycobacterium tuberculosis (32% of the 29 patients clinically assessed as having tuberculous pericarditis) is noted, and recommendations to improve the yield from culture are made. 2018-01-31T13:45:28Z 2018-01-31T13:45:28Z 1990 Master Thesis Masters MMed http://hdl.handle.net/11427/27170 eng application/pdf Division of Cardiology Faculty of Health Sciences University of Cape Town
spellingShingle Pericardial Effusion - diagnosis
Pericardiectomy - methods
Pericarditis - diagnosis
Pericardium - anatomy and histology
Jennison, S H
The diagnostic value of pericardial aspiration at Groote Schuur hospital
thesis_degree_str Master's
title The diagnostic value of pericardial aspiration at Groote Schuur hospital
title_full The diagnostic value of pericardial aspiration at Groote Schuur hospital
title_fullStr The diagnostic value of pericardial aspiration at Groote Schuur hospital
title_full_unstemmed The diagnostic value of pericardial aspiration at Groote Schuur hospital
title_short The diagnostic value of pericardial aspiration at Groote Schuur hospital
title_sort diagnostic value of pericardial aspiration at groote schuur hospital
topic Pericardial Effusion - diagnosis
Pericardiectomy - methods
Pericarditis - diagnosis
Pericardium - anatomy and histology
url http://hdl.handle.net/11427/27170
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