A. S. ABBASI, M.D.
To the editor: The paper "Cardiac Involvement in Rheumatoid Arthritis" (Ann Intern Med 79:800-806, 1973) is interesting; however, it would be helpful to clarify some points.
1. In the supine position of the patient, a small pericardial effusion may be missed by echocardiography. In the semirecumbent position, which allows the pericardial fluid to accumulate toward the most dependent part of the pericardial sac, that is, the apical region of the heart, an ultrasound beam directed toward the apex may detect even a small effusion (1).
2. In our experience the echocardiographic criterion for the diagnosis of thickened pericardium is unreliable.
ABBASI AS. Heart in Rheumatoid Arthritis. Ann Intern Med. ;80:779–780. doi: 10.7326/0003-4819-80-6-779_2
Download citation file:
Published: Ann Intern Med. 1974;80(6):779-780.
Cardiology, Rheumatoid Arthritis, Rheumatology.
Results provided by:
Copyright © 2018 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use