Pericardial Effusion on MRI in Autosomal Dominant Polycystic Kidney Disease.

TitlePericardial Effusion on MRI in Autosomal Dominant Polycystic Kidney Disease.
Publication TypeJournal Article
Year of Publication2022
AuthorsLiu J, Fujikura K, Dev H, Riyahi S, Blumenfeld J, Kim J, Rennert H, Prince MR
JournalJ Clin Med
Volume11
Issue4
Date Published2022 Feb 21
ISSN2077-0383
Abstract

Autosomal dominant polycystic kidney disease (ADPKD) has been associated with cardiac abnormalities including mitral valve prolapse and aneurysmal dilatation of the aortic root. Herein, we investigated the potential association of pericardial effusion with ADPKD. Subjects with ADPKD (n = 117) and control subjects without ADPKD matched for age, gender and renal function (n = 117) undergoing MRI including ECG-gated cine MRI of the aorta and heart were evaluated for pericardial effusion independently by three observers measuring the maximum pericardial effusion thickness in diastole using electronic calipers. Pericardial effusion thickness was larger in ADPKD subjects compared to matched controls (Mann-Whitney p = 0.001) with pericardial effusion thickness >5 mm observed in 24 of 117 (21%) ADPKD subjects compared to 4 of 117 (3%) controls (p = 0.00006). Pericardial effusion thickness in ADPKD was associated with female gender patients (1.2 mm greater than in males, p = 0.03) and pleural effusion thickness (p < 0.001) in multivariate analyses. No subjects exhibited symptoms related to pericardial effusion or required pericardiocentesis. In conclusion, pericardial effusion appears to be more prevalent in ADPKD compared to controls. Although in this retrospective cross-sectional study we did not identify clinical significance, future investigations of pericardial effusion in ADPKD subjects may help to more fully understand its role in this disease.

DOI10.3390/jcm11041127
Alternate JournalJ Clin Med
PubMed ID35207400
PubMed Central IDPMC8879333
Grant ListUL1 TR002384 / TR / NCATS NIH HHS / United States
UL1TR002384 / NH / NIH HHS / United States
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