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April 1991

Pericardial Effusion in Alcoholic Cirrhosis

Author Affiliations

Chandigarh, India

Arch Intern Med. 1991;151(4):816. doi:10.1001/archinte.1991.00400040144040

To the Editor.—  Having read with interest, the article by Shah et al,1 we studied 15 cases of alcoholic cirrhosis (8 cases of Child's C and 7 cases of Child's A category) and 15 age-matched healthy control subjects, to find out the incidence of pericardial effusion. All subjects were male. Alcoholism was described according to the criteria described before.2 In each case the diagnosis of alcoholic cirrhosis was established by biopsy and the patients were classified into Child's category according to the criteria of Child and Turcott.3 Besides clinical examination and blood tests, each patient underwent a chest roentgenogram and electrocardiogram. Two-dimensional echocardiography and an M-mode cardiac study were done in each patient using an echocardiograph (Ultramark 8 [ATL]). Left ventricular function was studied by calculating the ejection fraction, left ventricular end-diastolic volume, and end-systolic volume, using Simpson's rule.4 While Shah et al1 had used M-mode echocardiography