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Ascites
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Ascites
Synonyms
Peritoneal cavity fluid, peritoneal fluid excess, hydroperitoneum, abdominal dropsy[1]
The abdomen of a person with cirrhosis which has resulted in massive ascites and prominent superficial veins
Pronunciation
/əˈsaɪtiːz/, ə-SY-teez, /əˈsʌɪtiːz/
Specialty
Gastroenterology
Symptoms
Increased abdominal size, increased weight, abdominal discomfort, shortness of breath[2]
Complications
Spontaneous bacterial peritonitis, hepatorenal syndrome, low blood sodium[2][3]
Causes
Liver cirrhosis, cancer, heart failure, tuberculosis, pancreatitis, blockage of the hepatic vein[3]
Diagnostic method
Physical exam, ultrasound, CT scan[2]
Treatment
Low salt diet, medications, draining the fluid[2]
Medication
Spironolactone, furosemide[2]
Frequency
>50% of people (with cirrhosis)[3]
Ascites is the abnormal buildup of fluid in the abdomen.[1] Technically, it is more than 25 mL of fluid in the peritoneal cavity.[3] Symptoms may include increased abdominal size, increased weight, abdominal discomfort, and shortness of breath.[2] Complications can include spontaneous bacterial peritonitis.[2]
In the developed world, the most common cause is liver cirrhosis.[3] Other causes include cancer, heart failure, tuberculosis, pancreatitis, and blockage of the hepatic vein.[3] In cirrhosis, the underlying mechanism involves high blood pressure in the portal system and dysfunction of blood vessels.[3] Diagnosis is typically based on a examination together with ultrasound or a CT scan.[2] Testing the fluid can help in determining the underlying cause.[2]
Treatment often involves a low salt diet, medication such as diuretics, and draining the fluid.[2] A transjugular intrahepatic portosystemic shunt (TIPS) may be placed but is associated with complications.[2] Effects to treat the underlying cause, such as by a liver transplant may be considered.[3] Of those with cirrhosis, more than half develop ascites in the ten years following diagnosis.[3] Once ascites has developed in this group, average life expectancy is less than three years.[3] The term is from the Greek askítes meaning "baglike".[4]
Contents
[hide]
1 Signs and symptoms
2 Causes
3 Diagnosis
3.1 Classification
4 Pathophysiology
5 Treatment
5.1 Diet
5.2 Diuretics
5.3 Paracentesis
5.4 Surgery
5.5 Low SAAG
6 Complications
6.1 Spontaneous bacterial peritonitis
6.2 Hepatorenal syndrome
6.3 Thrombosis
7 Society and culture
8 References
9 External links
Signs and symptoms[edit]
Mild ascites is hard to notice, but severe ascites leads to abdominal distension. Patients with ascites generally will complain of progressive abdominal heaviness and pressure as well as shortness of breath due to mechanical impingement on the diaphragm.
Ascites is detected on physical examination of the abdomen by visible bulging of the flanks in the reclining patient ("flank bulging"), "shifting dullness" (difference in percussion note in the flanks that shifts when the patient is turned on the side) or in massive ascites with a "fluid thrill" or "fluid wave" (tapping or pushing on one side will generate a wave-like effect through the fluid that can be felt in the opposite side of the abdomen).
Other signs of ascites may be present due to its underlying cause. For instance, in portal hypertension (perhaps due to cirrhosis or fibrosis of the liver) patients may also complain of leg swelling, bruising, gynecomastia, hematemesis, or mental changes due to encephalopathy. Those with ascites due to cancer (peritoneal carcinomatosis) may complain of chronic fatigue or weight loss. Those with ascites due to heart failure may also complain of shortness of breath as well as wheezing and exercise intolerance.
Causes[edit]
Causes of high serum-ascites albumin gradient (SAAG or transudate) are:[5]
Cirrhosis – 81% (alcoholic in 65%, viral in 10%, cryptogenic in 6%)
Heart failure – 3%
Hepatic venous occlusion: Budd–Chiari syndrome or veno-occlusive disease
Constrictive pericarditis
Kwashiorkor (childhood protein-energy malnutrition)
Causes of low SAAG ("exudate") are:
Cancer (metastasis and primary peritoneal carcinomatosis) – 10%
Infection: Tuberculosis – 2% or spontaneous bacterial peritonitis
Pancreatitis – 1%
Serositis
Nephrotic syndrome[6]
Hereditary angioedema[7]
Other rare causes:
Meigs syndrome
Vasculitis
Hypothyroidism
Renal dialysis
Peritoneum mesothelioma
Abdominal tuberculosis
Mastocytosis
Diagnosis[edit]
Ascites in a person with abdominal cancer as seen on ultrasound
Liver cirrhosis with ascites
Routine complete blood count (CBC), basic metabolic profile, liver enzymes, and coagulation should be performed. Most experts recommend a diagnostic paracentesis be performed if the ascites is new or if the patient with ascites is being admitted to the hospital. The fluid is then reviewed for its gross appearance, protein level, albumin, and cell counts (red and white). Additional tests will be performed if indicated such as microbiological culture, Gram stain and cytopathology.[5]
The serum-ascites albumin gradient (SAAG) is probably a better discriminant than older measures (transudate versus exudate) for the causes of ascites.[8] A high gradient (> 1.1 g/dL) indicates the ascites is due to portal hypertension. A low gradient (< 1.1 g/dL) indicates ascites of non-portal hypertensive as a cause.
Ultrasound investigation is often performed prior to attempts to remove fluid from the abdomen. This may reveal the size and shape of the abdominal organs, and Doppler studies may show the direction of flow in the portal vein, as well as detecting Budd-Chiari syndrome (thrombosis of the hepatic vein) and portal vein thrombosis. Additionally, the sonographer can make an estimation of the amount of ascitic fluid, and difficult-to-drain ascites may be drained under ultrasound guidance. An abdominal CT scan is a more accurate alternate to reveal abdominal organ structure and morphology.[citation needed]
Classification[edit]
Ascites exists in three grades:[9]
Grade 1: mild, only visible on ultrasound and CT
Grade 2: detectable with flank bulging and shifting dullness
Grade 3: directly visible, confirmed with the fluid wave/thrill test
Pathophysiology[edit]
Ascitic fluid can accumulate as a transudate or an exudate. Amounts of up to 35 liters are possible.
Roughly, transudates are a result of increased pressure in the hepatic portal vein (>8 mmHg, usually around 20 mmHg[10]), e.g. due to cirrhosis, while exudates are actively secreted fluid due to inflammation or malignancy. As a result, exudates are high in protein and lactate dehydrogenase and have a low pH (<7.30), a low glucose level, and more white blood cells. Transudates have low protein (<30 g/L), low LDH, high pH, normal glucose, and fewer than 1 white cell per 1000 mm³. Clinically, the most useful measure is the difference between ascitic and serum albumin concentrations. A difference of less than 1 g/dl (10 g/L) implies an exudate.[5]
Portal hypertension plays an important role in the production of ascites by raising capillary hydrostatic pressure within the splanchnic bed.
Regardless of the cause, sequestration of fluid within the abdomen leads to additional fluid retention by the kidneys due to stimulatory effect on blood pressure hormones, notably aldosterone. The sympathetic nervous system is also activated, and renin production is increased due to decreased perfusion of the kidney. Extreme disruption of the renal blood flow can lead to hepatorenal syndrome. Other complications of ascites include spontaneous bacterial peritonitis (SBP), due to decreased antibacterial factors in the ascitic fluid such as complement.
Treatment[edit]
Diagram showing ascites being drained
Ascites is generally treated while an underlying cause is sought, in order to prevent complications, relieve symptoms, and prevent further progression. In patients with mild ascites, therapy is usually as an outpatient. The goal is weight loss of no more than 1.0 kg/day for patients with both ascites and peripheral edema and no more than 0.5 kg/day for patients with ascites alone.[11] In those with severe ascites causing a tense abdomen, hospitalization is generally necessary for paracentesis.[12][13]
Treatments in high SAAG ("transudate") are:
Diet[edit]
Salt restriction is the initial treatment, which allows diuresis (production of urine) since the patient now has more fluid than salt concentration. Salt restriction is effective in about 15% of patients.[14] Water restriction is needed if serum sodium levels drop below 130 mmol L−1.[15]
Diuretics[edit]
Since salt restriction is the basic concept in treatment, and aldosterone is one of the hormones that acts to increase salt retention, a medication that counteracts aldosterone should be sought. Spironolactone (or other distal-tubule diuretics such as triamterene or amiloride) is the drug of choice since they block the aldosterone receptor in the collecting tubule. This choice has been confirmed in a randomized controlled trial.[16] Diuretics for ascites should be dosed once per day.[17] Generally, the starting dose is oral spironolactone 100 mg/day (max 400 mg/day). 40% of patients will respond to spironolactone.[14] For nonresponders, a loop diuretic may also be added and generally, furosemide is added at a dose of 40 mg/day (max 160 mg/day), or alternatively (bumetanide or torasemide). The ratio of 100:40 reduces risks of potassium imbalance.[17] Serum potassium level and renal function should be monitored closely while on these medications.[15]
Monitoring diuresis: Diuresis can be monitored by weighing the patient daily. The goal is weight loss of no more than 1.0 kg/day for patients with both ascites and peripheral edema and no more than 0.5 kg/day for patients with ascites alone.[11] If daily weights cannot be obtained, diuretics can also be guided by the urinary sodium concentration. Dosage is increased until a negative sodium balance occurs.[17] A random urine sodium-to-potassium ratio of > 1 is 90% sensitivity in predicting negative balance (> 78-mmol/day sodium excretion).[18]
Diuretic resistance: Diuretic resistance can be predicted by giving 80 mg intravenous furosemide after 3 days without diuretics and on an 80 mEq sodium/day diet. The urinary sodium excretion over 8 hours < 50 mEq/8 hours predicts resistance.[19]
If a patient exhibits a resistance to or poor response to diuretic therapy, ultrafiltration or aquapheresis may be needed to achieve adequate control of fluid retention and congestion. The use of such mechanical methods of fluid removal can produce meaningful clinical benefits in patients with diuretic resistance and may restore responsiveness to conventional doses of diuretics.[20][21]
Paracentesis[edit]
Main article: Paracentesis
In those with severe (tense) ascites, therapeutic paracentesis may be needed in addition to medical treatments listed above.[12][13] As this may deplete serum albumin levels in the blood, albumin is generally administered intravenously in proportion to the amount of ascites removed.
Surgery[edit]
Ascites that is refractory to medical therapy is considered an indication for liver transplantation. In the United States, the MELD score (online calculator)[22] is used to prioritize patients for transplantation.
In a minority of people with advanced cirrhosis that have recurrent ascites, shunts may be used. Typical shunts used are portacaval shunt, peritoneovenous shunt, and the transjugular intrahepatic portosystemic shunt (TIPS). However, none of these shunts has been shown to extend life expectancy, and are considered to be bridges to liver transplantation. A meta-analysis of randomized controlled trials by the international Cochrane Collaboration concluded that "TIPS was more effective at removing ascites as compared with paracentesis...however, TIPS patients develop hepatic encephalopathy significantly more often".[23]
Low SAAG[edit]
Exudative ascites generally does not respond to manipulation of the salt balance or diuretic therapy. Repeated paracentesis and treatment of the underlying cause is the mainstay of treatment.
Complications[edit]
Spontaneous bacterial peritonitis[edit]
Main article: Spontaneous bacterial peritonitis
This section is empty. You can help by adding to it. (February 2017)
Hepatorenal syndrome[edit]
Main article: Hepatorenal syndrome
This section is empty. You can help by adding to it. (February 2017)
Thrombosis[edit]
Complications involve portal vein thrombosis and splenic vein thrombosis: clotting of blood affects the hepatic portal vein or varices associated with splenic vein. This can lead to portal hypertension and reduction in blood flow. When a liver cirrhosis patient is suffering from thrombosis, it is not possible to perform a liver transplant, unless the thrombosis is very minor. In case of minor thrombosis, there are some chances of survival using cadaveric liver transplant.
Society and culture[edit]
It has been suggested that ascites was seen as a punishment especially for oath-breakers among the Proto-Indo-Europeans.[24] This proposal builds on the Hittite military oath as well as various Vedic hymns (RV 7.89, AVS 4.16.7). A similar curse dates to the Kassite dynasty (12th century BC). Comparable is also Numbers 5:11ff, where a confirmed adulteress is punished with swelling of the abdomen.
References[edit]
^ Jump up to: a b "Ascites". National Library of Medicine. Retrieved 14 December 2017.
^ Jump up to: a b c d e f g h i j k "Ascites - Hepatic and Biliary Disorders". Merck Manuals Professional Edition. May 2016. Retrieved 14 December 2017.
^ Jump up to: a b c d e f g h i j Pedersen, JS; Bendtsen, F; Møller, S (May 2015). "Management of cirrhotic ascites". Therapeutic advances in chronic disease. 6 (3): 124–37. doi:10.1177/2040622315580069. PMC 4416972  . PMID 25954497.
Jump up ^ Staff writer (2010). "Ascites". Dictionary.com: An Ask.com Service. Oakland, CA: IAC. Retrieved December 14, 2017.
^ Jump up to: a b c Warrell DA, Cox TN, Firth JD, Benz ED. Oxford textbook of medicine. Oxford: Oxford University Press, 2003. ISBN 0-19-262922-0.
Jump up ^ Kumar & Clark's Clinical Medicine e.8 Chapter 7: Liver, biliary tract and pancreatic disease Pg. 335
Jump up ^ Branco-Ferreira M, Pedro E, Barbosa MA, Carlos AG (1998). "Ascites in hereditary angioedema". Allergy. 53 (5): 543–5. doi:10.1111/j.1398-9995.1998.tb04098.x. PMID 9636820.
Jump up ^ Runyon BA, Montano AA, Akriviadis EA, Antillon MR, Irving MA, McHutchison JG (August 1992). "The serum-ascites albumin gradient is superior to the exudate-transudate concept in the differential diagnosis of ascites". Ann. Intern. Med. 117 (3): 215–20. doi:10.7326/0003-4819-117-3-215. PMID 1616215.
Jump up ^ Moore, K. P.; Wong, F.; Gines, P.; Bernardi, M.; Ochs, A.; Salerno, F.; Angeli, P.; Porayko, M.; Moreau, R.; Garcia-Tsao, G.; Jimenez, W.; Planas, R.; Arroyo, V (2003). "The Management of Ascites in Cirrhosis: Report on the Consensus Conference of the International Ascites Club". Hepatology. 38: 258–66. doi:10.1053/jhep.2003.50315. PMID 12830009.
Jump up ^ [Ascites in Cirrhosis Relative Importance of Portal Hypertension and Hypoalbuminemia] DONALI) O. CASTELL, LCDR (MC), USN
^ Jump up to: a b Shear L, Ching S, Gabuzda GJ (1970). "Compartmentalization of ascites and edema in patients with hepatic cirrhosis". N. Engl. J. Med. 282 (25): 1391–6. doi:10.1056/NEJM197006182822502. PMID 4910836.
^ Jump up to: a b Ginés P, Arroyo V, Quintero E, et al. (1987). "Comparison of paracentesis and diuretics in the treatment of cirrhotics with tense ascites. Results of a randomized study". Gastroenterology. 93 (2): 234–41. PMID 3297907.
^ Jump up to: a b Salerno F, Badalamenti S, Incerti P, et al. (1987). "Repeated paracentesis and i.v. albumin infusion to treat 'tense' ascites in cirrhotic patients. A safe alternative therapy". J. Hepatol. 5 (1): 102–8. doi:10.1016/S0168-8278(87)80067-3. PMID 3655306.
^ Jump up to: a b Gatta A, Angeli P, Caregaro L, Menon F, Sacerdoti D, Merkel C (1991). "A pathophysiological interpretation of unresponsiveness to spironolactone in a stepped-care approach to the diuretic treatment of ascites in nonazotemic cirrhotic patients". Hepatology. 14 (2): 231–6. doi:10.1002/hep.1840140205. PMID 1860680.
^ Jump up to: a b Ginès P, Cárdenas A, Arroyo V, Rodés J (2004). "Management of cirrhosis and ascites". N. Engl. J. Med. 350 (16): 1646–54. doi:10.1056/NEJMra035021. PMID 15084697.
Jump up ^ Fogel MR, Sawhney VK, Neal EA, Miller RG, Knauer CM, Gregory PB (1981). "Diuresis in the ascitic patient: a randomized controlled trial of three regimens". J. Clin. Gastroenterol. 3 Suppl 1: 73–80. doi:10.1097/00004836-198100031-00016. PMID 7035545.
^ Jump up to: a b c Runyon BA (1994). "Care of patients with ascites". N. Engl. J. Med. 330 (5): 337–42. doi:10.1056/NEJM199402033300508. PMID 8277955.
Jump up ^ Runyon BA, Heck M (1996). "Utility of 24-hour urine sodium collection and urine Na/K ratios in the management of patients with cirrhosis and ascites". Hepatology. 24: 571A.
Jump up ^ Spahr L, Villeneuve JP, Tran HK, Pomier-Layrargues G (2001). "Furosemide-induced natriuresis as a test to identify cirrhotic patients with refractory ascites". Hepatology. 33 (1): 28–31. doi:10.1053/jhep.2001.20646. PMID 11124817.
Jump up ^ Hunt SA, Abraham WT, Chin MH, et al. (2005). "ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines". Circulation. 112 (12): 154–235. doi:10.1161/CIRCULATIONAHA.105.167586. PMID 16160202.
Jump up ^ Adams KF, Lindenfeld J, Arnold JM, Baker DW, Barnard DH, Baughman KL, Boehmer JP, Deedwania P, Dunbar SB, Elkayam U, Gheorghiade M, Howlett JG, Konstam MA, Kronenberg MW, Massie BM, Mehra MR, Miller AB, Moser DK, Patterson JH, Rodeheffer RJ, Sackner-Bernstein J, Silver MA, Starling RC, Stevenson LW, Wagoner LE (2006). "Heart Failure Society of America (HFSA) 2006 Comprehensive Heart Failure Practice Guideline". J Cardiac Failure. 12 (1): e1–e122. doi:10.1016/j.cardfail.2005.11.005. PMID 16500560.
Jump up ^ Cosby RL, Yee B, Schrier RW (1989). "New classification with prognostic value in cirrhotic patients". Mineral and electrolyte metabolism. 15 (5): 261–6. PMID 2682175.
Jump up ^ Saab S, Nieto JM, Lewis SK, Runyon BA (2006). "TIPS versus paracentesis for cirrhotic patients with refractory ascites". Cochrane Database of Systematic Reviews (4): CD004889. doi:10.1002/14651858.CD004889.pub2. PMID 17054221.
Jump up ^ Oettinger, Norbert. Die Militärischen Eide der Hethiter. Wiesbaden, 1976. ISBN 3-447-01711-2.
External links[edit]
Classification
D
ICD-10: R18
ICD-9-CM: 789.5
MeSH: D001201
DiseasesDB: 943
External resources
MedlinePlus: 000286
eMedicine: ped/2927 med/173
Patient UK: Ascites

[show]
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Symptoms and signs: digestive system and abdomen (R10–R19, 787,789)
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Heartburn
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oropharyngeal
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text:
Set the Fire to the Third Bar
From Wikipedia, the free encyclopedia
Jump to: navigation, search
"Set the Fire to the Third Bar"
Single by Snow Patrol featuring Martha Wainwright
from the album Eyes Open
Released
13 November 2006[1]
Format
CD; 7"
Recorded
2005
Genre
Alternative rock
Length
3:22
Label
Interscope
Songwriter(s)
Gary Lightbody, Nathan Connolly, Tom Simpson, Paul Wilson and Jonny Quinn
Producer(s)
Jacknife Lee
Snow Patrol singles chronology
"Hands Open"
(2006) "Set the Fire to the Third Bar"
(2006) "Open Your Eyes"
(2007)
"Hands Open"
(2006) "Set the Fire to the Third Bar"
(2006) "Open Your Eyes"
(2007)
Martha Wainwright singles chronology
"Far Away"
(2005) Far Away2005 "Set the Fire to the Third Bar"
(2006) Set the Fire to the Third Bar2006 "Bleeding All Over You"
(2008) Bleeding All Over You2008
Audio sample
file
help
"Set the Fire to the Third Bar" is a song from Snow Patrol's fourth album, Eyes Open, featuring Martha Wainwright on vocals. The song was released as a single on 13 November 2006.
Contents
[hide]
1 Background
2 Other versions
2.1 Guest vocalists
3 Reception
4 Music video
5 Track listings
6 In popular culture
7 Charts
8 Personnel
9 References
10 External links
Background[edit]
The song was the last track to be recorded for the album Eyes Open and was the third single released from the album.[1] It was written especially with Martha in mind.[2] Lightbody wrote the song in only 20 minutes and described it as the quickest he had ever written a song.[3] The song title describes an electric heater. While writing in the freezing cold and wearing fingerless gloves Lightbody recalled that as a child his Aunt Jean had an electric heater, and "if we were very good and it was very cold, she'd let us put all three bars on" and he goes on to say how it represents "a beacon of warmth within a song about distance".[3]
The song is about a long distance relationship[4] and its lyrics talk of a couple involved in one: ("I'm miles from where you are") and their longing to be together again ("I pray that something picks me up/ And sets me down in your warm arms"). After their long journey to meet each ("After I have travelled so far") they would settle down in front of an electric bar fire ("We'd set the fire to the third bar") and enjoy being together and warm.[3]
The song was recorded at Grouse Lodge Studios, Westmeath, and Apollo Studios, Dublin.[5]
Other versions[edit]
The song has been remixed by Anu Pillai of the band Freeform Five, a friend of Gary Lightbody and Tom Simpson.[6]
On 12 November 2009, Snow Patrol performed a version of "Set the Fire to the Third Bar" with former Girls Aloud singer Cheryl Cole for Children in Need Rocks the Royal Albert Hall.
Guest vocalists[edit]
Snow Patrol have featured many guest vocalists for live performances of the song. Singers such as Lisa Hannigan, Miriam Kaufmann and actress Maria Doyle Kennedy have joined them during performances in the Republic of Ireland.[7][8] In the United Kingdom they have been joined by artists such as Cheryl Cole, and for their Royal Albert Hall show Andrea Corr[9] and unusually by a male vocalist, comedian James Corden.[10][11] Shauna Tohill, from the band Silhouette, has also joined Snow Patrol for a live performance.[citation needed]
Reception[edit]
Yahoo! Music's Dan Gennoe made comparisons of Snow Patrol with Coldplay throughout his review, calling the song "Gary Lightbody & co's decision to 'do a Coldplay'." He defended Snow Patrol stating that they "spent many a year making quirky, interesting and inspired music, which few wanted. Given the million selling opportunity afforded them by chart-eating anthem "Run", it'd surely be a fool who chose to return to obscurity." He reviewed the single positively, giving it 7 stars out of 10. Though he felt the song wasn't "boundary-pushing", it was "certainly interesting", with "Lightbody once again displaying the melodic lightness of touch which has served him so well both pre and post fame." To him, Martha Wainwright's "country quiver" was an "added interest" to the song, which helped "break-up bouts of dourness". He called the song "a bleakly beautiful ballad" and it was a "rare moment where Snow Patrol's emotional ache feels genuinely heartfelt rather than borrowed from Chris Martin."[12]
Alvin Chan from musicOMH reviewed the song positively, calling it "a beautiful track", but felt it was "formulaic through and through." He heaped praise on the music, calling it "artful in its simplicity and, if one is in the right mood, vividly evocative. The unfussy melody is bolstered by gentle strings and buzzing keyboards." He also felt "Gary Lightbody delivers a characteristically raw vocal performance without sounding sappy or indulgent. Lightbody's vocals are perfectly complemented by Canadian songstress Martha Wainwright, whose arrestingly haunting voice is put to good use." He worried the "band's worrying overexposure" could lead the song being "heard in the background of every single TV show, commercial and dramatic montage."[13]
CityLife's Stephen Gilliver felt the song was the standout in a "disappointing" album, and called it "glorious". He said that Martha Wainwright's contribution to the song made it "a trademark brooding Snow Patrol epic of Run or Chasing Cars". He liked the contrast between Wainwright's expressive singing and Lightbody's dry delivery.[14]
Music video[edit]
The video was filmed in the UK, directed by Paul McGuigan who later directed the video for "Signal Fire".[15] The music video uses a split screen technique showing the couple very close together but at the same time far away from each other. Gary Lightbody is shown in a white interrogation room. Martha Wainwright is an observation room painted dark blue. He sings into the two way mirror, she looks back at him, close but still separated from him.
Track listings[edit]
CD single
No.
Title
Length
1. "Set the Fire to the Third Bar" 3:22
2. "You're All I Have (Live in Hamburg)" 4:42
7" vinyl
No.
Title
Length
1. "Set the Fire to the Third Bar" 3:22
2. "Chasing Cars (Live in Hamburg)" 4:30
Promo CD
No.
Title
Length
1. "Set the Fire to the Third Bar (Radio Edit)" 3:16
2. "Set the Fire to the Third Bar" 3:22
In popular culture[edit]
The song is featured in the trailer for the 2010 film Dear John.[16][17] The song went back into the Billboard Hot 100 chart, four years after its initial release.[citation needed]
Charts[edit]
Chart (2006-2010)
Peak
position
Belgium Ultratop 50[18][19] 41
Irish Singles Chart[18] 22
UK Singles Chart[18] 18
US Billboard Hot 100[18] 54
Personnel[edit]
Other personnel
Guram Lubaggi Jiménez - artwork[20]
References[edit]
^ Jump up to: a b "Snow Patrol : News : Set The Fire to The Third Bar - Video & release details". SnowPatrol.com. Retrieved 2010-06-10.
Jump up ^ "Interview: Tom Simpson from Snow Patrol". PlugInMusic.com. 7 July 2006. Archived from the original on 1 November 2009. Retrieved 2010-06-10. |first1= missing |last1= in Authors list (help)
^ Jump up to: a b c Neil McCormick (2006-11-25). "How Martha melted Snow Patrol". The Daily Telegraph. London: Telegraph Media Group. Retrieved 2010-06-10.
Jump up ^ Smith, Sean (20 March 2007). "San Diego Music - The band Snow Patrol!". San Diego.com. Archived from the original on 3 November 2009. Retrieved 2009-11-30. External link in |publisher= (help)
Jump up ^ "Snow Patrol : Single : Set the Fire to the Third Bar". SnowPatrol.com.
Jump up ^ Barrie, Stuart (24 August 2007). "The DJ Q & A - Freeform Five". Daily Record. Trinity Mirror. Archived from the original on 1 November 2009. Retrieved 2009-11-30.
Jump up ^ Ed Power (2009-12-04). "Review: Snow Patrol, Olympia Theatre, Dublin". Irish Independent. Retrieved 2010-01-21.
Jump up ^ Lightbody, Gary. "Official Snow Patrol Blog". SnowPatrol.com. Retrieved 2010-01-21. External link in |publisher= (help)
Jump up ^ Maureen Coleman (2009-12-08). "Snow Patrol keep promise to stage Bangor concert". The Belfast Telegraph. Independent News and Media. Retrieved 2010-01-21.
Jump up ^ "James Corden sings with Snow Patrol". BBC News. BBC. 2009-11-25. Retrieved 2010-01-21.
Jump up ^ "Gavin & Stacey's Smithy star James Corden shows he's on song". The Sun. London: News Corporation. 2009-11-26. Retrieved 2010-01-21.
Jump up ^ Dan Gennoe (2006-11-16). "Snow Patrol - 'Set the Fire to the Third Bar'". Yahoo! Music. Yahoo!. Archived from the original on 2011-06-13. Retrieved 2009-06-23.
Jump up ^ Alvin Chan (2006-11-13). "Snow Patrol - Set the Fire to the Third Bar (Polydor)". MusicOMH. Archived from the original on 2007-10-09. Retrieved 2009-06-25.
Jump up ^ Stephen Gilliver (November 15, 2006). "Snow Patrol feat. Martha Wainwright - Set the Fire to the Third Bar (Fiction)". CityLife. Retrieved 2009-08-01.
Jump up ^ "Snow Patrol : Now Playing : Set The Fire To The Third Bar". SnowPatrol.com. The video was filmed in the UK with acclaimed director Paul McGuigan behind the camera. McGuigan later directed the video for "Signal Fire".
Jump up ^ "Set The Fire to The Third Bar featured in the movie trailer for Dear John".
Jump up ^ Official DEAR JOHN Trailer - In Theaters 2/5 on YouTube
^ Jump up to: a b c d "Snow Patrol and Martha Wainwright - Set the Fire to the Third Bar". aCharts. Retrieved 2010-01-21.
Jump up ^ "Snow Patrol feat. Martha Wainwright - Set The Fire To The Third Bar". Ultratop.be (in Dutch). Swisscharts (Hung Medien). Retrieved 2010-01-21.
Jump up ^ "Snow Patrol - Set The Fire To The Third Bar". Discogs. Retrieved 2009-07-02. "Images for Snow Patrol Featuring Martha Wainwright - Set The Fire To The Third Bar". Discogs. Retrieved 2009-07-02.
External links[edit]
Lyrics of this song at MetroLyrics
[show]
v
t
e
Snow Patrol
Nathan Connolly
Gary Lightbody
Johnny McDaid
Jonny Quinn
Paul Wilson
Tom Simpson
Mark McClelland
Michael Morrison
Studio albums
Songs for Polarbears
When It's All Over We Still Have to Clear Up
Final Straw
Eyes Open
A Hundred Million Suns
Fallen Empires
Wildness
Compilation albums
The Trip: Created by Snow Patrol
Late Night Tales: Snow Patrol
Up to Now
Greatest Hits
Extended plays
Starfighter Pilot
Live and Acoustic at Park Ave.
Sessions@AOL
iTunes Live from London
iTunes Live: London Festival '09
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"Velocity Girl / Absolute Gravity"
"Starfighter Pilot"
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"One Night Is Not Enough"
"Spitting Games"
"Run"
"Chocolate"
"How to Be Dead"
"You're All I Have"
"Chasing Cars"
"Hands Open"
"Set the Fire to the Third Bar"
"Open Your Eyes"
"Shut Your Eyes"
"Signal Fire"
"Take Back the City"
"Crack the Shutters"
"If There's a Rocket Tie Me to It"
"The Planets Bend Between Us"
"Just Say Yes"
"An Olive Grove Facing the Sea"
"Called Out in the Dark"
"This Isn't Everything You Are"
"New York"
"In the End"
"Lifening"
"The Lightning Strike (What If This Storm Ends?)"
"Don't Give In"
Video albums
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Tours
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Related
Discography
Awards
Shrug
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Oh Yeah
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Listen... Tanks!
Tired Pony
Iain Archer
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Category
Book
[show]
v
t
e
Martha Wainwright
Discography
Albums
Martha Wainwright
I Know You're Married But I've Got Feelings Too
Come Home to Mama
Trauma
Goodnight City
Live albums
Sans Fusils, Ni Souliers, à Paris: Martha Wainwright's Piaf Record
EPs
Bloody Mother Fucking Asshole
I Will Internalize
Singles
"Set the Fire to the Third Bar"
Collaborations
"Sing"
Songs in the Dark
Family
Loudon Wainwright III
Kate McGarrigle
Rufus Wainwright
Lucy Wainwright Roche
Retrieved from "https://en.wikipedia.org/w/index.php?title=Set_the_Fire_to_the_Third_Bar&oldid=836626884"
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