2,523 results match your criteria Pericardiocentesis


A national needs assessment study to determine procedures for simulation-based training in cardiology in Denmark.

Scand Cardiovasc J 2019 Jan 16:1-23. Epub 2019 Jan 16.

a Copenhagen Academy for Medical Education and Simulation (CAMES), The Capital Region of Denmark , Copenhagen.

Objectives: New training methods such as simulation have been introduced in cardiology as in other specialties; however, the development of effective simulation-based training programs is challenging. They are often unstructured and based on convenience or coincidence. The objective of this study was to perform a nationwide general needs assessment to identify and prioritize technical procedures that should be included in a simulation-based curriculum for cardiology residency in Denmark. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/14017431.2019.1569716DOI Listing
January 2019

Brugada phenocopy in a patient underdoing pericardiocentesis for a large idiopathic pericardial effusion.

J Electrocardiol 2019 Jan 7. Epub 2019 Jan 7.

First Cardiology Department, Hippokration General Hospital, National and Kapodistrian University of Athens, Greece.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jelectrocard.2019.01.081DOI Listing
January 2019

Acute Influenza Infection Presenting with Cardiac Tamponade: A Case Report and Review of Literature.

Perm J 2019 ;23

Department of Pulmonary and Critical Care, University of Arkansas for Medical Sciences Medical Center, Little Rock.

Introduction: Cardiac complications associated with influenza infection can occur either via a direct effect of the virus on the heart or through exacerbation of preexisting cardiovascular disease. We present a case of a 57-year-old man with acute influenza infection complicated by pericardial effusion and cardiac tamponade.

Case Presentation: A 57-year-old white man presented to the Emergency Department with sudden onset of severe, nonexertional, retrosternal, pressure-like chest pain for a few hours and with fever and muscle aches for 2 days. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7812/TPP/18-104DOI Listing
January 2019

Percutaneous pericardial access for electrophysiological studies in patients with prior cardiac surgery: approach and understanding the risks.

Expert Rev Cardiovasc Ther 2019 Feb 29;17(2):143-150. Epub 2018 Dec 29.

a Department of Cardiovascular Disease, Division of Heart Rhythm Services , Mayo Clinic , Rochester , MN , USA.

Introduction: The number of procedures for which percutaneous pericardial access is used for has gradually increased since its initial description, and now includes mapping/ablation, atrial appendage ligation and pericardial biopsy. Areas covered: Successful percutaneous pericardial access is predicated on having a thorough understanding of regional anatomy, indications for attempting pericardial puncture and potential complications with appropriate management which are highlighted in this review. In addition, we will discuss the access technique itself, provide tips and pitfalls and highlight future directions with an emphasis on patients with prior cardiac surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/14779072.2019.1561276DOI Listing
February 2019

Major cardiac and vascular complications after transvenous lead extraction: acute outcome and predictive factors from the ESC-EHRA ELECTRa (European Lead Extraction ConTRolled) registry.

Europace 2018 Dec 27. Epub 2018 Dec 27.

Second Department of Cardiology, Cardiac Thoracic and Vascular Department - University Hospital of Pisa, Via Paradisa, 2, 56124, Cisanello, Italy.

Aims: We aimed at describing outcomes and predictors of cardiac avulsion or tear (CA/T) with tamponade and vascular avulsion or tear (VA/T) after transvenous lead extraction (TLE) in the ESC-EHRA European Lead Extraction ConTRolled (ELECTRa) registry.

Methods And Results: A total of 3555 consecutive patients of whom 3510 underwent TLE at 73 centres in 19 European countries were enrolled. Among 58 patients (1. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/europace/euy300DOI Listing
December 2018

Hemopericardium and Cardiac Tamponade Secondary to Migrated Inferior Vena Cava Filter.

Case Rep Cardiol 2018 21;2018:5919767. Epub 2018 Nov 21.

Department of Cardiology, University of North Carolina Hospitals & Clinics, Chapel Hill, NC, USA.

A 73-year-old female presented with cardiogenic shock secondary to hemopericardium and cardiac tamponade. Imaging revealed two fractured legs of an inferior vena cava filter, with one leg within the anterior myocardium of the right ventricle and another penetrating the inferior septum through the middle cardiac vein. Hemopericardium and cardiac tamponade were treated with pericardiocentesis. Read More

View Article

Download full-text PDF

Source
https://www.hindawi.com/journals/cric/2018/5919767/
Publisher Site
http://dx.doi.org/10.1155/2018/5919767DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280290PMC
November 2018
2 Reads

Cardiac Tamponade from Purulent Pericarditis due to .

Case Rep Cardiol 2018 18;2018:4739830. Epub 2018 Nov 18.

Department of Cardiology, Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA.

Purulent pericarditis is a potentially fatal disease with high mortality rates if untreated. (formerly ) is an anaerobic bacteria that is ubiquitous in skin flora and is commonly thought of as a culture contaminant; however, it does have pathogenic potential. We present a case of purulent pericarditis secondary to leading to cardiac tamponade. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/4739830DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276432PMC
November 2018
5 Reads

Pericardial effusion as a complication of chronic graft versus host disease.

BMJ Case Rep 2018 Dec 14;11(1). Epub 2018 Dec 14.

Internal Medicine, Banner University Medical Center, Tucson, Arizona, USA.

A 24-year-old man with previous matched unrelated donor allogenic bone marrow transplant for aplastic anaemia and chronic graft versus host disease on steroid taper presented with progressively worsening anasarca. CT revealed large pericardial effusion, while echocardiogram was concerning for early tamponade physiology. He underwent emergent pericardiocentesis with pericardial drain placement. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-227507DOI Listing
December 2018
1 Read

Cardiac tamponade after radiofrequency ablation for hepatocellular carcinoma: Case report and literature review.

Medicine (Baltimore) 2018 Dec;97(49):e13532

Department of Internal Medicine, Chonnam National University Medical School.

Rationale: Radiofrequency ablation (RFA) is a safe and effective local treatment modality with a low complication rate and is commonly used to treat hepatocellular carcinoma (HCC). The clinical outcome of RFA may be closely related to the location, size, and shape of index tumors, and major complications, including hemorrhage, liver abscess, infarction, visceral organ perforation, hemothorax, pneumothorax, tumoral seeding, and hepatic failure. Cardiac tamponade is a rare and serious life-threatening complication associated with RFA. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000013532DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310525PMC
December 2018
4 Reads

Cardiac tamponade caused by acute coxsackievirus infection related pericarditis complicated by aortic stenosis in a hemodialysis patient: a case report.

Surg Case Rep 2018 Dec 6;4(1):141. Epub 2018 Dec 6.

Second Department of Surgery, Yamagata University Faculty of Medicine, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan.

Background: Pericardial effusion is observed in the majority of viral pericarditis cases; however, viral pericarditis accompanied by a large effusion resulting in cardiac tamponade is rare.

Case Presentation: Here, we report the case of a 75-year-old hemodialysis patient with acute viral pericarditis complicated by aortic stenosis. The patient was referred with a diagnosis of aortic stenosis and pericardial effusion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40792-018-0550-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283806PMC
December 2018
1 Read

Infectious and Noninfectious Acute Pericarditis in Children: An 11-Year Experience.

Int J Pediatr 2018 8;2018:5450697. Epub 2018 Nov 8.

Division of Infectious Diseases, Children's Hospital of Michigan, Detroit, MI, USA.

Objective: The study was undertaken to determine the etiology, review management, and outcome in children diagnosed with acute pericarditis during 11 years at tertiary pediatric institution.

Methods: Retrospective chart review of children diagnosed between 2004 and 2014. Patients with postsurgical pericardial effusions were excluded. Read More

View Article

Download full-text PDF

Source
https://www.hindawi.com/journals/ijpedi/2018/5450697/
Publisher Site
http://dx.doi.org/10.1155/2018/5450697DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250032PMC
November 2018
11 Reads

National Trends and Procedural Complications from Endomyocardial Biopsy: Results from the National Inpatient Sample, 2007-2014.

Cardiology 2018 Dec 5;141(3):125-131. Epub 2018 Dec 5.

Department of Cardiovascular Medicine, University of Kansas Medical Center, Kansas City, Kansas,

Aim: The aim of this study is to report recent trends in the performance of endomyocardial biopsy (EMB) and its in-hospital complications (and their predictors) in the United States (US).

Method: We analyzed Nationwide Inpatient Sample (NIS) database from years 2007 through 2014 to identify patients who underwent EMB. Once identified, the patients were subdivided into those with no history of heart transplant (HT) (cohort 1) and those with history of HT (cohort 2). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000493786DOI Listing
December 2018
2 Reads

Uremic Pericarditis: Distinguishing Features in a Now-Uncommon Clinical Syndrome.

South Med J 2018 Dec;111(12):754-757

From the Hospital Medicine Unit and the Core Educator Faculty and Renal Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, the Heart and Vascular Center, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.

We present the case of a 47-year-old man with a history of diabetes mellitus and diabetic nephropathy who was admitted to our hospital with acute uremic myopericarditis. Echocardiography demonstrated a fibrinous pericardial effusion. The patient was initiated on hemodialysis for hyperkalemia, metabolic acidosis, and uremia. Read More

View Article

Download full-text PDF

Source
http://sma.org/southern-medical-journal/article/uremic-peric
Publisher Site
http://dx.doi.org/10.14423/SMJ.0000000000000899DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6281170PMC
December 2018
11 Reads

A contemporary look at pericardiocentesis.

Trends Cardiovasc Med 2018 Nov 20. Epub 2018 Nov 20.

Department of Cardiovascular Medicine, University Hospitals Leuven, Herestraat 49, Leuven 3000, Belgium; Department of Cardiovascular Sciences, University of Leuven, Belgium.

Percutaneous drainage is the default strategy for evacuating a pericardial effusion. A pericardiocentesis can be necessary or required in a wide variety of clinical settings ranging from urgent tamponade to relieve in iatrogenic hemorrhagic effusions in the electrophysiology or catheterization room, to planned diagnostic procedures in patients with suspected or known malignancy or infections. With the help of several procedural improvements over the past decades, echocardiography and fluoroscopy-guided percutaneous pericardiocentesis has become the standard intervention for evacuating pericardial effusions, as well as an essential tool in the diagnostic work-up of an unexplained pericardial effusion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.tcm.2018.10.016DOI Listing
November 2018
5 Reads

What echocardiographic findings suggest a pericardial effusion is causing tamponade?

Am J Emerg Med 2018 Nov 17. Epub 2018 Nov 17.

Department of Emergency Medicine, Rutgers New Jersey Medical School, 150 Bergen Street, Newark, NJ 07103, USA.

Background: Pericardial tamponade is neither a clinical nor an echocardiographic diagnosis alone. The echocardiogram carries diagnostic value and should be performed when there is suspicion for tamponade based on the history and physical exam. A pericardial effusion uncovered on point-of-care ultrasound (POCUS) may be mistaken for tamponade and thereby lead to inappropriate and invasive management with pericardiocentesis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ajem.2018.11.004DOI Listing
November 2018
11 Reads

Clinical characteristics and prognosis of cardiac tamponade patients: 5‑year experience at a tertiary center.

Herz 2018 Nov 23. Epub 2018 Nov 23.

Cardiology Department, Numune Education and Research Hospital, 06100, Ankara, Turkey.

Background: Cardiac tamponade (CT) is characterized by compression of the cardiac chambers due to pericardial fluid accumulation. The etiology and prognosis may vary in different regions, and thus patient series from various regions can be useful for exploring the etiological and prognostic disparities. The aim of this study was to determine the clinical characteristics of patients with imminent CT, to evaluate the diagnostic performance of biochemical, microbiologic, and pathologic laboratory analysis, and to ascertain the prognosis of CT patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00059-018-4769-0DOI Listing
November 2018
5 Reads

Emergency centre diagnosis and treatment of purulent pericarditis: A case report from Tanzania.

Afr J Emerg Med 2018 Mar 1;8(1):37-39. Epub 2018 Feb 1.

Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.

Introduction: Purulent pericarditis poses diagnostic and therapeutic challenges, especially in resource-limited settings due to the unavailability of diagnostic tools, equipment, and expertise.

Case Report: A three-year-old female presented to the emergency centre at Muhimbili National Hospital in Dar es Salaam, Tanzania with altered mental status, lethargy, intermittent fevers, worsening difficulty in breathing, and progressive lower extremity swelling over two months. The child was in shock upon arrival. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.afjem.2017.12.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6223587PMC
March 2018
5 Reads

Cardiac tamponade induced by dabrafenib and trametinib combination therapy for melanoma: Case report.

Medicine (Baltimore) 2018 Nov;97(44):e12751

Rationale: BRAF and MEK inhibitors (BRAF/MEKi) are targeted therapy for proto-oncogene BRAF mutated metastatic unresectable melanoma. Compared to monotherapy, an increased cardiovascular toxicity is reported with the combination of Dabrafenib and Trametinib. This case report documents Grade 4 cardiac treatment emergent adverse effect of pericardial effusion and cardiac tamponade induced by this combination therapy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000012751DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221704PMC
November 2018
2 Reads

Complications and Anticoagulation Strategies for Percutaneous Epicardial Ablation Procedures.

Circ Arrhythm Electrophysiol 2018 Nov;11(11):e006714

The Cardiovascular Division, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN (T.N., G.E.D., A.K., R.M.J., G.F.M., W.G.S.).

Background: Percutaneous pericardial access for catheter ablation is associated with a bleeding risk. We sought to elucidate the relation of hemorrhagic and thromboembolic events associated with epicardial procedures to anticoagulation strategy.

Methods: Anticoagulation strategy before and during pericardial access for 355 patients (57±14 years old) who had ventricular arrhythmia mapping and ablation were reviewed. Read More

View Article

Download full-text PDF

Source
https://www.ahajournals.org/doi/10.1161/CIRCEP.118.006714
Publisher Site
http://dx.doi.org/10.1161/CIRCEP.118.006714DOI Listing
November 2018
9 Reads

A case of pulmonary edema: The critical role of lung-heart integrated ultrasound examination.

Monaldi Arch Chest Dis 2018 Oct 1;88(3):982. Epub 2018 Oct 1.

CTO Hospital, Emergency Department.

Cardiogenic pulmonary edema is a common presentation of acute heart failure normally treated with continuous positive airway pressure (CPAP), diuretics and nitrates. This therapy is contraindicated in case of cardiac tamponade. We describe a case of pulmonary edema due to cardiac tamponade in which integrated lung-heart ultrasound examination allowed prompt diagnosis and pericardiocentesis before administration of CPAP thus avoiding circulatory collapse. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4081/monaldi.2018.982DOI Listing
October 2018
2 Reads

Bortezomib-Induced Cardiac Tamponade in a 49-Year-Old Man.

Tex Heart Inst J 2018 08 1;45(4):260-263. Epub 2018 Aug 1.

Proteasome inhibitors such as bortezomib and carfilzomib have been used effectively to treat patients who have certain hematologic malignancies. Proteasome activity is elevated in the heart, and potent inhibition results in accumulation of misfolded intracellular protein aggregates and apoptosis. Heart failure, conduction disturbances, and premature atherosclerosis have been associated with bortezomib therapy. Read More

View Article

Download full-text PDF

Source
http://thij.org/doi/10.14503/THIJ-17-6242
Publisher Site
http://dx.doi.org/10.14503/THIJ-17-6242DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6183647PMC
August 2018
8 Reads

A Malignant Squeeze: A Rare Cause of Cardiac Tamponade.

Case Rep Oncol Med 2018 23;2018:5470981. Epub 2018 Sep 23.

Department of Hematology and Oncology, Beaumont Health, Royal Oak, MI, USA.

Primary cardiac lymphoma (PCL) is a rare condition described as a lymphoma localized to the heart or pericardium. Although cardiac involvement is seen in 10-20% of non-Hodgkin's lymphomas, PCL is extremely rare. It comprises merely 0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/5470981DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174758PMC
September 2018
1 Read

Resolved heart tamponade and controlled exophthalmos, facial pain and diabetes insipidus due to Erdheim-Chester disease.

BMJ Case Rep 2018 Oct 17;2018. Epub 2018 Oct 17.

Medicina Interna, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.

A 69-year-old woman suffering from exophthalmos and facial pain came to us referred for aetiological diagnosis of exophthalmos. Orbital MRI showed thinned extrinsic ocular musculature, intraconal fat infiltration, retro-ocular compression and thickening of maxillary and sphenoid sinus walls. She had been suffering from diabetes insipidus for the last 7 years. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-225224DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6254461PMC
October 2018
2 Reads

Preferred learning modalities and practice for critical skills: a global survey of paediatric emergency medicine clinicians.

Emerg Med J 2018 Oct 16. Epub 2018 Oct 16.

Paediatric Research in Emergency Departments International Collaborative (PREDICT), Parkville, Victoria, Australia.

Objective: To describe senior paediatric emergency clinician perspectives on the optimal frequency of and preferred modalities for practising critical paediatric procedures.

Methods: Multicentre multicountry cross-sectional survey of senior paediatric emergency clinicians working in 96 EDs affiliated with the Pediatric Emergency Research Network.

Results: 1332/2446 (54%) clinicians provided information on suggested frequency of practice and preferred learning modalities for 18 critical procedures. Read More

View Article

Download full-text PDF

Source
http://emj.bmj.com/lookup/doi/10.1136/emermed-2017-207384
Publisher Site
http://dx.doi.org/10.1136/emermed-2017-207384DOI Listing
October 2018
7 Reads

Organized Hemopericardium Mimicking Malignant Tumor: A Case of Spontaneous Pericardial Hematoma In a 23-Year-Old Young Male.

Authors:
Wenda Wang Qi Miao

Heart Surg Forum 2018 Sep 27;21(5):E409-E411. Epub 2018 Sep 27.

The Department of Cardiac Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College.

Spontaneous pericardial hematoma is rare, and the diagnosis of spontaneous organized hemopericardium is difficult in some cases. The present study reports a case of a 23-year-old man admitted to our hospital for dyspnea on Sept. 30, 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1532/hsf.2028DOI Listing
September 2018
2 Reads

Effects of Advanced Cardiac Procedure Simulator Training on Learning and Performance in Cardiovascular Medicine Fellows.

J Med Educ Curric Dev 2018 Jan-Dec;5:2382120518803118. Epub 2018 Oct 4.

Division of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.

Background: Simulation-based training has been used in medical training environments to facilitate the learning of surgical and minimally invasive techniques. We hypothesized that integration of a procedural simulation curriculum into a cardiology fellowship program may be educationally beneficial.

Methods: We conducted an 18-month prospective study of cardiology trainees at Vanderbilt University Medical Center. Read More

View Article

Download full-text PDF

Source
http://journals.sagepub.com/doi/10.1177/2382120518803118
Publisher Site
http://dx.doi.org/10.1177/2382120518803118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172931PMC
October 2018
2 Reads

Efficacy of temperature-guided cryoballoon ablation without using real-time recordings - 12-Month follow-up.

Int J Cardiol Heart Vasc 2018 Dec 4;21:50-55. Epub 2018 Oct 4.

Department of Internal Medicine I, Jena University Hospital, Jena, Germany.

Background: We sought to evaluate a temperature-guided approach of cryoballoon (CB) ablation without visualization of real-time recordings.

Methods And Results: We analysed 166 patients (34.9% female, 60 ± 11 years) with paroxysmal or short-term persistent atrial fibrillation (AF). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijcha.2018.09.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174823PMC
December 2018
1 Read

A Cost-Effective, Rapidly Constructed Simulation Model for Ultrasound-Guided Pericardiocentesis Procedural Training.

J Emerg Med 2018 Oct 6. Epub 2018 Oct 6.

Department of Emergency Medicine, St. John Hospital and Medical Center, Detroit, Michigan; Division of Emergency Ultrasound, Department of Emergency Medicine, Wayne State University School of Medicine, Detroit, Michigan.

Background: Emergent ultrasound-guided pericardiocentesis (USGP) is an uncommonly performed procedure by emergency physicians (EPs). USGP simulation models have previously been developed to increase procedural proficiency, but these models are limited for routine implementation secondary to high-cost, lengthy time to construct, and lack of durability. The objective of this study was to develop an USGP simulation model that is cost-effective, easily and rapidly constructed, and has procedure-specific fidelity. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jemermed.2018.09.010DOI Listing
October 2018
4 Reads

Pericardial sarcoma.

BMJ Case Rep 2018 Oct 7;2018. Epub 2018 Oct 7.

Department of Cardiology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Pericardial sarcomas are extremely rare aggressive neoplasms. Non-specific symptoms and incidental discovery are usually the rule. Multimodality imaging is extremely important for diagnosis and tissue characterisation of all cardiac masses. Read More

View Article

Download full-text PDF

Source
http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22611
Publisher Site
http://dx.doi.org/10.1136/bcr-2018-226112DOI Listing
October 2018
2 Reads

Hereditary haemorrhagic telangiectasia with multiple complications presenting in an older patient.

Age Ageing 2018 Oct 5. Epub 2018 Oct 5.

Epsom Hospital, Dorking Rd, Epsom, Surrey, UK.

Hereditary haemorrhagic telangiectasia (HHT) is a rare autosomal dominant multi-organ vascular disorder associated with bleeding and a reduced life expectancy. We present a 91-year-old woman with complications of previously undiagnosed HHT. This case demonstrates three potential complications: pulmonary arteriovenous malformation (AVM) resulting in a right to left shunt, cerebral infarctions and pericardial effusion. Read More

View Article

Download full-text PDF

Source
https://academic.oup.com/ageing/advance-article/doi/10.1093/
Publisher Site
http://dx.doi.org/10.1093/ageing/afy160DOI Listing
October 2018
16 Reads

Pericardial effusion as first presentation of disseminated non-Hodgkin's lymphoma.

BMJ Case Rep 2018 Oct 3;2018. Epub 2018 Oct 3.

Department of Cardiology, Royal Perth Hospital, Perth, Western Australia, Australia.

A 46-year-old woman with quiescent lupus presented with worsening pleuritic chest pain and dyspnoea. Bedside echocardiogram confirmed large pericardial effusion with cardiac tamponade. Emergency bedside pericardiocentesis was performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-225926DOI Listing
October 2018
2 Reads

Acute cardiac tamponade secondary to ruptured pericardial cyst: Case report and literature review.

J Cardiol Cases 2018 Aug 5;18(2):43-46. Epub 2018 May 5.

University of Kansas Medical Centre, Kansas City, KS, USA.

Pericardial cysts are a rare disorder with an incidence of about 1 in 100,000, the majority of which are benign and incidentally identified. Pericardial cyst causing cardiac tamponade is an extremely rare phenomenon. The exact incidence of cardiac tamponade secondary to pericardial cyst is unknown. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jccase.2018.04.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149598PMC
August 2018
1 Read

A case of hypertensive emergency, primary hypothyroidism and large pericardial effusion with early tamponade.

J Cardiol Cases 2018 Jul 26;18(1):29-32. Epub 2018 Apr 26.

Libin Cardiovascular Institute of Alberta, Cummings School of Medicine, University of Calgary, Calgary, Alberta, Canada.

Thyroid hormones and the cardiovascular system are strongly intertwined with known risk of coronary disease, atrial fibrillation, and cardiomyopathy. Pericardial effusions are commonly seen in cases of severe hypothyroidism, however large to massive pericardial effusions with cardiac tamponade are exceptionally rare. We report a case of a patient presenting with hypertensive emergency and a concomitant diagnosis of primary hypothyroidism with a large pericardial effusion and early echocardiographic features of tamponade. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jccase.2018.03.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149587PMC
July 2018
4 Reads

Hemorrhagic shock due to branch injury of the left internal thoracic artery two days after pericardiocentesis.

J Cardiol Cases 2018 Jul 30;18(1):5-8. Epub 2018 Mar 30.

Department of Cardiology, Japanese Red Cross Musashino Hospital, Tokyo, Japan.

Pericardiocentesis is a definitive strategy to remove pericardial effusion. In this report, we present a rare case of a 23-year-old man with sudden delayed hemorrhagic shock due to branch bleeding of the left internal thoracic artery (LITA) two days after undergoing pericardiocentesis. Angiography, embolization, and drainage were effective. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jccase.2018.02.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149585PMC
July 2018
10 Reads

Outcomes of idiopathic chronic large pericardial effusion.

Heart 2018 Oct 1. Epub 2018 Oct 1.

Department of Internal Medicine, Ospedale Papa Giovanni XXIII, Bergamo, Italy.

Objective: Aim of this paper is to evaluate the outcomes of 'idiopathic' chronic large pericardial effusions without initial evidence of pericarditis.

Methods: All consecutive cases of idiopathic chronic large pericardial effusions evaluated from 2000 to 2015 in three Italian tertiary referral centres for pericardial diseases were enrolled in a prospective cohort study. The term 'idiopathic' was applied to cases that performed a complete diagnostic evaluation to exclude a specific aetiology. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/heartjnl-2018-313532DOI Listing
October 2018
6 Reads

Inpatient mortality and its predictors after pericardiocentesis: An analysis from the Nationwide Inpatient Sample 2009-2013.

J Interv Cardiol 2018 Dec 26;31(6):815-825. Epub 2018 Sep 26.

Department of Cardiology, Loma Linda University, Loma Linda, California.

Background: National registries have provided data on in-hospital outcomes for several cardiac procedures. The available data on in-hospital outcomes and its predictors after pericardiocentesis are mostly derived from single center studies. Furthermore, the outcomes after pericardiocentesis for iatrogenic pericardial effusion and the impact of procedural volume on in-hospital outcomes in the United States are largely unknown. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/joic.12563DOI Listing
December 2018
1 Read

Global Collaboration to Modernize Advanced Trauma Life Support Training.

J Surg Educ 2018 Sep 20. Epub 2018 Sep 20.

Department of Surgery, University of Florida College of Medicine, Jacksonville, Jacksonville, Florida.

Background: Each year, thousands of surgeons and other trauma health care providers participate in the American College of Surgeon's Advanced Trauma Life Support (ATLS) program, which historically has allowed trainees to practice cricothyroidotomy, chest tube insertion, pericardiocentesis, venous cutdown, and diagnostic peritoneal lavage on live dogs, pigs, sheep, and goats. However, more than 99% of ATLS programs in the United States and Canada have now ended animal use, driven primarily by simulation technology advancements.

Objective: This review details an international survey of animal versus simulation use in ATLS programs and summarizes the surgical training impact of a novel collaboration between the industry manufacturer of the TraumaMan human simulator, Simulab Corporation (Seattle, Washington), and an animal protection nongovernmental organization (NGO) based in Norfolk, Virginia, to replace animal use in ATLS programs with human simulators. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jsurg.2018.08.011DOI Listing
September 2018
4 Reads

Acute and long-term outcomes after polytetrafluoroethylene or pericardium covered stenting for grade 3 coronary artery perforations: Insights from G3-CAP registry.

Catheter Cardiovasc Interv 2018 Dec 23;92(7):1247-1255. Epub 2018 Sep 23.

Division of Cardiology, Interventional Unit, Infermi Hospital, Rivoli and AOU San Luigi Gonzaga, Orbassano, Turin, Italy.

Background: Covered stent (CS) implantation is considered a useful device in the setting of Grade III Coronary Perforation (G3CP), one of the most harmful PCI complication. However, data regarding efficacy of this device and clinical outcomes are still limited.

Methods And Results: From 1993 to 2015, among 97,779 patients from 9 European centres undergoing PCI, 224 patients had G3CP (0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/ccd.27789DOI Listing
December 2018
7 Reads

Autologous blood reinfusion during iatrogenic acute hemorrhagic cardiac tamponade: Safety and feasibility in a cohort of 30 patients.

Catheter Cardiovasc Interv 2019 Jan 23;93(1):E56-E62. Epub 2018 Sep 23.

Cardiovascular Department, Ospedale Papa Giovanni XXIII, Bergamo, Italy.

Background: Iatrogenic hemorrhagic pericardial tamponade (IHPT) represents a life-threating condition requiring emergency pericardiocentesis. In this clinical context, reinfusion of pericardial blood can stabilize the patient and sustain hemodynamic conditions.

Aims And Methods: We reviewed all cases of IHPT occurred at our hospital over a 10 years span. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1002/ccd.27784
Publisher Site
http://dx.doi.org/10.1002/ccd.27784DOI Listing
January 2019
12 Reads
2.110 Impact Factor

Myocardial rupture after small acute myocardial infarction in the absence of coronary artery disease.

Cardiovasc Pathol 2018 Nov - Dec;37:26-29. Epub 2018 Aug 25.

Division of Cardiovascular Disease, University of Alabama at Birmingham. Electronic address:

A 73-year-old woman with a past medical history of hypertension suffered a cardiac arrest. After successful resuscitation, she was hypotensive and tachycardic and the ECG showed ST elevation in the inferior and lateral precordial leads. Coronary angiography did not show evidence of obstructive coronary artery disease. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.carpath.2018.08.004DOI Listing
August 2018
3 Reads

Oncologic Emergencies: Recognition and Initial Management.

Am Fam Physician 2018 Jun;97(11):741-748

Novant health Family Medicine Residency, Charlotte, NC, USA.

Most oncologic emergencies can be classified as metabolic, hematologic, structural, or treatment related. Tumor lysis syndrome is a metabolic emergency that presents as severe electrolyte abnormalities. Stabilization is focused on vigorous rehydration, maintaining urine output, and lowering uric acid levels. Read More

View Article

Download full-text PDF

Source
June 2018
4 Reads

Cardiac Recurrence of Diffuse Large B-cell Lymphoma More Than a Decade After Attaining Complete Remission.

Am J Case Rep 2018 Sep 4;19:1057-1062. Epub 2018 Sep 4.

Department of General Medicine, Saga University Hospital, Saga City, Saga, Japan.

BACKGROUND Although diffuse large B-cell lymphoma (DLBCL) is the most common subtype of non-Hodgkin lymphoma in adults, isolated cardiac recurrence of DLBCL which can cause fatal heart failure via various mechanisms is extremely rare. Furthermore, the frequency of recurrence of DLBCL more than 5 years after attaining complete remission is as low as 3.6%. Read More

View Article

Download full-text PDF

Source
https://www.amjcaserep.com/abstract/index/idArt/910787
Publisher Site
http://dx.doi.org/10.12659/AJCR.910787DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6135044PMC
September 2018
8 Reads

A Practical Approach to Pericardiocentesis With Periprocedural Use of Ultrasound Training Initiative.

Can J Cardiol 2018 Sep 15;34(9):1229-1232. Epub 2018 Jun 15.

Division of Cardiology, Jewish General Hospital, McGill University, Montréal, Québec, Canada; Centre for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montréal, Québec, Canada. Electronic address:

Tamponade is a life-threatening condition characterized by fluid accumulation in the pericardium, which compresses the cardiac chambers, impairs diastolic filling, and can lead to clinical shock. The diagnosis is a clinical one that is supported by echocardiographic findings. Pericardiocentesis is the definitive treatment for tamponade; however, it remains a challenge for trainees because of the infrequent exposure compared with other invasive procedures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.cjca.2018.06.004DOI Listing
September 2018
4 Reads

A Rare Case of Spontaneous Cardiac Tamponade Induced by Concomitant Use of Rivaroxaban and Amiodarone.

Case Rep Cardiol 2018 12;2018:1650716. Epub 2018 Aug 12.

Reading Hospital, Tower Health System, Reading, PA, USA.

Rivaroxaban is a direct oral anticoagulant (DOAC) approved as an important alternative to warfarin in patients with nonvalvular atrial fibrillation. We report the case of an 87-year-old man with past medical history of nonvalvular atrial fibrillation on rivaroxaban and recently started amiodarone for pulseless ventricular tachycardia who presented to our hospital with intermittent chest pain and was diagnosed with spontaneous hemopericardium causing cardiac tamponade. The culprit drugs were discontinued, and the patient was treated with emergent pericardiocentesis. Read More

View Article

Download full-text PDF

Source
https://www.hindawi.com/journals/cric/2018/1650716/
Publisher Site
http://dx.doi.org/10.1155/2018/1650716DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109521PMC
August 2018
10 Reads

Hypertensive Crisis in Cardiac Tamponade.

Cureus 2018 Jun 25;10(6):e2873. Epub 2018 Jun 25.

Cardiology, University of Connecticut Health Center, Farmington , USA.

Cardiac tamponade is a potentially life-threatening disorder believed to be commonly associated with hypotension and even shock. However, many patients with subacute tamponade are indeed hypertensive at initial presentation. We present a case of a 76-year-old female with hypertensive crisis in the settings of cardiac tamponade whose blood pressure normalized after pericardiocentesis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.2873DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110413PMC
June 2018
2 Reads

Pericardial Disease Associated with Malignancy.

Curr Cardiol Rep 2018 Aug 20;20(10):92. Epub 2018 Aug 20.

Department of Surgery, Northwestern University, Chicago, IL, USA.

Purpose Of Review: Pericardial effusion is commonly associated with malignancy. The goals of treatment should include optimizing symptom relief, minimizing repeat interventions, and restoring as much functional status as possible.

Recent Findings: Pericardiocentesis should be the first intervention but has high recurrence rates (30-60%). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11886-018-1040-5DOI Listing
August 2018
2 Reads

Atypical Presentation of Cardiac Tamponade as a Cause of Acute Liver Injury: Case Report and Review of Literature.

Cureus 2018 Jun 11;10(6):e2779. Epub 2018 Jun 11.

Department of Medicine, Division of Gastroenterology and Hepatology, University of Illinois at Chicago, Chicago, USA.

Pericardial tamponade is a rare cause of acute liver injury due to the compressive effects of an effusion resulting in a poor cardiac output which ultimately leads to ischemia-induced injury. We present a patient with chronic hepatitis C infection and end-stage renal disease who was transferred to our center for further evaluation and management of acute liver injury after presenting to an outside hospital with left upper quadrant abdominal pain, nausea and vomiting. The patient was discovered to have tamponade physiology on transthoracic echocardiogram as an underlying cause of his acute liver injury despite lack of clinical tamponade features. Read More

View Article

Download full-text PDF

Source
https://www.cureus.com/articles/12386-atypical-presentation-
Publisher Site
http://dx.doi.org/10.7759/cureus.2779DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6089478PMC
June 2018
10 Reads

Computed tomography-guided pericardiocentesis: a systematic review concerning contemporary evidence and future perspectives.

Ther Adv Cardiovasc Dis 2018 Nov 15;12(11):299-307. Epub 2018 Aug 15.

Cardiology Department, Vila Nova de Gaia / Espinho Hospital Center, Gaia, Portugal.

Background: Pericardial effusion (PE) can develop in several pathological scenarios, and is often initially evaluated by means of echocardiography. Computed tomography (CT) has been used as an aid in the management of patients presenting with PE, in selected cases. The role of CT-guided pericardiocentesis in contemporary practice, however, remains not fully ascertained. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1753944718792413DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6187426PMC
November 2018
26 Reads