Blood or Fat? Differentiating Hemopericardium versus Epicardial Fat Using Focused Cardiac Ultrasound

被引：2

作者：

Bronshteyn, Yuriy S. ^{[1
,2
]}

Hashmi, Nazish ^{[1
]}

Privratsky, Jamie R. ^{[1
]}

Barbeito, Atilio ^{[1
,2
]}

机构：

[1] Duke Univ, Sch Med, Duke Univ Hlth Syst, Durham, NC 27710 USA

[2] Durham Vet Hlth Adm, Durham, NC 27705 USA

来源：

DIAGNOSTICS | 2024年 / 14卷 / 08期

关键词：

pericardial effusion; epicardial fat pad; ultrasound; point-of-care ultrasound; echocardiography; hemopericardium; AMERICAN SOCIETY; PERICARDIAL-EFFUSION; ECHOCARDIOGRAPHY; RECOMMENDATIONS;

D O I：

10.3390/diagnostics14080818

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Basic point-of-care ultrasound of the heart-also known as Focused Cardiac Ultrasound (FoCUS)-has emerged as a powerful bedside tool to narrow the differential diagnosis of causes of hypotension. The list of causes of hypotension that a FoCUS provider is expected to be able to recognize includes a compressive pericardial effusion due to hemopericardium (blood in the pericardial sac). But hemopericardium can be difficult to distinguish from a more common condition that is not immediately life-threatening: epicardial fat. This paper reviews illustrative images of both epicardial fat and hemopericardium to provide practice guidance to the FoCUS user on how to differentiate these two phenomena.

引用

页数：6

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