Rapid Fire: Pericardial Effusion and Tamponade

被引：9

作者：

Honasoge, Akilesh P. ^{[1
,2
]}

Dubbs, Sarah B. ^{[1
]}

机构：

[1] Univ Maryland, Med Ctr, Dept Emergency Med, 110 South Paca St,6th Floor,Suite 200, Baltimore, MD 21201 USA

[2] Univ Maryland, Sch Med, Dept Internal Med, 110 South Paca St,6th Floor,Suite 200, Baltimore, MD 21201 USA

来源：

EMERGENCY MEDICINE CLINICS OF NORTH AMERICA | 2018年 / 36卷 / 03期

关键词：

Pericardial effusion; Cardiac tamponade; Cancer; Oncologic emergency; Pericardiocentesis; Electrical alternans; ECHOCARDIOGRAPHICALLY GUIDED PERICARDIOCENTESIS; CARDIAC-TAMPONADE; MANAGEMENT;

D O I：

10.1016/j.emc.2018.04.004

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

One of the most common causes of pericardial effusion in the Western world is malignancy. Emergency physicians must maintain vigilance in suspecting pericardial effusion and tamponade in patients with known or suspected malignancy who present with tachycardia, dyspnea, and hypotension. Diagnosis can be expedited by key physical examination, electrocardiogram, and sonographic findings. Unstable or crashing patients with tamponade must undergo emergent pericardiocentesis for removal of fluid and pressure to restore cardiac output.

引用

页码：557 / +

页数：10

共 15 条

[1] Role of a 12-Lead Electrocardiogram in the Diagnosis of Cardiac Tamponade as Diagnosed by Transthoracic Echocardiography in Patients With Malignant Pericardial Effusion [J].

Argula, Rahul G. ;

Negi, Smita I. ;

Banchs, Jose ;

Yusuf, Syed Wamique .

CLINICAL CARDIOLOGY, 2015, 38 (03) :139-144

[2]

DeCamp M, 1997, CHEST S, V112, p291S

[3] DELAYED HEMORRHAGIC PERICARDIAL-EFFUSION - CASE-REPORTS OF A COMPLICATION FROM SEVERE BLUNT CHEST TRAUMA [J].

GABRAM, SGA ;

DEVANNEY, J ;

JONES, D ;

JACOBS, LM .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1992, 32 (06) :794-800

[4]

Ghane Mohammad Reza, 2015, J Emerg Trauma Shock, V8, P5, DOI 10.4103/0974-2700.145406

[5] CARDIAC-TAMPONADE IN MEDICAL PATIENTS [J].

GUBERMAN, BA ;

FOWLER, NO ;

ENGEL, PJ ;

GUERON, M ;

ALLEN, JM .

CIRCULATION, 1981, 64 (03) :633-640

[6] Analysis of physician ability in the measurement of pulsus paradoxus by sphygmomanometry [J].

Jay, GD ;

Onuma, K ;

Davis, R ;

Chen, MH ;

Mansell, A ;

Steele, D .

CHEST, 2000, 118 (02) :348-352

[7] Evaluation and Management of Pericardial Effusion in Patients with Neoplastic Disease [J].

Maisch, Bernhard ;

Ristic, Arsen ;

Pankuweit, Sabine .

PROGRESS IN CARDIOVASCULAR DISEASES, 2010, 53 (02) :157-163

[8]

Mallemat HA, 2014, ROBERTS HEDGES CLIN, P298

[9] COMPARATIVE EFFECTS OF CATECHOLAMINES IN CARDIAC-TAMPONADE - EXPERIMENTAL AND CLINICAL-STUDIES [J].

MARTINS, JB ;

MANUEL, WJ ;

MARCUS, ML ;

KERBER, RE .

AMERICAN JOURNAL OF CARDIOLOGY, 1980, 46 (01) :59-66

[10] HEMODYNAMICS OF CARDIAC-TAMPONADE DURING VARIOUS MODES OF VENTILATION [J].

MOLLER, CT ;

SCHOONBEE, CG ;

ROSENDORFF, C .

BRITISH JOURNAL OF ANAESTHESIA, 1979, 51 (05) :409-415

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