A High-Echoic Layer Surrounding the Heart Suggesting Cardiac Tamponade by Clotting

Takeuchi, Ikuto; Shitara, Jun; Yanagawa, Youichi

doi:10.1055/s-0041-1729912

Cited by 2 publications

(3 citation statements)

References 3 publications

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“…We attempted key methods to promptly identify patients experiencing cardiac arrest due to cardiac tamponade, aiming for the immediate relief of the tamponade. This was necessary as ultrasound frequently proved ineffective in detecting tamponade caused by coagulation, if there is a lack of careful observation or if physicians are inexperienced [ 1 , 3 ]. If the presence of cardiac tamponade can be clarified, even in cases of cardiac arrest, decompression can be performed in expectation of ROSC, and the number of patients able to return to society can be improved [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…In cases of cardiac arrest, we routinely investigate the cause by ultrasonography, and unless the patient is known to have terminal cancer or the family does not wish for it, blood tests and computed tomography (CT) are performed [1][2][3][4][5]. The causes of cardiac arrest include thoracic aortic diseases, some of which can lead to cardiac arrest via cardiac tamponade.…”

Section: Introductionmentioning

confidence: 99%

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Effect of the Presence of Cardiac Tamponade on Jugular Vein Diameter in Cases of Cardiac Arrest Due to Thoracic Aortic Disease

Hamada,

Nagasawa,

Taniguchi

et al. 2023

Cureus

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Background There have so far been no reports regarding whether or not the jugular veins remain distended even in cases of cardiac arrest, which is the worst form of shock. We focused on the diameter of the jugular vein in neck computed tomography (CT) in cases of thoracic aortic disease resulting in cardiac arrest to determine whether or not cardiac tamponade increased the diameter. Methodology From January 2014 to December 2021, patients were eligible for inclusion when they were transported to our hospital, judged to be in cardiac arrest at the emergency department, and then diagnosed with thoracic aortic disease as the cause of cardiac arrest according to CT. Patients were divided into two groups according to the presence (tamponade (+)) or absence (tamponade (-)) of cardiac tamponade. Comparisons between the two groups were also conducted after excluding cases in which relief of cardiac tamponade was obtained before CT or that had hemothorax. Results There were 52 cases in the cardiac tamponade (+) group and 16 in the cardiac tamponade (-) group. The diameters of both the right and left internal jugular veins were significantly larger in the cardiac tamponade (+) group than in the cardiac tamponade (-) group. After excluding cases with relief of cardiac tamponade before CT and hemothorax complications, the right and left internal and external jugular vein diameters in the cardiac tamponade (+) group were still significantly greater than those in the cardiac tamponade (-) group. Conclusions The present study showed that the cardiac tamponade induced by thoracic aortic cases tended to display larger internal jugular vein diameters compared to cases without cardiac tamponade, even in patients experiencing cardiac arrest. Additionally, cardiac tamponade consistently presented with larger diameters in the right-sided jugular vein.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of the Presence of Cardiac Tamponade on Jugular Vein Diameter in Cases of Cardiac Arrest Due to Thoracic Aortic Disease

Hamada,

Nagasawa,

Taniguchi

et al. 2023

Cureus

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“…Tomita and colleagues [16] reported that such social support adds vitality to patients and reduces daily burdens. A previous study showed that many Japanese people consider that receiving support from others is a nuisance and feel apologetic about it [35] . Therefore, Japanese patients with ulcerative colitis may be reluctant to discuss their problems with others even if they are having trouble.…”

Section: Discussionmentioning

confidence: 99%

Construction of an Explanatory Model for Quality of Life in Outpatients with Ulcerative Colitis

Takahashi¹,

Nunotani²,

Aoyama³

2023

Inflamm Intest Dis

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Introduction: To date, no studies have reported explanatory models of health-related quality of life (HRQoL) in patients with ulcerative colitis. Therefore, this study aimed to examine HRQoL and its related factors in outpatients with ulcerative colitis to construct an explanatory model. Methods: We conducted a cross-sectional survey at a clinic in Japan. The HRQoL was evaluated using the 32-item Inflammatory Bowel Disease Questionnaire. We extracted explanatory variables of HRQoL from demographic, physical, psychological, and social factors reported in previous studies and created a predictive explanatory model. The relationship between explanatory variables and the questionnaire total score was examined using Spearman’s rank correlation coefficient, the Mann–Whitney test, or the Kruskal–Wallis test. We conducted multiple regression and path analyses to examine the effect of explanatory variables on the total score. Results: We included 203 patients. Variables that were associated with the total score were the partial Mayo Score (r = −0.451), treatment side effects (p = 0.004), the Hospital Anxiety Scale-Anxiety score (r = −0.678), the Hospital Anxiety Scale-Depression score (r = −0.528), and the availability of an advisor during difficult times (p = 0.001). The model included the partial Mayo Score, treatment side effects, the Hospital Anxiety Scale-Anxiety score, and the availability of an advisor during difficult times as explanatory variables of the total score that showed the best goodness-of-fit (adjusted R2 = 0.597). The anxiety score exerted the greatest negative effect on the questionnaire total score (β = −0.586), followed by the partial Mayo Score (β = –0.373), treatment side effects (β = 0.121), and availability of an advisor during difficult times (β = −0.101). Conclusion: Psychological symptoms exerted the strongest direct effect on HRQoL in outpatients with ulcerative colitis and mediated the relationship between social support and HRQoL. Nurses should listen carefully to the concerns and anxieties of patients to ensure that a social support system is provided by leveraging multidisciplinary collaborations.

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A High-Echoic Layer Surrounding the Heart Suggesting Cardiac Tamponade by Clotting

Cited by 2 publications

References 3 publications

Effect of the Presence of Cardiac Tamponade on Jugular Vein Diameter in Cases of Cardiac Arrest Due to Thoracic Aortic Disease

Effect of the Presence of Cardiac Tamponade on Jugular Vein Diameter in Cases of Cardiac Arrest Due to Thoracic Aortic Disease

Construction of an Explanatory Model for Quality of Life in Outpatients with Ulcerative Colitis

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