Life-threatening Development of Cardiac Tamponade in the Span of 24 Hours

Abstract

Cardiac tamponade is a medical emergency that requires immediate treatment. Caused by the development of fluid in the pericardial space, it can result in a severe decrease in cardiac output. When encountering patients with severe hypotension and tachycardia, emergency physicians must always consider the diagnosis of tamponade to facilitate prompt and effective treatment and stabilization. We report our experience with a patient who developed life-threatening cardiac tamponade within a span of less than 24 hours.

CMR in Pericardial Diseases - an Update

“…Given that a cardiac tamponade is an emergency situation, echocardiography is the preferred image modality for its diagnosis. Echocardiographic criteria of tamponade are; (a) presence of pericardial fluid, (b) dilated inferior vena cava, (c) reduced stroke volume, (d) collapse of the right ventricle in diastole, (e) right atrial collapse for more than one third of the cardiac cycle, and (f) respiratory variation of the mitral and tricuspid E velocity [31]. The use of CMR remains limited despite its ability to provide information when hemodynamic assessment with echocardiography is difficult and the diagnosis remains unclear [32].…”

Pericardial Effusion in Postcoronavirus Disease Patients with Preserved Ejection Fraction of the Left Ventricle and Normal Values of N-Terminal-Pro B-Type Natriuretic Peptide-Link with C-Reactive Protein and D-Dimer

“…[ 6 ] It is also important to note that if exudate accumulation occurs slowly, an effusion of 1000 mL may not cause interference with ventricular filling, and if it is rapidly formed, even 100 mL may cause a significant increase in intracardiac pressure. [ 7 ] Acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the pathogen responsible for the coronavirus disease 2019 (COVID-19), which is characterized by hypercoagulability (endothelial dysfunction, pathway, and hypercoagulable state) and systemic inflammatory response. Post-COVID syndrome (long COVID) represents persistent physical, medical, and cognitive sequelae after COVID-19, as well as clinical symptoms that interfere with the patient’s daily functioning.…”

“…Post-COVID syndrome (long COVID) represents persistent physical, medical, and cognitive sequelae after COVID-19, as well as clinical symptoms that interfere with the patient’s daily functioning. [ 7 8 ]…”