Tamponnade cardiaque non-traumatique: Interet de l'Echo doppler cardiaque et prise en charge

Damorou, F; Soussou, B; Adjenou, K; Goeh-Akué, E; Mawoussi, A; Djato, A; Baragou, S

doi:10.4314/jrsul.v7i1.47414

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“…The estimated incidence in Marseille was between 20 and 50% in patients with autoimmune disease, 30% in hypothyroid patients and 35% in patients with cancer (lung, breast and lymphoma). The average age of our patients, 41 years, is almost identical to that described in sub-Saharan Africa [1,3,4]. In addition, the age group 21 -40 was the most representative in our study at 42.5%.…”

Section: Discussionsupporting

confidence: 75%

Pericardial Tamponade: Diagnostic and Evolutive Aspects in a Cardiology Department in Dakar, Senegal

Js¹

2017

OAJC

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Tamponade is one of the major complications of pericarditis which is immediately life threatening. The objective of the study was to evaluate the diagnostic and evolutive aspects of pericardial tamponade in a cardiology department of Dakar.We included 40 patients who had a tamponade with a file that could be exploited over a period of 3 years and 6 months (January 2010 to June 2014). The mean age of the patients was 41 years (range between 15 and 80 years). There was a male predominance with a sex ratio (23/17) of 1.35.Signs were dominated by dyspnea (95.0%), pain (85.0%) and fever (40%). Signs of poor hemo dynamic tolerance were evidenced by weak peripheral pulses (21.16%), paradoxical pulse (5%), and hypotension and/or shock (15.0%).The diagnostic means, besides the clinic examination, was mainly by conducting an echocardiography. Thus, there was a proto-mesodiastolic collapse of RV in 82.5% of cases, a telediastolic collapse of the right atrium in 87.5% of cases, a fibrin network in 55% of cases.Emergency treatment with per cutaneous pericardiocentesis was performed in all our patients using the subxiphoid approach. There was a favorable evolution in 77.5% of cases. Were corded 8 cases (or 20%) of death in all admitted cases.Pericardial tamponade is a medical emergency. The diagnosis is easy using echocardiography but the etiological diagnosis is always problematic in our working context.

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Section: Discussionsupporting

confidence: 75%

Pericardial Tamponade: Diagnostic and Evolutive Aspects in a Cardiology Department in Dakar, Senegal

Js¹

2017

OAJC

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Tamponnade cardiaque non-traumatique: Interet de l'Echo doppler cardiaque et prise en charge

Cited by 1 publication

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Pericardial Tamponade: Diagnostic and Evolutive Aspects in a Cardiology Department in Dakar, Senegal

Pericardial Tamponade: Diagnostic and Evolutive Aspects in a Cardiology Department in Dakar, Senegal

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