Two cases of cardiac tamponade complicating leukaemia are presented. [ncbi.nlm.nih.gov]

On presentation to the intensive care unit, the patient was found to have a notably bilateral pleural effusion. The blood sample revealed normal values of both troponin and creatine kinase. [ahajournals.org]

• Asymptomatic

  The tumor was completely excised and the infant is asymptomatic. [ncbi.nlm.nih.gov]

  Draining large asymptomatic PE is part of the clinical practice algorithm at our cancer center and is based on clinical experience, and it is extrapolated from published data (23) showing that up to one-third of large asymptomatic PEs can progress into [onlinejacc.org]

  The decision is more difficult in asymptomatic patients with pericardial effusions who have echocardiographic evidence of high pericardial pressure with diastolic chamber collapse. [cathlabdigest.com]

  All live neonates (n=31) were asymptomatic at hospital discharge. [emjreviews.com]

• Swelling

  Aftercare The site of the puncture and any drainage catheter should be checked regularly for signs of infection such as redness and swelling. Blood pressure and pulse are also monitored following the procedure. [medical-dictionary.thefreedictionary.com]

  After your procedure The puncture site (or, if a catheter is fixed in place, the catheter site) should be inspected regularly for signs of infection, such as redness or swelling. [wexnermedical.osu.edu]

  Call your provider if you have: severe pain or bleeding from the puncture site increased swelling and tenderness where the needle was inserted. Developed for RelayHealth. Adult Advisor 2012.1 published by RelayHealth. [kpjampang.com]

  If any of the following occur, call your doctor: Signs of infection, including fever and chills Redness, swelling, increasing pain, excessive bleeding, or discharge from the insertion site Pain that you cannot control with the medicines you have been [health.cvs.com]

• Tachypnea

  This includes diaphoresis, agitation, distended neck veins, an inability to lie flat, tachypnea, inability to speak full sentences, or cyanosis. [jove.com]

  Patients can also present with the following physical symptoms: tachycardia, an increased heart rate tachypnea, an increase in breathing rate jugular vein enlargement narrow pulse pressure (pulsus paradoxus) pericardial friction rub elevated central venous [surgeryencyclopedia.com]

  Clinical examination revealed signs consistent with cardiac tamponade, including significant pulsus paradoxus, tachycardia (heart rate 101), tachypnea (respiratory rate 25), elevated jugular venous pressure and muffled heart sounds. [cardiovascularultrasound.biomedcentral.com]

• Heart Failure

  We report the case of a 13-month-old boy who developed cardiac tamponade resulting in heart failure after surgical repair of tetralogy of Fallot. [ncbi.nlm.nih.gov]

  Cardiac tamponade → acute congestive heart failure Heart: congestive heart failure. Uses Drainage of pericardial fluid: Idiopathic pericardial effusion (hemorrhage) Effusion: overview. [vetstream.com]

  The fluid may be transudative (e.g., due to congestive heart failure, nephrosis, or hypothyroid myxedema), exudative (e.g., tuberculous, or spread from an adjacent... [link.springer.com]

• Heart Disease

  Hormones and Heart Disease Connection Don't neglect hormones and heart disease connection. If you want to treat or prevent heart disease you have to balance your hormones. [heart-health-guide.com]

  Pulmonary embolus, congenital heart disease and pericardial tamponade are well-recognized causes of right-to-left shunting. However, right-to-left shunting can also follow pericardiocentesis. [ncbi.nlm.nih.gov]

  Pericardial diseases. In: Bonow RO, Mann DL, Zipes DP, Libby P, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 71. Little WC, Oh JK. Pericardial diseases. [ufhealth.org]

• Pulsus Paradoxus

  Our patient had dyspnea, but no tachycardia (77/minute), normal blood pressure (130/72, without pulsus paradoxus) and no peripheral sings of high, right-sided pressures. [cathlabdigest.com]

  Pulsus paradoxus ii. If an infant has pulseless electrical activity in the setting of a central line, cardiac tamponade should be considered in the list of possible etiologies. iii. Potential chest radiographic findings: 1. [neoreviews.aappublications.org]

  Detection of pulsus paradoxus associated with large pericardial effusions in pediatric patients by analysis of the pulse-oximetry waveform. Pediatrics. 2002;109:673. Heckmann M, Lindner W, Pohlandt F. [doctorlib.info]

• Hypertension

  ADVERSE EVENTS Potential adverse events (in alphabetical order), that have been or may be associated with pericardial drainage procedures: Allergic Reaction Arrhythmias Death Edema Embolism Endocarditis Hemorrhage Hemothorax or Pneumothorax Hypotension/Hypertension [bostonscientific.com]

  A 72-year-old man with degenerative aortic stenosis, coronary artery disease, hypertension, and chronic renal insufficiency presented with progressively worsening dyspnea, tachycardia, hypotension, and diuresis contraction 7 days after undergoing successful [ahajournals.org]

  A 75-year-old man with coronary artery disease, atrial fibrillation, sick sinus syndrome with permanent pacemaker, hypertension, dyslipidemia, and previous exertional dyspnea related to moderately severe mitral regurgitation from myxomatous degeneration [circ.ahajournals.org]

  There are many causes for the buildup of fluid in the pericardium, including: kidney failure hypothyroidism, or underactive thyroid radiation therapy for cancers HIV/AIDS medications such as hydralazine for hypertension, isoniazid (Nydrazid) for tuberculosis [healthline.com]

• Fracture

  Damage to the catheter may occur if the guidewire exits through a side hole and may cause fracture to the catheter and/or guidewire that may result in an unretrieved device fragment or catheter/guidewire entrapment. [bostonscientific.com]

  Or the cause could be traumatic like stabbings, or sternal or rib fractures. Cardiac tamponade can be difficult to diagnose, as many of the findings are non-specific. [jove.com]

  […] you have diabetes, high blood pressure, chest pains, or have previously suffered from a heart attack If you have ever been diagnosed with blood clots in your leg (deep vein thrombosis) or lung (embolism of lung) If you have a history of frequent bone fractures [dovemed.com]

The aim of this study was to examine the etiology of pericardial effusions requiring a percutaneous intervention, either because of hemodynamic compromise or for a diagnostic workup, to determine how often fluid cytology is requested in unsuspected as [ahajournals.org]

High-volume hemofiltration was used as a rescue therapy after treatment with positive inotropic drugs proved ineffective. [ncbi.nlm.nih.gov]

CONCLUSIONS: The interval between cancer diagnosis and NCT onset, the impact of NCT on prognosis, and the prognosis after pericardiocentesis differed according to cancer type. [ncbi.nlm.nih.gov]

Prognosis following repeated drainages is less good. Guarded/poor prognosis for septic pericarditis and neoplasia. Further Reading Publications Refereed papers Recent references from PubMed and VetMedResource. [vetstream.com]

Among etiologies, malignancy remains the most common cause of clinically significant pericardial effusion and is associated with a poor prognosis. [ncbi.nlm.nih.gov]

The different final etiologies are listed in Table 1. [ahajournals.org]

Epidemiological data, procedure indications and etiology of the effusions were also recorded. [ncbi.nlm.nih.gov]

He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. [lifeinthefastlane.com]

Epidemiology : Pericardial effusions : Small pericardial effusions are found in 3.4% of the general population during autopsy Increased prevalence in HIV+ patients from 5-43% Parasternal Long View – Normal 21% of lung, breast, leukemia patients have metastases [coreem.net]

Transient ventricular dysfunction after pericardiocentesis is a very rare complication, we present a review of the different mechanisms suggested in the literature to explain the pathophysiology of this rare phenomenon. [ncbi.nlm.nih.gov]

[…] metastases to the pericardium, resulting in effusions Tamponade : Incidence is 2/10,000 in the USA Causes: Malignancy Infection (bacterial or tubercular pericarditis) Idiopathic pericarditis Trauma Uremia Hypothyroidism (myxedema) Lupus Post-radiation Pathophysiology [coreem.net]

Epidemiology and pathophysiology of Takotsubo syndrome. Nat Rev Cardiol. 2015;12:387–9. View Article PubMed Google Scholar Yeh RW, Yu PB, Drachman DE. [cardiovascularultrasound.biomedcentral.com]

Adjunctive imaging decreases procedural risk for difficult-to-access pericardial fluid collections and must be used to prevent inadvertent morbidities. [ncbi.nlm.nih.gov]

In this modern age when imaging guidance is more prevalent, complications from deep or inappropriate needle insertion may be prevented. [jove.com]