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

The classic Beck’s Triad, unfortunately, is not always present. [calsprogram.org]

Two days after the pericardiocentesis, the patient presented rapidly progressing dyspnea, with clinical symptomatology of pulmonary oedema and signs of low cardiac output. [revespcardiol.org]

• Hypoxemia

  Significant hypoxemia can result from right-to-left intracardiac shunting through a patent foramen ovale, an atrial septal defect or a ventricular septal defect. [ncbi.nlm.nih.gov]

  With decreased oxygen, a gas vital to life, the body cannot function properly and one can suffer from serious hypoxemia (oxygen deficiency) and worst - death. [docdoc.com]

• Regurgitation

  A transthoracic echocardiogram performed 24 h later showed improved motion of the RV and the tricuspid valve, resulting in a reduction in tricuspid regurgitation. [ncbi.nlm.nih.gov]

  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]

  Post bypass TEE revealed mild tricuspid regurgitation with a RVSP of 36 mm Hg. [annals.in]

• Left Ventricular Dysfunction

  The patient developed an early left ventricular dysfunction after removal of the pericardial effusion, with complete recovery within 10 days. [ncbi.nlm.nih.gov]

  Transitory left ventricular dysfunction after pericardiocentesis is a rare complication and its exact incidence is unknown. [revespcardiol.org]

  Transient left ventricular systolic dysfunction mimicking myocardial infarction after pericardiocentesis. Neth Heart J. 2013;21:364–6. View Article PubMed PubMed Central Google Scholar Pilgrim TM, Wyss TR. [cardiovascularultrasound.biomedcentral.com]

  Transient systolic dysfunction after relief of cardiac tamponade. Ann Intern Med 1993;119:42-4. 56. Brauner FB, Nunes CE, Fabra R, Riesgo A, Thomé LG. Acute left ventricular systolic dysfunction after pericardial effusion drainage. [ijciis.org]

• Refractory Shock

  We conclude that high-volume hemofiltration can be helpful as an adjuvant treatment for refractory shock after pericardiocentesis for chronic cardiac tamponade. The mechanism of the observed hemodynamic improvement remains to be investigated. [ncbi.nlm.nih.gov]

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]

• Ejection Fraction Decreased

  Left ventricular ejection fraction decreased to 20%, and there was akinesis in the left ventricular apex, and severe hypokinesis in the septum. The amount of daily drainage was decreased to 250 ml. [ncbi.nlm.nih.gov]

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]

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]

Epidemiology of pericardial effusions at a large academic hospital in South Africa. Epidemiol Infect. 2005; 133 :393–399. [ PMC free article ] [ PubMed ] 16. Horowitz MS, Schultz CS, Stinson EB, Harrison DC, Popp RL. [ncbi.nlm.nih.gov]

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]

Since transient ventricular dysfunction after pericardiocentesis is a very unusual 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]

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]

[…] 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]

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]

The pericardium prevents sudden dilation of the heart, especially the right side, and heart and great vessel displacement; it minimises heart friction with the surrounding structures and prevents the spread of infection or cancer cells from the lung and [emjreviews.com]