{"title":"Subacute pericardial tamponade presenting with hypertension.","authors":"C Costello, T Leong, A Blake","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Presentation: </strong>Pericardial tamponade is a potentially fatal condition requiring urgent intervention. A 64-year-old lady presented to the emergency department with abdominal pain and syncope, with noted subxiphoid tenderness and peripheral oedema.</p><p><strong>Diagnosis: </strong>The patient was hypertensive at presentation and developed respiratory distress and anuria.</p><p><strong>Treatment: </strong>Bedside echocardiography revealed a 6cm pericardial effusion with right ventricular diastolic collapse and urgent pericardiocentesis drained 1800mls within 24hrs. Clinical features can be variable and patients can present with hypertension prior to cardiovascular collapse.</p><p><strong>Discussion: </strong>Tamponade diagnosis is dependent on urgent echocardiography, which is increasingly adopted among ICU doctors.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"118 2","pages":"26"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Irish medical journal","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Presentation: Pericardial tamponade is a potentially fatal condition requiring urgent intervention. A 64-year-old lady presented to the emergency department with abdominal pain and syncope, with noted subxiphoid tenderness and peripheral oedema.
Diagnosis: The patient was hypertensive at presentation and developed respiratory distress and anuria.
Treatment: Bedside echocardiography revealed a 6cm pericardial effusion with right ventricular diastolic collapse and urgent pericardiocentesis drained 1800mls within 24hrs. Clinical features can be variable and patients can present with hypertension prior to cardiovascular collapse.
Discussion: Tamponade diagnosis is dependent on urgent echocardiography, which is increasingly adopted among ICU doctors.
期刊介绍：
Since its inception in 1867, the Journal of the Medical Association of Ireland and now in its present format, the Irish Medical Journal, has provided the medical community in Ireland with an invaluable service. As one of the leading biomedical publications in Ireland, it has sought to continue the education of medical students and postgraduates through scientific research, review articles and updates on contemporary clinical practices while providing an ongoing forum for medical debate. A measure of our stature is that we are listed in the Index Medicus and issued annually with a citation factor from the Institute for Scientific Information.
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