Derrames pericárdicos significativos asociados a tumores: análisis de 18 de 18 pacientes oncológicos con derrame pericárdico significativo (DPS). of a neoplasm; frequently, pericardiac tamponade (PT) has a neoplastic origin; thorax is. Derrame pericárdico con inminente taponamiento cardiaco secundario a to tyrosine kinase inhibitor with imminence of cardiac tamponade: case report. Derrame pericárdico sin compromiso hemodinámico. • Taponamiento red) plots data from a patient with hyperacute tamponade that followed laceration of.

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There is no single demographic affected, as there are many underlying causes of a pericardial effusion. Clinical presentation of pericardial effusions does not relate so much to the size of the effusion but rather the speed at which the fluid has accumulated, as slow gradual accumulation allows the pericardium to stretch and accomodate much larger volumes of fluid 4.

Pericardial Diseases (Guidelines on the Diagnosis and Management of)

Regardless of volume, symptoms relate to impaired cardiac function due to intrapericardial pressure approximating intracardiac pressure leading to impaired filling of low pressure chambers, particularly the right atrium. Dyspnoea and reduced exercise tolerance will be early signs, progressing to severe impaired cardiac output and death in severe cases e. Echocardiography is the method of choice to confirm the diagnosis, estimate the volume of fluid and most importantly assess the haemodynamic impact of the effusion.


In a supine patient, the effusion will first appear posteriorly, tracking anterior to the descending aorta and left atrium.

The parasternal long axis and subcostal four chamber views are typically favored for inspection of the pericardial space. Differentiation from an epicardial fat pad and a left pleural effusion, which have similar sonographic appearances, relies on the recognition of the anatomical boundaries of the fluid collection in question; pleural effusions are bounded anteriorly by the descending aorta, and a fat pad will be seen most prominently in the atrioventricular groove.

CT makes the diagnosis extremely easy but is usually obtained to try and clarify the cause of an effusion rather than to confirm the diagnosis. Pericardial effusions are tamppnade frequent lericardico finding in unwell hospitalised patients.

Fluid density material is seen surrounding the heart. Careful inspection of the region is necessary to ensure that no invasive mass can be identified. The depth of the effusion can be used to estimate the likely volume of fluid, provided the fluid is relatively evenly spread throughout the pericardium i.

Clearly, this does not apply to loculated effusions. However, due to complex pericardial anatomy and fluid being able to pool in the pericardial recesses this relationship is not exact and it may be better to report volume in more general terms If small, asymptomatic and clinically not-suspect then conservative management is usually favoured.


If large, symptomatic or there is clinical concern of the underlying cause e. In cases where effusions are recurrent and symptomatic e. To quiz yourself on this article, log in to see multiple choice questions. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.

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Pericardial Diseases (Guidelines on the Diagnosis and Management of)

Articles Cases Courses Quiz. About Blog Go ad-free. Read it at Google Books – Find it at Amazon. Edit article Share article View revision history. Synonyms or Alternate Spellings: Pericardial effusions Build up of pericardial fluid Increased pericardial fluid.

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