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Published on: July 20, 2022
A case report of ventricular dysfunction post pericardiocentesis: stress cardiomyopathy or pericardial decompression
Chadi Ayoub1,2, Michael Chang3,4, Leonard Kritharides5,6
1Department of Cardiology, Concord Repatriation General Hospital, Concord, 2139, NSW, Australia. chadiayoub@yahoo.com.au.
Abstract:
We report a case of transient biventricular dysfunction post therapeutic pericardiocentesis, with classic features of stress cardiomyopathy (SCM). In our patient, the clinical and echocardiographic features were more in keeping with Takotsubo-type SCM than pericardial decompression syndrome (PDS). Our case is instructive in challenging our understanding of the aetiology of LV dysfunction complicating pericardiocentesis, and in highlighting the importance of careful clinical evaluation (altered heart rate and dyspnoea) in suspecting acute LV dysfunction after initial clinical improvement with pericardial aspiration.
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