Transient acute left ventricular dysfunction post-pericardiocentesis for cardiac tamponade
Chong Yu Edwin Sng1, Choong Hou Koh1, Aileen Mae Lomarda1
1National Heart Centre, Singapore.
Journal of Cardiology Cases
|December 15, 2018
Summary
Pericardiocentesis can rarely cause acute left ventricular dysfunction. This case highlights the need for guided pericardial fluid drainage and monitoring to prevent this serious complication.
Area of Science:
- Cardiology
- Cardiac Surgery
Background:
- Pericardiocentesis is a procedure to drain pericardial fluid.
- Cardiac tamponade is a life-threatening condition requiring fluid removal.
Observation:
- A 65-year-old male with cardiac tamponade underwent pericardiocentesis.
- The patient developed acute left ventricular heart failure after the procedure.
Findings:
- Transient left ventricular dysfunction is a rare but serious complication of pericardiocentesis.
- Current guidelines lack specific protocols for pericardial fluid drainage and post-procedure monitoring.
Implications:
- The authors propose using predetermined parameters, such as drainage rate and patient profile, to guide pericardiocentesis.
- Implementing these parameters may reduce the risk of post-pericardiocentesis left ventricular dysfunction.
Related Concept Videos
01:24Cardiac Catheterization III: Left Heart Catheterization
708
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
708
01:22Series R—L Circuit Transients
397
In a series resistor-inductor (R-L) circuit, closing the switch at the start of the time period simulates a three-phase short circuit, a fault condition where all three phases of an unloaded synchronous machine are short-circuited. When there is no fault impedance and no initial current, the initial voltage is determined by the phase angle of the source voltage.
Using Kirchhoff's Voltage Law (KVL) to analyze this circuit helps determine the total asymmetrical fault current, which consists...
Using Kirchhoff's Voltage Law (KVL) to analyze this circuit helps determine the total asymmetrical fault current, which consists...
397
01:24Transient and Steady-state Response
565
In control systems, test signals are essential for evaluating performance under various conditions. The ramp function is effective for systems undergoing gradual changes, while the step function is suitable for assessing systems facing sudden disturbances. For systems subjected to shock inputs, the impulse function is the most appropriate test signal.
These test signals are integral in designing control systems to exhibit two key performance aspects: transient response and steady-state...
These test signals are integral in designing control systems to exhibit two key performance aspects: transient response and steady-state...
565
01:22Cardiac Output II: Effect of Stroke Volume on Cardiac Output
3.4K
Cardiac output (CO), the amount of blood the heart pumps per minute, is a parameter in cardiovascular physiology determined by stroke volume and heart rate. Stroke volume, the amount of blood pushed from one of the ventricles per heartbeat, is influenced by preload, afterload, and contractility.
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
3.4K
01:30Acute Pharyngitis
4.2K
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
4.2K
01:19Cardiac Output I:Effect of Heart Rate on Cardiac Output
2.6K
Cardiac Output
Cardiac output (CO) refers to the total amount of blood ejected by one of the ventricles in liters per minute (L/min). In a resting adult, CO ranges from 5 to 6 L/min, adjusting according to the body's metabolic requirements.
Effect of Heart Rate on Cardiac Output
Cardiac output adapts to metabolic demands during stress, physical activity, or illness. The autonomic nervous system regulates heart rate via the sinoatrial node. The parasympathetic nervous system decreases heart...
Cardiac output (CO) refers to the total amount of blood ejected by one of the ventricles in liters per minute (L/min). In a resting adult, CO ranges from 5 to 6 L/min, adjusting according to the body's metabolic requirements.
Effect of Heart Rate on Cardiac Output
Cardiac output adapts to metabolic demands during stress, physical activity, or illness. The autonomic nervous system regulates heart rate via the sinoatrial node. The parasympathetic nervous system decreases heart...
2.6K