Cardiac tamponade secondary to Dressler's syndrome
| Autor: | Elena Elchinova, Philip G Campbell, Stephanie Connaire, Chiara Bucciarelli-Ducci |
|---|---|
| Rok vydání: | 2023 |
| Předmět: |
medicine.medical_specialty
Costochondritis medicine.medical_treatment Myocardial Infarction Chest pain Pericardial effusion Pericardial Effusion Cardiac tamponade Internal medicine Intensive care medicine Pericardium Humans Dressler's syndrome business.industry Pericardiocentesis General Medicine Middle Aged medicine.disease Cardiac Tamponade medicine.anatomical_structure Echocardiography Cardiology Female medicine.symptom business |
| Zdroj: | BMJ case reports. 14(8) |
| ISSN: | 1757-790X |
| Popis: | A 56-year-old woman presented to hospital with chest pain. Following review and investigations in the medical assessment unit, she was diagnosed with costochondritis and discharged home. She represented 10 days later and was mottled and hypotensive with a high lactate, raised inflammatory markers, an acute kidney injury and bilateral loin pain. A CT of the thorax, abdomen and pelvis showed pleural effusions and a large pericardial effusion with features of cardiac tamponade on subsequent echocardiography. A pericardiocentesis was performed and she was admitted to intensive care for haemofiltration. Once the patient was stable, an inpatient cardiac MRI was requested to further investigate an enhancing pericardium and echo-bright areas in the inferior, inferoseptal and inferolateral walls of the left ventricle demonstrated on echocardiography. The cardiac MRI showed evidence of a recent infarction in the right coronary artery (RCA) territory with pericardial inflammation and a resolved pericardial effusion. Overall, the findings were in keeping with Dressler’s syndrome. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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