Cough induced syncope: A hint to cardiac tamponade diagnosis
| Autor: | Roberto Ramirez, Glenmore Lasam |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Cough-induced syncope medicine.medical_treatment Pericardial effusion Case Report 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal medicine Cardiac tamponade medicine In patient 030212 general & internal medicine Lung biology business.industry Pulsus paradoxus Syncope (genus) medicine.disease biology.organism_classification respiratory tract diseases medicine.anatomical_structure Pericardiocentesis Anesthesia Cardiology medicine.symptom Cardiology and Cardiovascular Medicine business Clinical vignette |
| Zdroj: | World Journal of Cardiology |
| ISSN: | 1949-8462 |
| Popis: | We report a case of a 75-year-old male with history of lung adenocarcinoma who presented with shortness of breath and frequent episodes of cough-induced syncope. A large pericardial effusion was found on echocardiogram suggestive of cardiac tamponade. Pericardiocentesis was done which improved the dyspnea and eventually resolved the syncope. There are only two other cases reported in the literature with cough-induced syncope in the setting of pericardial effusion or cardiac tamponade. Our clinical vignette also highlights the importance of pulsus paradoxus identification in patients with cough induced syncope to rule out cardiac tamponade since this is the most sensitive physical finding for its diagnosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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