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Colegio de Medicina Interna de México.

2009, Number 1

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Med Int Mex 2009; 25 (1)

taponamiento cardiaco|pericarditis tuberculosa|pericardiocentesis|

Pérez AF, Villagómez OAJ, Castro AMS, Hernández SS

Language: Spanish
References: 30
Page: 81-88
PDF size: 289.43 Kb.


ABSTRACT

The pericardial effusion is the result of an accumulation of fluid which exceeds the possibility of drainage; could be a serous exudate, blood, pus or gas that occupies the pericardial sac gradually increasing intrapericardical pressure. When the presence of this spill causes tachycardia, hypotension, and elevated pulse paradoxical, central venous pressure, we have a cardiac tamponade. This clinical syndrome requires a timely diagnosis, as it puts lives at risk. The diagnosis is mainly based on two-dimensional echocardiography or M-mode, which displays diastolic collapse of cavities right, occasionally left atrium and left ventricle of rarely. There can be false positives and false negatives by hypovolemia by stiffness of cavities due to hypertrophy and valvular disease, especially aortic insufficiency. The pericardiocentesis is the technique of choice used for the drainage of fluid to be conducted on an urgent or scheduled, according to the patient’s hemodynamic status. We report a case of severe fimic cardiac tamponade.


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