Hemopericardium and Cardiac Tamponade in a Patient with an Elevated International Normalized Ratio
نویسندگان
چکیده
This case report describes a 54-year-old male on warfarin for atrial fibrillation who presented to the emergency department (ED) following a syncopal episode with persistent hypotension. The patient's International Normalized Ratio (INR) returned elevated at 6.0, and a rapid bedside cardiac ultrasound revealed a large pericardial effusion consistent with cardiac tamponade. The anticoagulation was reversed and the patient underwent successful pericardiocentesis with removal of 1,100 mL of blood.
منابع مشابه
Hemopericardium and Cardiac Tamponade in a Patient Treated with Dabigatran Etexilate.
Dabigatran etexilate is one of the new oral anticoagulants approved to reduce the risk of stroke in patients with atrial fibrillation (AF). A variety of bleeding complications with dabigatran have been reported, but reports of hemopericardium are rare. We described a case of a 66 year-old female patient with non-valvular AF receiving dabigatran etexilate 150 mg twice daily for one year who suff...
متن کاملSpontaneous Hemopericardium Leading to Cardiac Tamponade in a Patient with Essential Thrombocythemia
Acute cardiac tamponade requires urgent diagnosis and treatment. Spontaneous hemopericardium leading to cardiac tamponade as an initial manifestation of essential thrombocythemia (ET) has never been reported in the literature. We report a case of a 72-year-old Caucasian female who presented with spontaneous hemopericardium and tamponade requiring emergent pericardiocentesis. The patient was sub...
متن کاملDelayed cardiac tamponade in a patient with previous minor blunt chest trauma.
Hemopericardium with cardiac tamponade after non-penetrating chest trauma is a very rare but life-threatening condition. If this complication develops after an interval of several weeks following the non-penetrating chest trauma, the causal relation with the traumatic event is less evident, which may delay proper diagnosis and adequate treatment. We describe diagnosing and therapeutic managemen...
متن کاملUnexpected Cardiac Arrest due to Extrapericardial Tamponade: Beware of Hemomediastinum!
Cardiac tamponade resulting from hemopericardium after a thoracic trauma is a relatively common occurrence. We report on 2 cases of extrapericardial cardiac tamponade, a condition that is definitely less common although potentially life threatening. Both patients underwent sternotomic cardiac decompression and were transferred to ICU: the first patient died of neurological damage, the second pa...
متن کاملA case Report of Cardiac Hydatid Cyst found during an Emergent Tamponade Surgery in an Unstable Patient
Cardiac hydatid cysts are uncommon and pericardial involvement is extremely uncommon. We report a rare case of a cardiac hydatid cyst that was surprisingly found during an emergent tamponade surgery in a woman. She was pale, febrile, ill and toxic and 300cc turbid and purulent fluid was drained. In taking history, it was found that the patient had six sheep dogs in her house. Laboratory analys...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 10 شماره
صفحات -
تاریخ انتشار 2009