Transient acute left ventricular dysfunction post-pericardiocentesis for cardiac tamponade

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• 作者：Chong Yu Edwin Sng ; MD ; ^{edwin.sng@mohh.com.sg" class="auth_mail" title="E-mail the corresponding author} ; Choong Hou Koh ; MD ; Aileen Mae Lomarda ; MD ; Swee Yaw Tan ; MD
• 关键词：Pericardiocentesis ; Left ventricular dysfunction ; Left ventricular failure ; Pulmonary edema ; Cardiac tamponade
• 刊名：Journal of Cardiology Cases
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：12
• 期：4
• 页码：133-137
• 全文大小：1300 K

文摘

A rare but serious complication of pericardiocentesis is the development of transient left ventricular dysfunction. In this report, we present a case of a 65-year-old male patient with cardiac tamponade who suffered from acute left ventricular heart failure post-pericardiocentesis.

<Learning objective: Acute left ventricular dysfunction is a rare but serious complication of pericardiocentesis. However, there is lack of existing guidelines on pericardial fluid drainage and monitoring post-pericardiocentesis. To minimize the risk of the development of acute left ventricular dysfunction, the authors propose that every pericardiocentesis should be guided by predetermined parameters, e.g. rate of drainage, while taking into account each patient's physical profile.>