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Pericardiocentesis

…the only absolute indication, and always urgent. A large pericardial effusion with symptoms despite medical treatment. Diagnostic drainage in suspected purulent pericarditis, tuberculosis or malignancy…

Cardiac Tamponade: Recognition and Pericardiocentesis

…Patients may obtain relief by sitting forward. Other symptoms depend on the extent of reduction in cardiac output and arterial pressure and may include: Chest…

Pericarditis, myocarditis & perimyocarditis: ECG, criteria & treatment

…However, it is often difficult to differentiate pericarditis and myocarditis, and they tend to accompany each other. Therefore, the term perimyocarditis is often used in…

Pericardial Effusion & Cardiac tamponade

…exudate). Often pericardial effusion is detected randomly (for example, in CT, MRI, echocardiography). In other cases, the effusion is detected under more dramatic circumstances, as…

Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

ECG Genetic and miscellaneous conditions Eletrical alternans: an ECG sign of pericardial effusion and cardiac tamponade The pericardial space (cavity) always contains a small amount…

ECG parameters

…40 ms Left atrial enlargement Low voltage QRS < 5 mm in the limb leads or < 10 mm in the chest leads Pericardial effusion…

Joint aspiration

…Examine the joint, locate the effusion and mark the puncture site with a pen or an indentation from a fingernail before cleaning the skin. 2…

Pleural aspiration and chest drain

…puncture site Relative Mechanical ventilation with a high PEEP (an increased risk of pneumothorax; ultrasound guidance is mandatory) Relative A very small or loculated effusion…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…Type A IMH may cause: Aortic regurgitation Haemopericardium or pericardial effusion Aortic rupture Proximal aortic complications Malperfusion and pulse deficits are less common in type…

Post-Infarction Pericarditis and Dressler Syndrome

…effusion Pericardial pain is often sharp and pleuritic. It may worsen with inspiration, coughing, lying supine, or swallowing and typically improves when the patient sits…

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