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Related to Pericardial effusion: pericarditis
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In conclusion, PMPM should be included in the differential diagnosis of large pericardial effusions and cardiac tamponade and should be suspected in cases of refractory pericardial effusion despite appropriate anti-inflammatory treatment.
The evaluation should be organized and directed depending on the clinical situation and should include: left ventricular function to rule out myocardial dysfunction, volume responsiveness to evaluate hypovolemia, pericardial effusion for cardiac tamponade, dilation of the right ventricle for pulmonary embolism, and pulmonary ultrasound to rule out pneumothorax, hemothorax, and pulmonary edema.
Bedside echocardiography is one of the gold standard investigations to diagnose pericardial effusion with cardiac tamponade.
Whenever pericardial masses are encountered, the amount of pericardial effusion and any evidence of tamponade effect should be reported.
Dressler's syndrome, which is also known as post-myocardial infarction (MI) syndrome, typically presents weeks to months after MI as pleuritic chest pain with a pericardial rub, elevated inflammatory markers, typical EKG changes (diffuse ST-segment elevation and PR-segment depression), and pericardial effusion.
The next day, echocardiography revealed a moderate volume of pericardial effusion that did not appear to be causing significant tamponade (Fig 2).
Structural emergencies include superior vena cava syndrome (SVCS), epidural spinal cord compression, and malignant pericardial effusion.
There was moderate volume pericardial effusion raising strong suspicion of leak (Fig-
The main echocardiographic findings in patients with LVFWR are pericardial effusion and intrapericardial echoes; occasionally, we will find a right-heart collapse or the actual tear itself.