Çilingiroğlu Mehmet, Akkuş Nuri, Sethi Salil, Modi Kalgi A
University of Pittsburgh Heart and Vascular Institute, Pittsburgh, USA.
Turk Kardiyol Dern Ars. 2012 Apr;40(3):255-8. doi: 10.5543/tkda.2012.63904.
A 53-year-old male admitted with increased shortness of breath. In the physical examination, he had dyspnea, tachycardia and tachypnea. An echocardiogram showed large pericardial effusion (PE) as well as significant pulmonary hypertension. He had been started recently on minoxidil for blood pressure control. PE was reported to occur with minoxidil treatment both in patients undergoing dialysis and those with normal renal function. Pulmonary hypertension has been reported to affect the cardiac tamponade physiology. Because of significant pulmonary hypertension in our patient, a right heart catheterization was also done, which prevented cardiac tamponade. He was treated conservatively without any intervention, and PE resolved spontaneously after discontinuation of minoxidil.
一名53岁男性因呼吸急促加重入院。体格检查发现他有呼吸困难、心动过速和呼吸急促。超声心动图显示大量心包积液（PE）以及严重的肺动脉高压。他最近开始服用米诺地尔来控制血压。据报道，接受透析的患者和肾功能正常的患者在使用米诺地尔治疗时都会出现PE。据报道，肺动脉高压会影响心脏压塞的生理过程。由于我们的患者存在严重的肺动脉高压，还进行了右心导管检查，从而预防了心脏压塞。他接受了保守治疗，未进行任何干预，停用米诺地尔后PE自行消退。
