Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center and Department of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Curr Cardiol Rep. 2023 Sep;25(9):1003-1014. doi: 10.1007/s11886-023-01920-8. Epub 2023 Jul 29.
The objective of this manuscript is to examine up-to-date approaches to the diagnosis and treatment of pericardial effusions and cardiac tamponade.
Recent recommendations from the American Society of Echocardiography and the European Society of Cardiology have improved our management of the patient with pericardial effusion and cardiac tamponade, but significant knowledge gaps remain. Novel diagnostic and triage strategies have been suggested, and recent information have improved our facility to assess the presence and size of a pericardial effusion, assess its hemodynamic impact, and determine its cause. Despite these recent findings, there is a scarcity of evidence-based data to direct the management of pericardial effusion and cardiac tamponade. While the first-line function of echocardiography in managing these disorders is undisputed, there are increasingly niche functions for multimodality imaging.
本文旨在探讨心包积液和心脏压塞的最新诊断和治疗方法。
美国超声心动图学会和欧洲心脏病学会的最新建议改善了我们对心包积液和心脏压塞患者的管理，但仍存在重大知识空白。提出了新的诊断和分诊策略，最近的信息提高了我们评估心包积液存在和大小、评估其血流动力学影响以及确定其病因的能力。尽管有这些最新发现，但指导心包积液和心脏压塞管理的循证数据仍然匮乏。虽然超声心动图在管理这些疾病方面的一线作用是毋庸置疑的，但多模式成像的应用范围越来越广。
