Nair Rahul, Zuo Jonathan, Shiloh Ariel L
Division of Critical Care Medicine, Department of Medicine, Montefiore Medical Center/Albert Einstein College of Medicine Bronx, NY USA.
Albert Einstein College of Medicine Bronx, NY USA.
POCUS J. 2023 Nov 27;8(2):124-125. doi: 10.24908/pocus.v8i2.16595. eCollection 2023.
Serial point of care ultrasound (POCUS) exams are essential to assess acute pericardial effusions which can rapidly evolve into cardiac tamponade. A typical presentation includes dyspnea, tachycardia, and chest pain. Importantly, serial cardiac exams in such high-risk patients can detect other concurrent pathologies. We present an unusual case of a patient who initially presented with an acute circumferential pericardial effusion and upon serial POCUS exams developed an unexpected Takotsubo cardiomyopathy in the setting of cardiac tamponade.
连续床旁超声心动图（POCUS）检查对于评估急性心包积液至关重要，急性心包积液可迅速发展为心脏压塞。典型表现包括呼吸困难、心动过速和胸痛。重要的是，对此类高危患者进行连续心脏检查可发现其他并发疾病。我们报告一例不寻常病例，该患者最初表现为急性环形心包积液，在连续POCUS检查过程中，在心脏压塞的情况下出现了意想不到的应激性心肌病。
