Brown Bernard, Offor Rita, Nigussie Bisrat, Graham-Hill Suzette
Internal Medicine, Downstate Health Sciences University, Brooklyn, USA.
Cardiology, Downstate Health Sciences University, Brooklyn, USA.
Cureus. 2024 Jun 23;16(6):e62950. doi: 10.7759/cureus.62950. eCollection 2024 Jun.
Cardiac tamponade is a life-threatening occurrence with an incidence rate of about two out of 1,000 people. It is caused by the rapid accumulation of fluid in the pericardial sac. This can lead to the physical examination findings of tachycardia, hypotension, and elevated jugular venous pressure. Patients with chronic pericardial effusion are at increased risk for cardiac tamponade. We present a case of a patient with chronic, recurrent, malignant pericardial effusion that rapidly evolved to cardiac tamponade several hours from hospital presentation. We attempt to highlight the importance of close monitoring of patients who have recurrent chronic pericardial effusion in hopes of decreasing the number of patients who develop cardiac tamponade physiology.
心脏压塞是一种危及生命的情况，发病率约为千分之二。它是由心包腔内液体迅速积聚引起的。这可导致心动过速、低血压和颈静脉压升高的体格检查结果。慢性心包积液患者发生心脏压塞的风险增加。我们报告一例慢性、复发性、恶性心包积液患者，从入院数小时后迅速发展为心脏压塞。我们试图强调密切监测复发性慢性心包积液患者的重要性，以期减少发生心脏压塞生理状态的患者数量。
