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cardiac tamponade guidelines

James Milne, Paul Atkinson, David Lewis, Jacqueline Fraser, Laura Diegelmann, Paul Olszynski, Melanie Stander, Hein Lamprecht
INTRODUCTION: Point of care ultrasound (PoCUS) has become an established tool in the initial management of patients with undifferentiated hypotension. Current established protocols (RUSH and ACES) were developed by expert user opinion, rather than objective, prospective data. PoCUS also provides invaluable information during resuscitation efforts in cardiac arrest by determining presence/absence of cardiac activity and identifying reversible causes such as pericardial tamponade. There is no agreed guideline on how to safely and effectively incorporate PoCUS into the advanced cardiac life support (ACLS) algorithm...
2016: Curēus
Alexander Levitov, Heidi L Frankel, Michael Blaivas, Andrew W Kirkpatrick, Erik Su, David Evans, Douglas T Summerfield, Anthony Slonim, Raoul Breitkreutz, Susanna Price, Matthew McLaughlin, Paul E Marik, Mahmoud Elbarbary
OBJECTIVE: To establish evidence-based guidelines for the use of bedside cardiac ultrasound, echocardiography, in the ICU and equivalent care sites. METHODS: Grading of Recommendations, Assessment, Development and Evaluation system was used to rank the "levels" of quality of evidence into high (A), moderate (B), or low (C) and to determine the "strength" of recommendations as either strong (strength class 1) or conditional/weak (strength class 2), thus generating six "grades" of recommendations (1A-1B-1C-2A-2B-2C)...
June 2016: Critical Care Medicine
Saad Ahmad, Hina K Jamali, Fahad Waqar, David M Harris
Cardiac tamponade is a common and often life-threatening process, which is typically associated with a pericardial effusion or, in rare cases, with a large pleural effusion. Theoretically, as reported in only a single prior case, it can be caused by extrinsic compression from tense ascites. We present a case in which dynamic inferior wall collapse was secondary to increased abdominal pressure from tense ascites. This phenomenon may be more common than previously diagnosed, especially in patients with liver disease...
2016: Cardiology
Guy Van Camp, Agnes Pasquet, Peter Sinnaeve, Georges H Mairesse, Michel De Pauw, Marc J Claeys
No abstract text is available yet for this article.
February 2016: Acta Cardiologica
Yehuda Adler, Philippe Charron, Massimo Imazio, Luigi Badano, Gonzalo Baron-Esquivias, Jan Bogaert, Antonio Brucato, Pascal Gueret, Karin Klingel, Christos Lionis, Bernhard Maisch, Bongani Mayosi, Alain Pavie, Arsen D Ristic, Manel Sabaté Tenas, Petar Seferovic, Karl Swedberg, Witold Tomkowski
No abstract text is available yet for this article.
December 2015: Giornale Italiano di Cardiologia
Eric J Lavonas, Ian R Drennan, Andrea Gabrielli, Alan C Heffner, Christopher O Hoyte, Aaron M Orkin, Kelly N Sawyer, Michael W Donnino
No abstract text is available yet for this article.
November 3, 2015: Circulation
Nang Mo Kham, Mingchen Song
Bleeding is the most feared complication of anticoagulants. Rivaroxaban is a newer oral anticoagulant with a favorable regimen due to lack of frequent blood monitoring and fewer drug interactions. We report a case of spontaneous pericardial hemorrhage associated with rivaroxaban. Within 10 days of starting rivaroxaban for atrial fibrillation, the patient developed a life-threatening cardiac tamponade leading to shock and multiorgan failure. After urgent pericardiocentesis/drainage, the patient recovered. This case highlights the necessity of larger clinical trials and consensus guideline on monitoring the effects of novel oral anticoagulants and development of an antidote for reversal in cases of major bleeding events...
July 2016: American Journal of Therapeutics
Massimo Imazio, George Lazaros, Elisa Picardi, Panagiotis Vasileiou, Fabrizio Orlando, Mara Carraro, Dimitris Tsiachris, Charalambos Vlachopoulos, George Georgiopoulos, Dimitrios Tousoulis, Riccardo Belli, Fiorenzo Gaita
OBJECTIVE: Data on the incidence of new onset atrial fibrillation and flutter (AF/f) in patients with acute pericarditis are limited. We sought to determine the incidence and prognostic significance of AF/f in this setting. METHODS: Between January 2006 and June 2014, consecutive new cases of acute pericarditis were included in two urban referral centres for pericardial diseases. All new cases of AF/f defined as episodes lasting ≥30 s were recorded. Events considered during follow-up consisted of AF/f and pericarditis recurrence, cardiac tamponade, pericardial constriction and death...
September 2015: Heart: Official Journal of the British Cardiac Society
Sameer Gafoor, Margarita Sirotina, Mirko Doss, Jennifer Franke, Kerstin Piayda, Simon Lam, Stefan Bertog, Laura Vaskelyte, Ilona Hofmann, Horst Sievert
OBJECTIVES: To describe the feasibility and safety of transcatheter aortic valve implantation (TAVI) with a visiting on-site cardiac surgery program for surgical back-up. BACKGROUND: Both European and American guidelines recommend institutional cardiac surgery back-up for TAVI. However, the conversion to cardiac surgery is very rare, many complications of TAVI can be managed by catheter techniques and a visiting team can also provide surgical stand-by. Therefore, the need for institutional cardiac surgery (by a surgeon who routinely performs conventional surgical valve replacement at the institution performing TAVI) has been questioned...
February 2015: Journal of Interventional Cardiology
Massimo Imazio, Yehuda Adler, Arsen D Ristić, Philippe Charron
Prompt recognition of cardiac tamponade is critical since the underlying hemodynamic disorder can lead to death if not resolved by percutaneous or surgical drainage of the pericardium. Nevertheless, the management of cardiac tamponade can be challenging because of the lack of the validated criteria for the risk stratification that should guide clinicians in the decision-making process. The Working Group on Myocardial and Pericardial Diseases issued this position statement in order to reply to specific questions: Which patients need immediate drainage of the pericardial effusion?; Is echocardiography sufficient for guidance of pericardiocentesis or should patient be taken to the cardiac catheterization laboratory?; Who should be transferred to specialized/tertiary institution or surgical service?; What type of medical support is necessary during transportation? Current European guidelines published in 2004 do not cover these issues and no additional guidelines are available from major medical and cardiology societies...
March 2015: Expert Review of Cardiovascular Therapy
Óscar Cano, Ana Andrés, Rebeca Jiménez, Joaquín Osca, Pau Alonso, Ydelise Rodríguez, María-José Sancho-Tello, José Olagüe, José E Castro, Antonio Salvador, Luis Martínez-Dolz
BACKGROUND: A wide variability in the perioperative management of oral anticoagulation (OAC) has been documented in patients receiving cardiac rhythm management devices (CRMDs). We sought to evaluate the safety and feasibility of a new perioperative strategy consisting in systematically continuing OAC in all patients irrespective of their individual thromboembolic (TE) risk. METHODS: A total of 278 consecutive patients on chronic OAC receiving CRMDs were prospectively included...
June 2015: Pacing and Clinical Electrophysiology: PACE
B Maisch, A D Ristić
This article describes the diagnostics, differential diagnostics, multimodal imaging, medicinal and invasive diagnostic therapy of acute and chronic pericarditis, constrictive pericarditis, pericardial effusion and cardiac tamponade under etiological aspects and on the basis of the guidelines of the European Society of Cardiology (ESC). The starting point of the decision tree is the symptomatic patient with echocardiographic evidence of pericardial effusion. The principle feature of the diagnostics is the etiopathogenetic allocation of the pericardial disease which influences the clinical picture, course therapy and prognosis...
November 2014: Herz
Punita Kaveti, Avantika Chenna, Ujwala Gunnal, Saurabh Khurana, Marshaleen Herniques-Forsythe
SESSION TITLE: Pulmonary Vascular Disease Student/Resident Case Report Posters IISESSION TYPE: Medical Student/Resident Case ReportPRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PMINTRODUCTION: Inferior vena cava filter (IVCF) placement is recommended to prevent pulmonary embolism (PE) in patients with acute proximal deep vein thrombosis (DVT) who have contraindication to anticoagulation (1). The advent of retrievable filters has significantly increased the use of IVCFs over past three decade...
October 1, 2014: Chest
Bernard Cosyns, Sven Plein, Petros Nihoyanopoulos, Otto Smiseth, Stephan Achenbach, Maria Joao Andrade, Mauro Pepi, Arsen Ristic, Massimo Imazio, Bernard Paelinck, Patrizio Lancellotti
Although pericardial diseases are common in the daily clinical practice and can result in a significant morbidity and mortality, imaging of patients with suspected or known pericardial disorders remain challenging. Multimodality imaging is part of the management of pericardial diseases. Echocardiography, cardiac computed tomography, and cardiovascular magnetic resonance are often used as complementary imaging modalities. The choice of one or multiple imaging modalities is driven by the clinical context or conditions of the patient...
January 2015: European Heart Journal Cardiovascular Imaging
Anna M Czarnecka, Pawel Sobczuk, Fei Lian, Cezary Szczylik
BACKGROUND: Cardiac metastases from renal cell carcinoma without vena caval involvement are extremely rare with a limited number of cases reported in the worldwide literature until now. Nevertheless, this rare location of metastasis may significantly influence patient treatment and prognosis. Cooperation between oncology, cardiology, and urology teams are indispensable in cases of patients suffering from intramyocardial tumors. For these individuals, treatment guidelines based on large-scale studies are unavailable and only case/case series analysis may provide clinicians with decision assistance...
2014: BMC Urology
Meral Ekim, Hasan Ekim
OBJECTIVES: Purulent pericarditis is a collection of purulent effusion in the pericardial space. It has become a rare entity with the increased availability and use of antibiotics. In contrast to pleural empyema, there are few data regarding the biochemical parameters of purulent pericardial effusion to aid diagnosis. Therefore, in this study, we have evaluated the diagnostic utility of biochemical tests in patients with purulent pericarditis. METHODS: Between September 2004 and September 2012, we treated fifteen children with purulent pericarditis and tamponade...
July 2014: Pakistan Journal of Medical Sciences Quarterly
Laurent M Haegeli, Hugh Calkins
Catheter ablation of atrial fibrillation (AF) is now an important therapeutic modality for patients with AF. There is considerable evidence available from several prospective randomized trials demonstrating that catheter ablation of AF is superior to antiarrhythmic drug therapy in controlling AF and that AF ablation improves quality of life substantially. This is especially true for patients with paroxysmal AF without other severe comorbidities. Catheter ablation is indicated for treatment of patients with symptomatic AF in whom one or more attempts at class 1 or 3 antiarrhythmic drug therapy have failed...
September 21, 2014: European Heart Journal
Arsen D Ristić, Massimo Imazio, Yehuda Adler, Aristides Anastasakis, Luigi P Badano, Antonio Brucato, Alida L P Caforio, Olivier Dubourg, Perry Elliott, Juan Gimeno, Tiina Helio, Karin Klingel, Aleš Linhart, Bernhard Maisch, Bongani Mayosi, Jens Mogensen, Yigal Pinto, Hubert Seggewiss, Petar M Seferović, Luigi Tavazzi, Witold Tomkowski, Philippe Charron
No abstract text is available yet for this article.
September 7, 2014: European Heart Journal
Peiman Nazerian, Simone Vanni, Matteo Castelli, Fulvio Morello, Camilla Tozzetti, Giovanni Zagli, Giuseppe Giannazzo, Ruben Vergara, Stefano Grifoni
Type A aortic dissection (AD) is a deadly disease. Rapid identification of patients requiring immediate advanced aortic imaging or transfer to specialized centers is needed to improve outcomes. We evaluated the diagnostic performance of transthoracic focus cardiac ultrasound (FOCUS) performed by emergency physicians, alone and in combination with the aortic dissection detection (ADD) risk score in suspected type A AD. This was a prospective study performed on patients with suspected type A AD. FOCUS evaluated the presence of intimal flap/intramural hematoma (direct signs of AD), ascending aorta dilatation, aortic valve insufficiency or pericardial effusion/tamponade (indirect signs of AD)...
September 2014: Internal and Emergency Medicine
Cheryl Herrmann
Cardiac arrest in the immediate postoperative recovery period in a patient who underwent cardiac surgery is typically related to reversible causes-tamponade, bleeding, ventricular arrhythmias, or heart blocks associated with conduction problems. When treated promptly, 17% to 79% of patients who experience cardiac arrest after cardiac surgery survive to discharge. The Cardiac Advanced Life Support-Surgical (CALS-S) guideline provides a standardized algorithm approach to resuscitation of patients who experience cardiac arrest after cardiac surgery...
April 2014: AACN Advanced Critical Care
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