derrame pericárdico y taponamiento cardiaco

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ID: 246679
2017
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Abstract
Resumen: El derrame pericárdico es la acumulación de más de 50 ml de líquido en el espacio pericárdico. La etiología es muy diversa ya que puede ser de causa idiopática o deberse a enfermedades primarias del pericardio, como las pericarditis de cualquier etiología, o por enfermedades sistémicas como el infarto agudo de miocardio y la rotura cardiaca contenida; o por cirugía cardiaca, hemorragia intrapericárdica, enfermedades metabólicas, transudación serosa (anasarca) y quilopericardio, entre otras. El estudio diagnóstico del derrame pericárdico siempre debe guiarse por la epidemiología local y requiere alta sospecha clínica. Cuando el derrame pericárdico se complica con taponamiento cardiaco, constituye una emergencia médica que requiere identificación e intervención inmediatas. Se exponen cuatro casos de pacientes con derrame pericárdico asociado a tuberculosis, mixedema, uremia y lupus, quienes desarrollaron taponamiento cardiaco. Abstract: Pericardial effusion is defined as the accumulation of more than 50 ml of fluid in the pericardiac space. Its origin is very diverse since it can be an idiopathic cause or be due to primary diseases of the pericardium, such as pericarditis of any origin. It can also be due to systemic diseases, such as acute myocardial infarction and contained cardiac rupture, as well as due to heart surgery, intra-pericardiac haemorrhage, metabolic diseases, serous transudation (anasarca), and chylopericardium, among others. The diagnostic work-up of pericardial effusion must always be guided by the local epidemiology, and requires a high clinical suspicion. When the pericardial effusion is complicated by cardiac tamponade, it constitutes a medical emergency that requires immediate identification and treatment.Four cases are presented on patients with pericardiac effusions associated with tuberculosis, myxoedema, uraemia, and lupus, and who developed cardiac tamponade. Palabras clave: Pericardio, Pericarditis, Taponamiento cardiaco, Ecocardiografía, Corazón, Keywords: Pericardium, Pericarditis, Cardiac tamponade, Echocardiography, Heart
Reference Key
navarro-ulloa2017revistaderrame Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Orlando D. Navarro-Ulloa;Ariel Bello-Espinosa;Diana Borré-Naranjo;Rosángela Ramírez Barranco;Orlando Sarmiento Agámez;Cindy Arteta-Acosta
Journal applied clay science
Year 2017
DOI
DOI not found
URL
http://www.sciencedirect.com/science/article/pii/S0120563317300785
Keywords
Diseases of the circulatory (Cardiovascular) system

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