Spontaneous pericardial tamponade during PTCA.

Howlett, J G; Teskey, R J; O'Neill, B J

Howlett, J G; Teskey, R J; O'Neill, B J.

Afiliación

Howlett JG; Department of Medicine, Victoria General Hospital, Dalhousie University, Halifax, Nova Scotia.

Can J Cardiol ; 11(10): 927-30, 1995 Nov.

Article en En | MEDLINE | ID: mdl-7489532

RESUMEN

A case of acute hemorrhagic pericardial tamponade complicating a successful percutaneous transluminal coronary angioplasty (PTCA) is described, in the setting of rheumatoid arthritis (with no evidence of prior or concomitant pericarditis), large doses of intravenous heparin administration and a relatively high activated clotting time. There was no evidence of coronary artery rupture and there was no recent use of other anticoagulants or thrombolytic agents. Successful treatment comprised emergency pericardial drainage and intravenous protamine sulphate. The authors believe this to be the first reported case of acute hemorrhagic pericardial tamponade due solely to heparin administration. The possibility of acute hemorrhage of a rheumatoid nodule was considered but subsequent magnetic resonance imaging scan with contrast gadolinium was normal.

Asunto(s)

Angioplastia Coronaria con Balón; Taponamiento Cardíaco/etiología; Artritis Reumatoide/complicaciones; Taponamiento Cardíaco/terapia; Heparina/administración & dosificación; Heparina/efectos adversos; Humanos; Infusiones Intravenosas; Masculino; Persona de Mediana Edad

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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Taponamiento Cardíaco / Angioplastia Coronaria con Balón Límite: Humans / Male / Middle aged Idioma: En Revista: Can J Cardiol Asunto de la revista: CARDIOLOGIA Año: 1995 Tipo del documento: Article Pais de publicación: Reino Unido

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