Naslov
LARGE PERICARDIAL EFFUSION- WHEN TO USE THE NEEDLE, WHEN TO USE THE KNIFE?

Autori
Babić, Zdravko ; Nikolić Heitzler, Vjeran ; Bulj, Nikola ; Pintarić, Hrvoje ; Manola, Šime ; Planinc, Danijel ; Mihatov, Šime.

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, ostalo

Skup
Alpe Adria Cardiology Meeting

Mjesto i datum
Balatonfüred, Mađarska, 2003

Vrsta sudjelovanja
Poster

Vrsta recenzije
Nije recenziran

Ključne riječi
Pericardial effusion; therapy

Sažetak
The hemodinamically unstable pericardial effusion with the echocardiographic signs of variously expressed right ventricular diastolic collapse and clinical instability is a rare condition. Autors review prospectively collected data, especially about therapy, from 20 patients with this condition hospitalized between May 15th 2002 and March 12th 2003 in Coronary Care Unit, University Hospital "Sestre milosrdnice", Zagreb, Croatia. Echocardiography is a golden standard in the confirmation of pericardial effusion, especially hemodinamically unstable with signs of threatening tamponade or tamponade and in therapy determination. Anti-infalammatory agents, especially nonsteroidal (particulary indomethacin), are the the most frequently recommended drugs in the treatment of pericardial effusion in literature as well as among the investigated patients. The use of other agents (acetylsalicylic acid, antibiotics etc.) depends on the causes of the disease. Pericardiocenthesis guided by chest X-rays (in four patients) and pericardial surgical resection (in two patients)are methods also used in the diagnosis and therapy of patients in this study. Five of six patients treated with these invasive procedures in this study had neoplasms as an etiological factor of their pericardial effusion, but these methods are methods of choice in all patients with cardiac tamponade or suspected purulent pericarditis or in case of failure of conservative therapy. In conclusion, routine pericardial drainage procedures sholuld be avoided in patients with large pericardial effusion without tamponade or suspected purulent pericarditis and also in those where no clear therapeutic benefits can be expected. In such patients the benefits from this potentially life-threatening procedure are lower in comparison with danger of potential complications.

Izvorni jezik
Engleski

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