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(Pericardial effusion)
12,482 results
  • Massive pericardial effusion without cardiac tamponade due to subclinical hypothyroidism (Hashimoto's disease). [Journal Article]
  • RRRural Remote Health 2018; 18(2):4384
  • Papakonstantinou PE, Gourniezakis N, … Gikas A
  • CONCLUSIONS: This was a rare case of an elderly female patient from a rural village with chronic massive pericardial effusion due to subclinical hypothyroidism without cardiac tamponade. Hypothyroidism should be included in the differential diagnosis of pericardial effusion, especially in a case of unexplained pericardial fluid. Initiation of hormone replacement therapy should be personalised in elderly patients. TSH levels >10 mU/L usually require therapy with levothyroxine in order to prevent adverse events. Rural patients usually do not have regular follow-up after the initiation of hormone replacement therapy. Pericardial effusions due to hypothyroidism grow slowly and subclinical hypothyroidism rarely shows signs and symptoms and can be underdiagnosed. The ESC position statement on triage strategy for pericardial diseases is a valuable clinical tool to estimate the necessity for pericardial drainage in such cases.
  • [Fatal cardiac tamponade that developed in the post-anesthesia care unit: a rare complication after lung lobectomy]. [Journal Article]
  • RBRev Bras Anestesiol 2018 May 15
  • Lee HM, Jeon YJ, … Kim MH
  • CONCLUSIONS: Since cardiac tamponade is generally not suspected as a cause of hemodynamic instability after a lung lobectomy, as it was in this case, a misdiagnosis of the patient's condition may have led to improper management resulting in death. As anesthesiologists are often involved in the initial resuscitation of morbid patients in Post-Anesthesia Care Units, their acquaintance with various postoperative complications and competence in echocardiography for assessing cardiac problems may contribute to patient survival.
  • Polyserositis: a diagnostic challenge. [Journal Article]
  • IMIntern Med J 2018 May 14
  • Losada I, Moreno JG, … Payeras A
  • Polyserositis (PS) is the inflammation, with effusion, of different serous membranes. It has been associated with different aetiologiesbut the aetiology of PS remains unknown in a high percentage of ...
  • Conservative management of nivolumab-induced pericardial effusion: a case report and review of literature. [Journal Article]
  • EHExp Hematol Oncol 2018; 7:11
  • Shaheen S, Mirshahidi H, … Hsueh CT
  • CONCLUSIONS: With increasing use of immune checkpoint inhibitors, clinicians need to be aware of the unusual immune-related adverse events in order to provide timely management and effective patient care. To our knowledge, this is the first reported case of immune-related pericardial effusion from nivolumab successfully managed with high-dose corticosteroids. Furthermore, recurrent pericardial effusion was prevented by using low-dose corticosteroids as maintenance in order for patient to continue nivolumab treatment.
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