¨O tamponamento cardíaco, uma emergência médica que pode ser fatal. Os sinais de tamponamento cardíaco incluem hipotensão, distensão venosa jugular, abafamento de bulhas, pulso paradoxal, alterações do segmento ST e baixa voltagem do complexo QRS no eletrocardiograma, bem como dispneia. A distensão de veia jugular sugere uma etiologia cardiogênica ou obstrutiva e não hipovolêmica ou distributiva da hipotensão no tamponamento cardíaco. Esses sinais nem sempre podem estar presentes e são inespecíficos, imitam outras condições e complicam o diagnóstico. O diagnóstico incorreto pode levar à morte devido ao adiamento de tratamentos cruciais como a pericardiocentese e a janela pericárdica. Portanto, uma abordagem sistêmica para o diagnóstico é necessária para avaliar de forma rápida e precisa a hipotensão refratária. Muitas vezes a retirada de 20 ml 50 ml de sangue do pericárdio, por punção, reverte ao quadro de tamponamento.¨
■ Tamponamento cardíaco fatal desencadeado na sala de recuperação pós-anestésica: uma complicação rara após lobectomia pulmonar.
Lee, Hyung Mook et al.
Rev. Bras. Anestesiol., Nov 2018, vol.68, no.6, p.633-636
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942018000600633&lng=pt&nrm=iso&tlng=pt (portuguese)
■ Tamponamento cardíaco: uma complicação rara da cateterização venosa central – relato de um caso clínico
Azevedo, Ana Catarina et al.
Rev. Bras. Anestesiol., Feb 2018, vol.68, no.1, p.104-108
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942018000100104&lng=pt&nrm=iso&tlng=pt (portuguese)
■ Cardiac tamponade after radiofrequency ablation for hepatocellular carcinoma: case report and literature review
Min-Woo Chung, Sang-Yoon Ha, Jung-Ho Choi et al
Medicine (Baltimore) 2018 Dec; 97(49): e13532.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310525/
■ A rare case of spontaneous cardiac tamponade induced by concomitant use of rivaroxaban and amiodarone
Oreoluwa Oladiran, Jared Segal, Ifeanyi Nwosu, Salik Nazir
Case Rep Cardiol. 2018; 2018: 1650716
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109521/
■ Cardiac tamponade from purulent pericarditis due to Cutibacterium acnes
Ardalon Farhat-Sabet, Robert Hull, Dustin Thomas
Case Rep Cardiol. 2018; 2018: 4739830
https://www.hindawi.com/journals/cric/2018/4739830/
■ Cardiac tamponade induced by dabrafenib and trametinib combination therapy for melanoma: case report
Vinita Ruth Sundaram, Tahir Abbas
Medicine (Baltimore) 2018 Nov; 97(44): e12751
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221704/
■ Large pericardial cyst presenting as acute cough: a rare case report
Michael Makar, Gabriel Makar, Kerolos Yousef
Case Rep Cardiol. 2018; 2018: 4796903
https://www.hindawi.com/journals/cric/2018/4796903/
■ Hemopericardium and cardiac tamponade secondary to migrated inferior vena cava filter
Jeet J. Mehta, Benjamin DeMarco, John P. Vavalle et al
Case Rep Cardiol. 2018; 2018: 5919767
https://www.hindawi.com/journals/cric/2018/5919767/
■ Tamponamento cardíaco por cateter central de inserção periférica em prematuros: papel da ultrassonografia à beira do leito e abordagem terapêutica
Barreiros, Livia Lopes et al.
Rev. Col. Bras. Cir., 2018, vol.45, no.3
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000300157&lng=en&nrm=iso&tlng=pt (portuguese)
■ Bortezomib-induced cardiac tamponade in a 49-year-old man
Taylor Burkhart, Matthew Cody Lee Keith, Carrie Ann Geisberg Lenneman, Rajeev Ruben Fernando
Tex Heart Inst J. 2018 Aug; 45(4): 260–263
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6183647/
■ Chronic type A aortic dissection: rare presentation of incidental pericardial effusion
Ashraf Abugroun, Ahmed Subahi, Safwan Gaznabi, Hussein Daoud
Case Rep Cardiol. 2019; 2019: 3562871
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6525833/
■ Cocaine-induced pneumopericardium safe for discharge? A case report and literature review
Xavier Galloo, Jan Stroobants, David Yeo, Esmael El-Abdellati
Case Rep Cardiol. 2019; 2019: 4107815
https://www.hindawi.com/journals/cric/2019/4107815/
■ A rare case of pericardial effusion in a patient with silicosis
Kosuke Saku, Keisuke Yamamoto, Hironori Inoue, Masahiro Ueno
Case Rep Cardiol. 2019; 2019: 5068580
https://www.hindawi.com/journals/cric/2019/5068580/
■ Acute cardiac tamponade secondary to ruptured pericardial cyst: case report and literature review
Bashar S. Amr, Tarun Dalia, Ashley Simmons
J Cardiol Cases. 2018 Aug; 18(2): 43–46
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149598/
■ Emergency room thoracotomy for acute traumatic cardiac tamponade caused by a blunt cardiac injury: a case report
Kenichiro Ishida, Yoshihiro Kinoshita, Nobutaka Iwasa et al
Int J Surg Case Rep. 2017; 35: 21–24.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5397131/
■ Hemorrhagic cardiac tamponade complicated by acute type A aortic dissection: a case report with critical care ultrasound findings
Rui Guo, Yan-mei Feng, Dong Wan
Medicine (Baltimore) 2017 Dec; 96(49): e8773.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728849/
■ Dypnoea normal B-type natriuretic peptide level: Don´t miss cardiac tamponade! A case report
Mohamad Jihad Mansour, Wael A AlJaroudi, Omar M Hamoui, Elie J Chammas
Eur Heart J Case Rep. 2017 Aug; 1(1): ytx00
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176875/
■ Improved hyponatremia after perical drainage in patient suffering from cardiac tamponade
Bor-Hsin Jong, Cheng-Chun Wei, Kou-Gi Shyu
BMC Cardiovasc Disord. 2016; 16: 135
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4902898/
■ Rare purulent cardiac tamponade caused by Streptococcus Constellatus in a young immunoconpetente patient: case report and review of the literature
Zakaria Hindi
Am J Case Rep. 2016; 17: 855–859
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5113858/
■ Cardiac tamponade as the initial presentation of systemic lupus erythematosus: a case report and review of the literarature
Satish S Maharaj, Simone M Chang
Pediatr Rheumatol Online J. 2015; 13: 9.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4369869/
■ SLE or hypothyroidism: Who can triumph in cardiac tamponade?
Sameer Sadashiv Chaudhari, Kashmira Pramod Wankhedkar, Savi Mushiyev
BMJ Case Rep. 2015; 2015: bcr2014206095
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4368996/
■ Case report: cardiac tamponade resembling an acute myocardial infarction as the initial manifestation of metastatic pericardial adenocarcinom
S A Scheinin, J Sosa-Herrera
Methodist Debakey Cardiovasc J 2014, vol 10 (2): 124-128
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4117332/
■ Cardiac tamponade as the first manifestation of systemic lupus erythematosus in children
Mariam Toufic Arabi, Eliane Malek Malek, Mohamad Haissam Fares et al
BMJ Case Rep. 2012; 2012: bcr2012006927
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4544286/
■ Tamponamento cardíaco causado por cateter central de inserção periférica em recém-nascido
Dornaus, Maria Fernanda Pellegrino da Silva et al.
Einstein (São Paulo), Sept 2011, vol.9, no.3, p.391-393
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082011000300391&lng=pt&nrm=iso&tlng=pt (portuguese)
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082011000300391&lng=pt&nrm=iso&tlng=e (english)
■Dr Paulo Fernando Leite
Cardiologia/Prevenção Cardiovascular
Estratificação de Risco Cardiovascular
Novo endereço:
Consultório: Rua Padre Rolim 815/sala 601
Tel: 33245518 (Consulta Particular/Unimed)
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Belo Horizonte/MG/Brasil
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Email: pfleite1873@gmail.com