Cardiac Tamponade Physiology Caused by Large Pleural Effusion as a Manifestation of Myxedema Coma

CHEST Journal ◽  
2015 ◽  
Vol 148 (4) ◽  
pp. 256A
Author(s):  
Monia Werlang ◽  
Jose Valery ◽  
Jose Diaz-Gomez
Keyword(s):  
Pleural Effusion ◽  
Cardiac Tamponade ◽  
Myxedema Coma

scholarly journals Pacemaker-Associated Post-cardiac Injury Syndrome Presenting with Tamponade and Recurrent Pleural Effusion

2020 ◽  
Vol 13 ◽  
pp. 117954762096555
Author(s):  
Young Ju Lee ◽  
Mahmood Mubasher ◽  
Abir Zainal ◽  
Tausif Syed ◽  
Mouhand F.H. Mohamed ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Cardiac Tamponade ◽  
Cardiac Injury ◽  
Pleural Effusions ◽  
Talc Pleurodesis ◽  
Immune Mediated ◽  
Pacemaker Insertion ◽  
Recurrent Pleural Effusion

Post-cardiac injury syndrome (PCIS) is presumed to be an immune-mediated process. It affects the pericardium and, to a lesser extent, the epicardium, myocardium, and pleura. It has been rarely reported following pacemaker insertion with an estimated incidence of 1% to 2%. We present the case of a 62-year-old female who developed PCIS 8 weeks following pacemaker insertion. She presented with impending cardiac tamponade requiring pericardiocentesis; recurrent pleural effusions subsequently complicated her condition. The pleural effusion recurred despite trials of steroids, eventually requiring talc pleurodesis. This case highlights the need to consider PCIS as a possible etiology of recurrent pleural effusion following pacemaker insertion.

TAMPONADE TO TAP OR NOT: PLEURAL EFFUSION CAUSING CARDIAC TAMPONADE

2019 ◽  
Vol 73 (9) ◽  
pp. 2362
Author(s):  
Heajung Nguyen ◽  
Kamran Shamsa ◽  
Gabriel Vorobiof ◽  
Leeyen Hsu ◽  
Tao He ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Cardiac Tamponade

Cardiac Tamponade - A Hypothyroidism Associated Emergency: A Report of 2 Cases

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Tripathi S ◽  
◽  
Sharma JB ◽  
Vijayvergia P ◽  
Khichar S ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pericardial Effusion ◽  
Cardiac Tamponade ◽  
Young Female ◽  
Medical Emergency ◽  
Myxedema Coma ◽  
First Case ◽  
History Of ◽  
Medical Emergencies ◽  
Recurrent Pericardial Effusion

Pericardial effusion in commonly seen in-patient with hypothyroidism but effusion large enough to cause cardiac tamponade is not a common presenting feature whereas myxedema coma is a commonly defined medical emergency in-patient with hypothyroidism. We report 2 cases of hypothyroid associated medical emergencies. First case is a young female with history of recurrent pericardial effusion presenting to the emergency department with cardiac tamponade and later on diagnosed as having hypothyroidism. The second patient is a known case of hypothyroidism non-compliant to thyroid supplement and presented with lethargy, fatigue, decreased talking and breathlessness who was later diagnosed as having myxedema coma and impending cardiac tamponade. Both the patient required percutaneous pericardiocentesis and improved with medical management.

Pulmonary nocardiosis presenting with cardiac tamponade and bilateral pleural effusion in a HIV patient

2009 ◽  
Vol 39 (3) ◽  
pp. 184-186 ◽  
Author(s):  
U K Chandrashekar ◽  
Vasudeva Acharya ◽  
N C Gnanadev ◽  
George K Varghese ◽  
Kiran Chawla
Keyword(s):  
Pleural Effusion ◽  
Cardiac Tamponade ◽  
Bilateral Pleural Effusion ◽  
Pulmonary Nocardiosis
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