Early cardiac tamponade of acute myocardial infarction after percutaneous coronary intervention:case reports and literature review
FENG Si-ting
ZENG Yu-jie
QIN Xiu-chuan
WU Xi
Abstract：Objective To early detect and promptly manage cardiac tamponade in acute myocardial infarction patients underwent intervention management; therefore to avoid the incidence of sudden death.Methods The retrospective case analysis was performed in 4 clinical cases.Results The patients with severe cardiac tamponade showed systolic pressure decreased 20-30 mm Hg(1 mm Hg =0.133 kPa) heart rate increased 10-20 beats/min; ultrasonic cardiogram in 2-12 hours indicated emerging 3-5 mm deep of effusion around right atrium and diastole collapse in right atrium or right ventricle.Conclusion After excluding the other reasons of hypotension,the patients undergoing intervention management with evidence of clinical and ultrasonic cardiogram should suspend anticoagulation and promptly perform pericardiocentesis and fenestration pericardium.
Keywords：Myocardial infarctionPericardial effusionAngioplasty,balloon,coronary
Publication Date：2013-11-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 1533-1535 )