Study of clinico-etiological profile of patients with cardiac tamponade at a tertiary care center
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 6838-6843
AbstractBackground: Accumulation of pericardial fluid (exudate, leaks, or blood) in the pericardial space in a quantity sufficient to cause serious obstruction to the inflow of blood to the ventricles results in cardiac tamponade. Present study was aimed to study clinico-etiological profile of patients with cardiac tamponade at a tertiary care center.
Material and Methods: Present study was single-center, prospective, observational study, conducted in patients with cardiac tamponade diagnosed by clinical and echocardiography criteria and admitted to our hospital.
Results: In present study, total 104 patients were evaluated. Majority of them were from 61-70 years (22.12 %) & from 31-40 years (20.19 %). Male (56.73 %) were outnumbered females (43.27 %). Common symptoms among study subjects noted were dyspnea (92.31 %), fatigue (51.92 %), chest pain (36.54 %) & fever (31.73 %). Clinical signs noted were tachypnea (99.04 %), hypotension (85.58 %), tachycardia (52.88 %), JVP elevated (46.15 %), hypoxia (41.35%). Laboratory findings were anemia (77.88 %) & leukocytosis (33.65 %). Common causes of cardiac Tamponade in present study were malignancy (32.69 %), tuberculosis (25.96 %), idiopathic (10.58 %), post-surgical (7.69 %), hypothyroidism (5.77 %) & post mi (4.81 %), ECG findings noted were sinus tachycardia (55.77 %), low voltage QRS (53.85 %) & electrical alternans (37.50 %). In present study, transthoracic echocardiography findings were RA collapse (81.73 %), IVC plethora (75.96 %), trans mitral flow variation (50 %), swinging heart (46.15 %), RV collapse (41.35 %) & strands in pericardium (29.81 %), On Pericardiocentesis, aspirated fluid quantity among majority cases was 500-1000 ml (58.65 %), followed by <500 ml (20.19 %), 1000-1500 ml (18.27 %) & >1500 ml (2.88 %). Conclusion: Malignancy followed by tuberculosis were most common cause of cardiac tamponade
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