A case report of ventricular dysfunction post pericardiocentesis: stress cardiomyopathy or pericardial decompression syndrome?

Ayoub, Chadi; Chang, Michael; Kritharides, Leonard

doi:10.1186/s12947-015-0026-3

Table 1 Summary of reported cases of LVF post pericardiocentesis: Clinical characteristics

From: A case report of ventricular dysfunction post pericardiocentesis: stress cardiomyopathy or pericardial decompression syndrome?

Report	Age/Gender	Clinical Scenario	Chronicity of effusion	Type of pericardi-ocentesis	Nature of pericardial fluid	Fluid drained	Time to onset of symptoms	Symptom	Signs
VanDyke (1983) [5]	42 M	Unwell for 10 days	Days	P	Exudate (malignant)	680 mls	Minutes	Dyspnoea	LVF
Shenoy (1984) [22]	57 M	Recent myocardial infarction	Days	P	Transudate	1000 mls	Minutes	Dyspnoea	LVF
Glasser (1988) [23]	33 M	Respiratory tract infection 3 months prior, history of Down’s and Ventricular Septal Defect	Weeks	S	Transudate	2000 mls	Minutes	Dyspnoea	LVF
Downey (1991) [24]	50 M	Traumatic (3 weeks post motor vehicle accident)	Weeks	P	Not specified	450 mls then 1500 mls	Minutes	Dyspnoea	LVF
Wolfe (1993) [19]	46 F	2 weeks, history of breast cancer prior	Weeks	P	Exudate	650 mls	Weeks	Dyspnoea	LVF
Wolfe (1993) [19]	50 F	2 weeks, history of breast cancer prior	Weeks	P	Exudate	650 mls	Weeks	Dyspnoea	LVF
Hamaya (1993) [25]	16 F	Unwell, lymphoma with pericardial effusion for 3 years	Months	P	Not specified	700 mls	Weeks	Dyspnoea	CS, and no APO
Braverman (1994) [26]	27 F	Unwell for 3 weeks (Atrial Septal Defect closure 13 years prior)	Weeks	P then S	Transudate	500 mls then 100 mls	Days	Dyspnoea, pleuritic chest pain	LVF, RVF, CS
Anguera (1996) [27]	68 F	History of bowel cancer, anorexia and dyspnoea for 1 month	Weeks	P	Malignant	800 mls	Minutes	-	CS
Sunday (1999) [8]	60 F	3 days of dyspnoea, lung cancer with pericardial involvement	Days	S	Exudate	700 mls	Minutes	Dyspnoea	CS, LVF
Chamoun (2003) [6]	36 F	2 months post Mitral valve replacement and Tricuspid repair	Days	P	Exudate	1070 mls	Hours	Dyspnoea	CS, LVF
Chamoun (2003) [6]	46 F	Metastatic cancer	Weeks	P	Exudate	1000 mls	Hours	Dyspnoea	CS, LVF
Geffroy (2004) [7]	53 M	1 month post chemotherapy for cancer	Weeks	S	Exudate	1500 mls	Not specified	Dyspnoea, hypoxia	CS, LVF, RVF
Ligero (2006) [20]	41 F	Lung cancer with hepatic metastases	Days	P	Exudate	1000 mls	Hours	Dyspnoea	LVF, RHF
Bernal (2007) [28]	45 F	Acute myeloid leukemia	Days	P	Exudate	500 mls	Hours	Dyspnoea	CS, LVF
Dosios (2007) [9]	66 F	Hematoma, 10 day history of dyspnoea	Days	S	Exudate	500 mls initially	Hours	-	CS
Sevimli (2008) [17]	42 F	Infective - tuberculous pericarditis	Days	S	Exudate	500 mls	Hours	Dyspnoea	CS and LVF
Khalili (2008) [29]	32 F	2 months post aortic and mitral valve replacement surgery	Weeks	P	Transudate	1000 mls	Hours	Dyspnoea	CS
Flores (2009) [30]	80 M	Unwell for weeks, multiple myeloma, stent 2 weeks prior	Weeks	P	Transudate	1200mls	Days	Dyspnoea	CS and LVF
Karamichalis (2009) [31]	19 F	2 months post motor vehicle accident	Weeks	P	Exudate	1600 mls	Hours	Dyspnoea	LVF
Lee (2010) [18]	14 M	Infective – tuberculous pericarditis	Days	P	Exudate	Not specified	Hours	Dyspnoea	CS, LVF
Lim (2011) [32]	44 F	Hypothyroidism related heart failure. Dyspnoea and fatigue for 4 months	Weeks	S	Exudate	1.3L	9 h	-	CS
Abdelsalam (2012) [10]	65 F	Stage IV Non small cell lung cancer for 6 months, 1 week of dyspnoea	Weeks	S	Malignant	Complete drainage of pericardial effusion intraoperatively	Seconds	Asystole during surgery	CS
Weijers (2013) [11]	69 F	Weight loss and dyspnoea	-	P	-	800 mls	6 h	-	LVF
Liang (2014) [1]	56 F	Polymyositis. Progressive dyspnoea on exertion	-	P	-	275 mls initially, with ongoing drain	Several hours	Pleuritic chest pain	Nil
Versaci (2015) [16]	78 F	3 months post mitral valve repair	Days	P	Possibly transudate	500 mls	Hours	Dyspnoea	LVF

Abbreviations: P percutaneous, S surgical, CS cardiogenic shock (hypotension, tachycardia), LVF Left heart failure, RVF right heart failure

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ISSN: 1476-7120

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