El tratamiento debe ser individualizado, estando determinado por el tipo de pericarditis. Frecuencia cardiaca FC : 51 latidos por minuto lpm. Sin signos de insuficiencia cardiaca. Abdomen anodino. Extremidades inferiores sin edemas ECG: Ritmo sinusal. QRS con voltaje aumentado.
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Mayo Clin Proc. Pericardial disease: diagnosis and management. Comment in Mayo Clin Proc. Pericardial diseases can present clinically as acute pericarditis, pericardial effusion, cardiac tamponade, and constrictive pericarditis.
Patients can subsequently develop chronic or recurrent pericarditis. Structural abnormalities including congenitally absent pericardium and pericardial cysts are usually asymptomatic and are uncommon.
Clinicians are often faced with several diagnostic and management questions relating to the various pericardial syndromes: What are the diagnostic criteria for the vast array of pericardial diseases? Which diagnostic tools should be used? Who requires hospitalization and who can be treated as an outpatient? Which medical management strategies have the best evidence base? When should corticosteroids be used? When should surgical pericardiectomy be considered? To identify relevant literature, we searched PubMed and MEDLINE using the keywords diagnosis, treatment, management, acute pericarditis, relapsing or recurrent pericarditis, pericardial effusion, cardiac tamponade, constrictive pericarditis, and restrictive cardiomyopathy.
Studies were selected on the basis of clinical relevance and the impact on clinical practice. This review represents the currently available evidence and the experiences from the pericardial clinic at our institution to help guide the clinician in answering difficult diagnostic and management questions on pericardial diseases.
Enfermedades del pericardio / grandes vasos
Akinom Differentiation from an epicardial fat pad and a left pleural effusion, which have similar sonographic appearances, relies on the recognition of the anatomical boundaries of the fluid collection in question; pleural effusions are bounded anteriorly by the descending aorta, and a fat pad will be seen most prominently in the atrioventricular groove. The selection of the articles was the responsibility of two evaluators and, in case of discrepancies, a third evaluator was consulted. However, due to complex pericardial anatomy and fluid being able to pool in the pericardial recesses this relationship is not exact and it may be better to report volume in more general terms Case 1 Case 1. The parasternal long axis and subcostal four chamber views are dderrame favored for inspection of the pericardial space.
Manual de Ecocardiografía Básica