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- W2767994833 abstract "espanolResumen Se define como derrame pericardico a la existencia no fisiologica de liquido en el saco pericardico. Cuando el aumento de la presion intrapericardica impide el llenado efectivo de las cavidades cardiacas se alcanza la grave situacion hemodinamica de taponamiento cardiaco. En nuestro medio, la principal causa de derrame pericardico es la idiopatica. El taponamiento cardiaco puede desarrollarse ante un derrame pericardico de cualquier origen. Los sintomas asociados al derrame pericardico son secundarios a la compresion mecanica de las estructuras vecinas. Los principales signos clinicos que puede presentar un paciente con taponamiento cardiaco son: taquicardia, hipotension arterial, aumento de la presion venosa yugular, ruidos cardiacos disminuidos y pulso paradojico. La ecocardiografia transtoracica es la prueba diagnostica de primera eleccion en ambas entidades. El tratamiento del derrame pericardico depende de la etiologia del mismo. Se recomienda el drenaje del liquido pericardico urgente mediante pericardiocentesis percutanea o drenaje quirurgico para tratar el taponamiento cardiaco. EnglishAbstract Pericardial effusion is defined as the non-physiological presence of fluid in the pericardial sac. When increased intrapericardial pressure restricts the effective filling of the heart cavities this causes the serious haemodynamic situation of cardiac tamponade. In our environment, the principal cause of pericardial effusion is idiopathic. Cardiac taponade can develop in the event of a pericardial effusion of any origin. The symptoms associated with pericardial effusion are secondary to mechanical compression of the neighbouring structures. The main clinical signs that a patient with cardiac taponade can present are tachycardia, arterial hypotension, increased jugular vein pressure, diminished heart sounds and pulsus paradoxus. Transthoracic echocardiogram is the diagnostic test of choice for both conditions. Treatment of pericardial effusion depends on its aetiology. Emergency drainage of the pericardial fluid is recommended by means of percutaneous pericardiocentesis or surgical drainage to treat the cardiac taponade." @default.
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- W2767994833 date "2017-11-01" @default.
- W2767994833 modified "2023-10-17" @default.
- W2767994833 title "Derrame pericárdico. Taponamiento cardíaco" @default.
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- W2767994833 doi "https://doi.org/10.1016/j.med.2017.10.021" @default.
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