TY - JOUR
T1 - The Hemodynamics Before and After Aspiration of Pericardial Effusion
AU - Ejiri, Nariaki
AU - Tanosaki, Ryuji
AU - Kurosaka, Yu
AU - Ueda, Toshihiko
AU - Hayashi, Ikuo
AU - Yamada, Hiroyuki
AU - Yanai, Noboru
AU - Karasawa, Kazuo
PY - 1990
Y1 - 1990
N2 - We studied the hemodynamics in 5 patients before and after aspiration of pericardial effusion, (three cases with chronic effusive pericarditis, one case with acute pericardits and cardiac tamponade, one case with myxoedema) Pulsus paradoxus (Δsyst; 2∼18 mmHg) and %Δsyst (Δsyst/expiratory systolic pressure) correlated well with the clinical severity. Percentage change in cardiac index (ΔCI) was also correlated to Δsyst and Δsyst. Intrapericardial pressure in moderate to severe cases was higher than that of the mild cases. We conclude that pulsus paradoxus can be used to estimate the level of hemodynamic embarrassment resulting from pericardial effusion.
AB - We studied the hemodynamics in 5 patients before and after aspiration of pericardial effusion, (three cases with chronic effusive pericarditis, one case with acute pericardits and cardiac tamponade, one case with myxoedema) Pulsus paradoxus (Δsyst; 2∼18 mmHg) and %Δsyst (Δsyst/expiratory systolic pressure) correlated well with the clinical severity. Percentage change in cardiac index (ΔCI) was also correlated to Δsyst and Δsyst. Intrapericardial pressure in moderate to severe cases was higher than that of the mild cases. We conclude that pulsus paradoxus can be used to estimate the level of hemodynamic embarrassment resulting from pericardial effusion.
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U2 - 10.11261/iryo1946.44.44
DO - 10.11261/iryo1946.44.44
M3 - Article
AN - SCOPUS:85004332431
VL - 44
SP - 44
EP - 47
JO - IRYO - Japanese Journal of National Medical Services
JF - IRYO - Japanese Journal of National Medical Services
SN - 0021-1699
IS - 1
ER -