Hemopericardium

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Hemopericardium
SpecialtyEmergency medicine Edit this on Wikidata

Hemopericardium refers to blood in the pericardial sac of the heart. It is clinically similar to a pericardial effusion, and, depending on the volume and rapidity with which it develops, may cause cardiac tamponade.[1]

The condition can be caused by full-thickness

anticoagulants.[3][4] Other causes include ruptured aneurysm of sinus of Valsalva and other aneurysms of the aortic arch.[5]

Hemopericardium can be diagnosed with a chest X-ray or a chest ultrasound, and is most commonly treated with pericardiocentesis.[6] While hemopericardium itself is not deadly, it can lead to cardiac tamponade, a condition that is fatal if left untreated.[6]

Symptoms and signs

Symptoms of hemopericardium often include difficulty breathing, abnormally rapid breathing, and fatigue, each of which can be a sign of a serious medical condition not limited to hemopericardium.[6] In many cases, patients also report feeling chest pressure and have an abnormally elevated heart rate.[7]

Cause

Hemopericardium has been reported to result from various afflictions including

anticoagulants.[6] Patients should be made aware of this fact when prescribed these drugs.[citation needed
]

Mechanism

Hemopericardium is a condition that affects the

There have also been cases reported in which hemopericardium was noted as an initial manifestation of essential thrombocythemia.[7]

Diagnosis

Hemopericardium can be diagnosed using

jugular venous distension, low blood pressure, and pulsus paradoxus.[6]

Treatment

When discovered, hemopericardium is usually treated by

anticoagulants, must be addressed as well so that the hemopericardium does not return.[citation needed
]

While hemopericardium itself is not fatal, it may lead to

Research

Gross pathology of hemopericardium, with clotted blood surrounding the heart (in this case appearing yellow due to epicardial fat).

Studies have shown that hemopericardium can occur spontaneously in people with

anticoagulants.[6] Regardless of the underlying cause of the hemopericardium, pericardiocentesis has shown to be the best treatment method for the condition.[6][7]

References

  1. ^ "Forensic Pathology".
  2. PMID 10882282
    .
  3. .
  4. .
  5. ^ Gray's Anatomy, 1902 ed.[page needed]
  6. ^
    PMID 19561832
    .
  7. ^ .
  8. ^ Cardiac Tamponade at eMedicine

External links