Spontaneous Cardiac Tamponade
Correspondence Address :
LCDR Darshan Thota, MC,
Department of Emergency Medicine
Received on: October 04, 2017, Accepted on: October 25, 2017, Published on: November 02, 2017
Citation: Darshan Thota (2017). Spontaneous Cardiac Tamponade
Copyright: 2017 Darshan Thota. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Cardiac tamponade can be a life threatening cause of chest pain. Left untreated it can lead to obstructive shock, impaired forward flow, and cardiopulmonary arrest. This dreaded condition can also occur outside of the setting of trauma. A 25 year old Active Duty male with a recent diagnosis of systemic lupus erythematosus (SLE) presented to the emergency department for a chief complaint of chest pain for 2 days. The bedside ultrasound revealed a large pericardial effusion with beat to beat compression of the right ventricle (trampoline sign). Since the patient was hemodynamically stable, he was treated with IV fluids and was transferred for pericardiocentesis where 2 liters of blood was removed from the pericardium. Traditionally thought of as a diagnosis seen in trauma, cardiac tamponade can occur in young patients with underlying autoimmune disease. It is important for emergency medicine physicians to have a high index of suspicion and a low threshold to perform a beside ultrasound in order to diagnose and intervene upon cardiac tamponade.
Keywords: Cardiac, Tamponade, Spontaneous, Lupus, Autoimmune