Ma, Tony S.;
Hayes, Teresa G.;
Levine, Glenn N.;
Carabello, Blase A.
Malignant Pleural/Pericardial Effusion with Tamponade and Life-Threatening Reversible Myocardial Depression in a Case of an Initial Presentation of Lung Adenocarcinoma
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Media type:
E-Article
Title:
Malignant Pleural/Pericardial Effusion with Tamponade and Life-Threatening Reversible Myocardial Depression in a Case of an Initial Presentation of Lung Adenocarcinoma
Contributor:
Ma, Tony S.;
Hayes, Teresa G.;
Levine, Glenn N.;
Carabello, Blase A.
Published:
S. Karger AG, 2006
Published in:
Cardiology, 105 (2006) 1, Seite 30-33
Language:
English
DOI:
10.1159/000088344
ISSN:
1421-9751;
0008-6312
Origination:
Footnote:
Description:
We present a case of a middle-aged woman in cardiac tamponade. Following pericardiocentesis that removed 1,500 ml of hemorrhagic fluid, the patient exhibited cardiogenic shock; LVEF, at its nadir, on inotrope, was less than 20%. Ventricular function slowly improved, with inotropic support, to the normal range by the 25th day of hospitalization. Cardiac failure in malignancy has often been attributed to multi-system failure; this case showed a hereto unrecognized clinical phenomenon – ‘malignancy-associated myopericarditis’. While the direct link of cause and effect cannot be made with certainty, the case should be instructive to other clinicians who encounter similar life-threatening presentations of cardiac decompensation in malignancy.