Hemopericardium and Cardiac Tamponade in a Patient with an Elevated International Normalized Ratio

Hemopericardium and Cardiac Tamponade in a Patient with an Elevated International Normalized Ratio

This case report describes a 54-year-old male on warfarin for atrial fibrillation who presented to the emergency department (ED) following a syncopal episode with persistent hypotension. The patient’s International Normalized Ratio (INR) returned elevated at 6.0, and a rapid bedside cardiac ultrasou...

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Bibliographic Details
Main Authors: Levis, Joel T, Delgado, Mucio C
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2009-05-01
Series:Western Journal of Emergency Medicine
Subjects:
hemopericardium
tamponade
anticoagulation
ultrasound
Online Access:http://escholarship.org/uc/item/0n0525k4
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spelling doaj-3bd010d255cf43508677911dff6232e52020-11-24T21:15:26ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182009-05-01102115119Hemopericardium and Cardiac Tamponade in a Patient with an Elevated International Normalized RatioLevis, Joel TDelgado, Mucio CThis case report describes a 54-year-old male on warfarin for atrial fibrillation who presented to the emergency department (ED) following a syncopal episode with persistent hypotension. The patient’s International Normalized Ratio (INR) returned elevated at 6.0, and a rapid bedside cardiac ultrasound revealed a large pericardial effusion consistent with cardiac tamponade. The anticoagulation was reversed and the patient underwent successful pericardiocentesis with removal of 1,100 mL of blood. [WestJEM. 2009;10:115-119.]http://escholarship.org/uc/item/0n0525k4hemopericardiumtamponadeanticoagulationultrasound
collection DOAJ
language English
format Article
sources DOAJ
author Levis, Joel T
Delgado, Mucio C
spellingShingle Levis, Joel T
Delgado, Mucio C
Hemopericardium and Cardiac Tamponade in a Patient with an Elevated International Normalized Ratio
Western Journal of Emergency Medicine
hemopericardium
tamponade
anticoagulation
ultrasound
author_facet Levis, Joel T
Delgado, Mucio C
author_sort Levis, Joel T
title Hemopericardium and Cardiac Tamponade in a Patient with an Elevated International Normalized Ratio
title_short Hemopericardium and Cardiac Tamponade in a Patient with an Elevated International Normalized Ratio
title_full Hemopericardium and Cardiac Tamponade in a Patient with an Elevated International Normalized Ratio
title_fullStr Hemopericardium and Cardiac Tamponade in a Patient with an Elevated International Normalized Ratio
title_full_unstemmed Hemopericardium and Cardiac Tamponade in a Patient with an Elevated International Normalized Ratio
title_sort hemopericardium and cardiac tamponade in a patient with an elevated international normalized ratio
publisher eScholarship Publishing, University of California
series Western Journal of Emergency Medicine
issn 1936-900X
1936-9018
publishDate 2009-05-01
description This case report describes a 54-year-old male on warfarin for atrial fibrillation who presented to the emergency department (ED) following a syncopal episode with persistent hypotension. The patient’s International Normalized Ratio (INR) returned elevated at 6.0, and a rapid bedside cardiac ultrasound revealed a large pericardial effusion consistent with cardiac tamponade. The anticoagulation was reversed and the patient underwent successful pericardiocentesis with removal of 1,100 mL of blood. [WestJEM. 2009;10:115-119.]
topic hemopericardium
tamponade
anticoagulation
ultrasound
url http://escholarship.org/uc/item/0n0525k4
work_keys_str_mv AT levisjoelt hemopericardiumandcardiactamponadeinapatientwithanelevatedinternationalnormalizedratio
AT delgadomucioc hemopericardiumandcardiactamponadeinapatientwithanelevatedinternationalnormalizedratio
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