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Hemorrhagic Cardiac Tamponade—An Unusual Threat in the COVID-19 Recovery Phase
Cardiac tamponade is a rare presentation in patients with COVID-19, which may be induced by the associated exacerbated inflammatory response. The onset of cardiac tamponade may be concomitant with the acute phase of the disease or may develop subsequently as a new health condition secondary to the d...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9864000/ https://www.ncbi.nlm.nih.gov/pubmed/36676627 http://dx.doi.org/10.3390/medicina59010003 |
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author | Ungureanu, Raluca Cobilinschi, Cristian Cotae, Ana-Maria Darie, Raluca Tincu, Radu Constantinescu, Sorin Avram, Oana Moldovan, Horatiu Grintescu, Ioana Marina Mirea, Liliana |
author_facet | Ungureanu, Raluca Cobilinschi, Cristian Cotae, Ana-Maria Darie, Raluca Tincu, Radu Constantinescu, Sorin Avram, Oana Moldovan, Horatiu Grintescu, Ioana Marina Mirea, Liliana |
author_sort | Ungureanu, Raluca |
collection | PubMed |
description | Cardiac tamponade is a rare presentation in patients with COVID-19, which may be induced by the associated exacerbated inflammatory response. The onset of cardiac tamponade may be concomitant with the acute phase of the disease or may develop subsequently as a new health condition secondary to the disease. We report four cases of cardiac tamponade that occurred late after the acute phase of the disease. One of them may be considered a post-acute complication of the disease, and three of them may be classified as a new health condition induced by COVID-19. Only two cases had a history of severe respiratory distress due to COVID-19. In all four cases, pericardiocentesis was imposed, and surprisingly, in every case, hemorrhagic fluid was evacuated. In this case, series, immune-mediated etiology is supported by histopathological results, where the main identified feature was fibrous pericarditis with inflammatory infiltrate. Only one patient included in this report died, and three of them were discharged after anti-inflammatory treatment was initiated. |
format | Online Article Text |
id | pubmed-9864000 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-98640002023-01-22 Hemorrhagic Cardiac Tamponade—An Unusual Threat in the COVID-19 Recovery Phase Ungureanu, Raluca Cobilinschi, Cristian Cotae, Ana-Maria Darie, Raluca Tincu, Radu Constantinescu, Sorin Avram, Oana Moldovan, Horatiu Grintescu, Ioana Marina Mirea, Liliana Medicina (Kaunas) Article Cardiac tamponade is a rare presentation in patients with COVID-19, which may be induced by the associated exacerbated inflammatory response. The onset of cardiac tamponade may be concomitant with the acute phase of the disease or may develop subsequently as a new health condition secondary to the disease. We report four cases of cardiac tamponade that occurred late after the acute phase of the disease. One of them may be considered a post-acute complication of the disease, and three of them may be classified as a new health condition induced by COVID-19. Only two cases had a history of severe respiratory distress due to COVID-19. In all four cases, pericardiocentesis was imposed, and surprisingly, in every case, hemorrhagic fluid was evacuated. In this case, series, immune-mediated etiology is supported by histopathological results, where the main identified feature was fibrous pericarditis with inflammatory infiltrate. Only one patient included in this report died, and three of them were discharged after anti-inflammatory treatment was initiated. MDPI 2022-12-20 /pmc/articles/PMC9864000/ /pubmed/36676627 http://dx.doi.org/10.3390/medicina59010003 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Ungureanu, Raluca Cobilinschi, Cristian Cotae, Ana-Maria Darie, Raluca Tincu, Radu Constantinescu, Sorin Avram, Oana Moldovan, Horatiu Grintescu, Ioana Marina Mirea, Liliana Hemorrhagic Cardiac Tamponade—An Unusual Threat in the COVID-19 Recovery Phase |
title | Hemorrhagic Cardiac Tamponade—An Unusual Threat in the COVID-19 Recovery Phase |
title_full | Hemorrhagic Cardiac Tamponade—An Unusual Threat in the COVID-19 Recovery Phase |
title_fullStr | Hemorrhagic Cardiac Tamponade—An Unusual Threat in the COVID-19 Recovery Phase |
title_full_unstemmed | Hemorrhagic Cardiac Tamponade—An Unusual Threat in the COVID-19 Recovery Phase |
title_short | Hemorrhagic Cardiac Tamponade—An Unusual Threat in the COVID-19 Recovery Phase |
title_sort | hemorrhagic cardiac tamponade—an unusual threat in the covid-19 recovery phase |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9864000/ https://www.ncbi.nlm.nih.gov/pubmed/36676627 http://dx.doi.org/10.3390/medicina59010003 |
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