The cause and clinical symptoms of cardiac tamponade and outcomes of pericardiocentesis in the black sea region of Turkey

Abstract

We examined the patients with cardiac tamponade who underwent pericardiocentesis via 2-D Echocardiography to demonstrate etiology and symptoms.Methods: We enrolled 65 consecutive patients, older than 18 that were admitted to the emergency service with thesign of cardiac tamponade in Ondokuz Mayıs University Hospital from May 2012 to April 2020. The cardiac tamponadehas diagnosed via clinical presentation and two-dimensional echocardiography and ıt confirmed by the clinical response after pericardiocentesis.Results: The average age was 66±15 years and 41 patients (63%) patients were female. The mean heart rate 103.8±8.7bpm, systolic blood pressure (BP) was 88.4±9.7 mmHg, diastolic BP was 48.5+11mmHg, average catheter duration was3.6±0.9 days. The most common symptom of patients with cardiac tamponade was dyspnea (69%). The malignancywas the main cause of pericardial tamponade with 25 patients (38%). The 8 of patients (33%) with malignant cardiactamponade associated with Lung Cancer.Conclusion: Malignancy is the most common cause of pericardial effusion and dyspnea is the most common symptom. Our findings demonstrated that Echo-guided by 2D echocardiography is a safe and effective method of pericardiocentesis