급성 심근경색증 후 심낭 삼출 판정 사례
A Case of Pericardial Effusion after Acute Myocardial Infarction
Aeromedical Center, Korean Air, Seoul, KoreaCorrespondence to:
Received: April 7, 2022; Accepted: April 12, 2022
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Korean J Aerosp Environ Med 2022; 32(1): 34-36
Published April 30, 2022 https://doi.org/10.46246/KJAsEM.220007
Copyright © Aerospace Medical Association of Korea.
Pericardial effusion and subsequent cardiac tamponade are recognized as infrequent complications of a ST-elevation myocardial infarction (STEMI) causing hemodynamic instability. The cause of pericarditis is mostly idiopathic which makes up around 90% of cases. Other causes are infections caused by viruses, bacteria or tuberculosis. Other causes could include neoplasms, a connective tissue disorder, renal failure, post-myocardial infarction (also known as Dressler syndrome), open heart surgery (also known as the postpericardiotomy syndrome) and drugs. Acute myocardial infarction is a significant cause of the pilot incapacitation. Pericardial effusion after treatment for acute myocardial infarction is a factor that worsens the prognosis. I present the case of a pilot with a STEMI which was treated with primary percutaneous coronary intervention (PCI) to proximal left circumflex artery. After PCI, the pilot went on to develop pericardial effusion with tamponade.
ST elevation myocardial infarction, Pericardial effusion, Pilots, Physical examination
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