A Case of Pericardial Effusion after Acute Myocardial Infarction

Young Hwan Kwon

doi:10.46246/KJAsEM.220007

Article Tools

CrossRef [1]
View[385]
Download[258]

Article

Case Report

급성 심근경색증 후 심낭 삼출 판정 사례

A Case of Pericardial Effusion after Acute Myocardial Infarction

권영환

대한항공 항공의료센터

Young Hwan Kwon

, M.D.

Aeromedical Center, Korean Air, Seoul, Korea

Correspondence to:

Young Hwan Kwon
Aeromedical Center, Korean Air, 260 Haneul-gil, Gangseo-gu, Seoul 07505, Korea
Tel: +82-2-2656-7150
Fax: +82-2-2656-8848
E-mail: kumcim@naver.comc.kr

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

Abstract

Go to

Abstract
References

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.

Keywords

ST elevation myocardial infarction, Pericardial effusion, Pilots, Physical examination

References

Go to

Abstract
References

Gueret P, Khalife K, Jobic Y, Fillipi E, Isaaz K, Tassan-Mangina S, et al.; Study Investigators. Echocardiographic assessment of the incidence of mechanical complications during the early phase of myocardial infarction in the reperfusion era: a French multicentre prospective registry. Arch Cardiovasc Dis 2008;101:41-47. https://doi.org/10.1016/s1875-2136(08)70254-7
Agrawal A, Zabad MN, Dayanand S, Lygouris G, Witzke C. Pericardium: the forgotten space during acute myocardial infarction. J Emerg Med 2018;55:e85-e91. https://doi.org/10.1016/j.jemermed.2018.07.013
Permanyer-Miralda G. Acute pericardial disease: approach to the aetiologic diagnosis. Heart 2004;90:252-4. https://doi.org/10.1136/hrt.2003.024802
Maisch B, Seferović PM, Ristić AD, Erbel R, Rienmüller R, Adler Y, et al.; Task Force on the Diagnosis and Management of Pricardial Diseases of the European Society of Cardiology. Guidelines on the diagnosis and management of pericardial diseases executive summary; the Task Force on the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology. Eur Heart J 2004;25:587-610. https://doi.org/10.1016/j.ehj.2004.02.002
Jansen EW, Vincent JG, Fast JH, Tavilla G. Treatment of pericardial effusion. J Thorac Cardiovasc Surg 1986;91:795-797.
Colombo A, Olson HG, Egan J, Gardin JM. Etiology and prognostic implications of a large pericardial effusion in men. Clin Cardiol 1988;11:389-394. https://doi.org/10.1002/clc.4960110606
Kim TS, Lee SK, Shin KY, Choi WK, Kim JS. The clinical study on 28 patients with the pericardiac effusion. Korean Circ J 1981;11:11-22.
Kim DY, Park JH, Shin JD, Kim BS, Lee HJ, Kim JH, et al. Long-term follow-up results and clinical manifestations of patients with a moderate to large amount of pericardial effusion. Korean J Med 2008;74:154-161.
Kwon YH. Comparison of aviation medical standards in pilots with coronary heart disease between Korea and other countries. Korean J Aerosp Environ Med 2010;20:43-52.
International Civil Aviation Organization (ICAO). Manual of civil aviation medicine. 3rd ed. Montréal: ICAO; 2012.
Federal Aviation Administration. Guide for aviation medical examiners [Internet]. Washington, D.C.: Federal Aviation Administration; Year [updated 2022 Mar 30; cited 2022 Mar 31]. Available from: www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/.