RT Journal Article
T1 Cause and Long-Term Outcome of Cardiac Tamponade
A1 Sánchez Enrique, Cristina
A1 Nuñez Gil, Iván J.
A1 Viana Tejedor, Ana Teresa
A1 De Agustín Loeches, José Alberto
A1 Vivas Balcones, Luis David
A1 Palacios Rubio, Julián
A1 Vilchez, Jean Paul
A1 Cecconi, Alberto
A1 Macaya Miguel, Carlos
A1 Fernández Ortiz, Antonio Ignacio
AB Cardiac tamponade is a life-threatening condition, whose current specific cause and outcome are unknown. Our purpose was to analyze it. We performed a retrospective observational study with prospective follow-up data including 136 consecutive patients admitted with diagnosis of cardiac tamponade, from 2003 to 2013. We thoroughly recorded variables as clinical features, drainage/pericardiocentesis, fluid characteristics, and long-term events (new cardiac tamponade ± death). The median age was 65 ± 17 years (55% men). In the baseline characteristics, 70% were no smokers, 12% were on anticoagulation, and 13 had suffered a previous myocardial infarction. In the preceding month, 15 patients had undergone a cardiac catheterization, 5 cardiac surgery, and 5 pacemaker insertion. Fever was observed in 16% of patients and 21% displayed other inflammatory symptoms. In 81% of patients, pericardiocentesis was needed. The fluid was hemorrhagic or a transudate in the majority, with positive cytology in 15% and bacteria in 3.7%. Main causes were malignancy (32%), infection (24%), idiopathic (16%), iatrogenic (15%), postmyocardial infarction (7%), uremic (4%), and other causes (2%). After a maximum follow-up of 10.4 years, cardiac tamponade recurred in 10% of the cases (62% in the neoplastic group) and the 48% of patients died (89% in the neoplastic cohort). In conclusion, most cardiac tamponades are due to malignancy, having this specific cause a poorer outcome, probably as a manifestation of an advanced disease. The rest of causes, after an aggressive intensive management, have a good prognosis, especially the iatrogenic.
PB Elsevier
SN 0002-9149
YR 2015
FD 2015-12-07
LK https://hdl.handle.net/20.500.14352/133634
UL https://hdl.handle.net/20.500.14352/133634
LA eng
NO Sánchez-Enrique, C., Nuñez-Gil, I. J., Viana-Tejedor, A., De Agustín, A., Vivas, D., Palacios-Rubio, J., Vilchez, J. P., Cecconi, A., Macaya, C., & Fernández-Ortiz, A. (2016). Cause and Long-Term Outcome of Cardiac Tamponade. The American journal of cardiology, 117(4), 664–669. https://doi.org/10.1016/j.amjcard.2015.11.023
DS Docta Complutense
RD 18 mar 2026