Massive Pericardial Effusion in a Case of Acute Pericarditis with Slight ST-Segment Elevation of Short Duration |
| |
| Authors: | Michiyoshi Sone Eiji Tamiya Masahiro Sesoko Tomosato Takabe Akiko Koizumi Yoshio Doi Tatsuji Kanoh Isao Ebihara Hikaru Koide Iwao Okai Haruyo Yamashita Seigen I Shinya Okazaki Eiryu Sai Hiroyuki Daida |
| |
| Affiliation: | 1Department of Cardiology, Koto Hospital, Tokyo, Japan;2Department of Internal Medicine, Koto Hospital, Tokyo, Japan;3Department of Cardiology, Juntendo University Nerima Hospital, Tokyo, Japan;4Juntendo University School of Medicine, Tokyo, Japan |
| |
| Abstract: | We present the case of a 77-year-old woman who suffered from chest pain. Her white blood cell count was 10,200/μL and C-reactive protein level was 5.5 mg/dL. There was no electrocardiogram abnormality up to 5 hours after admission. At 15 hours, slight ST-segment elevation occurred, but this disappeared on day 4. Imaging revealed slight pericardial effusion. Nonsteroidal anti-inflammatory drugs and antibiotics were administered. However, the pericardial effusion, inflammatory response, and bilateral heart failure worsened. Pericardiotomy on day 6 released 350 mL of fluid, and symptoms improved. Viral pericarditis was assumed. Massive pericardial effusion is rare in cases of acute viral pericarditis, as is slight, short-duration ST-segment elevation. |
| |
| Keywords: | Acute pericarditis ST-segment elevation viral pericarditis |
| 本文献已被 PubMed 等数据库收录！ |
|
