Hemopericardium | |
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Specialty | Emergency medicine |
Hemopericardium refers to blood in the pericardial sac of the heart. It is clinically similar to a pericardial effusion, and, depending on the volume and rapidity with which it develops, may cause cardiac tamponade.[1]
The condition can be caused by full-thickness necrosis (death) of the myocardium (heart muscle) after myocardial infarction, chest trauma,[2] and by over-prescription of anticoagulants.[3][4] Other causes include ruptured aneurysm of sinus of Valsalva and other aneurysms of the aortic arch.[5]
Hemopericardium can be diagnosed with a chest X-ray or a chest ultrasound, and is most commonly treated with pericardiocentesis.[6] While hemopericardium itself is not deadly, it can lead to cardiac tamponade, a condition that is fatal if left untreated.[6]
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