References

kpccz

Комплексные проблемы сердечно-сосудистых заболеваний

Complex Issues of Cardiovascular Diseases

2306-12782587-9537

Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”

10.17802/2306-1278-2021-10-2-102-112

kpccz-862

Research Article

АНАЛИТИЧЕСКИЙ ОБЗОР. Сердечно-сосудистая хирургия. Анестезиология и реаниматология

REVIEW. Cardiovascular surgery. Intensive care

Диагностика и лечение тампонады сердца

Diagnosis and treatment of heart tamponade (a literature review)

https://orcid.org/0000-0001-8475-4667

Евтушенко

А. В.

Evtushenko

A. V.

Евтушенко Алексей Валерьевич - доктор медицинских наук заведующий лабораторией пороков сердца отдела хирургии сердца и сосудов.

Сосновый бульвар, 6, Кемерово, 650002.

Evtushenko Aleksey V. - Ph.D., Head of the Laboratory of Valvular Heart Disease, Department of Heart and Vessel Surgery, Research Institute for Complex Issues of Cardiovascular Diseases.

6, Sosonoviy Blvd., Kemerovo, 650002.

https://orcid.org/0000-0003-3882-709X

Тарасов

Р. С.

Tarasov

R. S.

Тарасов Роман Сергеевич - доктор медицинских наук заведующий лабораторией рентгенэндоваскулярной и реконструктивной хирургии сердца и сосудов отдела хирургии сердца и сосудов.

Сосновый бульвар, 6, Кемерово, 650002.

Tarasov Roman S. - M.D., Ph.D., Head of the Laboratory of Endovascular and Reconstructive Heart and Vessel Surgery, Department of Heart and Vessel Surgery, Research Institute for Complex Issues of Cardiovascular Diseases.

6, Sosonoviy Blvd., Kemerovo, 650002.

https://orcid.org/0000-0002-8277-5584

Мамчур

С. Е.

Mamchur

S. E.

Мамчур Сергей Евгеньевич - доктор медицинских наук заведующий лабораторией нарушений ритма сердца и электрокардиостимуляции отдела хирургии сердца и сосудов.

Сосновый бульвар, 6, Кемерово, 650002.

Mamchur Sergey E. - M.D., Ph.D., Head of the Arrhythmology and Pacing Laboratory, Department of Heart and Vessel Surgery, Research Institute for Complex Issues of Cardiovascular Diseases.

6, Sosonoviy Blvd., Kemerovo, 650002.

https://orcid.org/0000-0001-5708-2463

Шукевич

Д. Л.

Shukevich

D. L.

Шукевич Дмитрий Леонидович - доктор медицинских наук заведующий лабораторией анестезиологии-реаниматологии и патофизиологии критических состояний отдела хирургии сердца и сосудов.

Сосновый бульвар, 6, Кемерово, 650002.

Shukevich Dmitry L. - Ph.D., Head of the Laboratory of Anesthesiology, Intensive Care, and Pathophysiology of Critical Conditions, Department of Cardiac and Vessel Surgery, Research Institute for Complex Issues of Cardiovascular Diseases.

6, Sosonoviy Blvd., Kemerovo, 650002.

https://orcid.org/0000-0001-9764-3982

Лебедев

Д. И.

Lebedev

D. I.

Лебедев Денис Игоревич - кандидат медицинских наук научный сотрудник лаборатории пороков сердца отдела хирургии сердца и сосудов.

Сосновый бульвар, 6, Кемерово, 650002.

Lebedev Denis I. - Ph.D., a researcher at the Laboratory of Valvular Heart Disease, Department of Heart and Vessel Surgery, Research Institute for Complex Issues of Cardiovascular Diseases.

6, Sosonoviy Blvd., Kemerovo, 650002.

mdlebedevd@mail.ru

https://orcid.org/0000-0001-8076-8746

Сизова

И. Н.

Sizova

I. N.

Сизова Ирина Николаевна - кандидат медицинских наук научный сотрудник лаборатории пороков сердца отдела хирургии сердца и сосудов.

Сосновый бульвар, 6, Кемерово, 650002.

Sizova Irina N. - Ph.D., a researcher at the Laboratory of Valvular Heart Disease, Department of Heart and Vessel Surgery, Research Institute for Complex Issues of Cardiovascular Diseases.

6, Sosonoviy Blvd., Kemerovo, 650002.

Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеванийРоссияResearch Institute for Complex Issues of Cardiovascular DiseasesRussian Federation

2021

19062021

102102112

2021

Евтушенко А.В., Тарасов Р.С., Мамчур С.Е., Шукевич Д.Л., Лебедев Д.И., Сизова И.Н.

Evtushenko A.V., Tarasov R.S., Mamchur S.E., Shukevich D.L., Lebedev D.I., Sizova I.N.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.nii-kpssz.com/jour/article/view/862

Основные положения. Представленный обзор литературы посвящен современным взглядам на диагностику и тактику лечения тампонады сердца. Рассмотрены сложные вопросы выбора перикардиоцентеза и хирургического дренирования перикардиального выпота для спасения жизни пациентов в ургентных состояниях.

В обзоре систематизированы современные данные о методах диагностики и лечения тампонады сердца. Рассмотрены возможности пошаговой системы принятия решения о декомпрессии перикарда при перикардиальном выпоте для предоставления клиницистам дополнительной информации при отборе пациентов с высоким риском, требующим немедленного вмешательства, и больных, которых следует перевести в специализированное учреждение и/или которым возможно отсрочить выполнение перикардиоцентеза. Проанализированы вопросы выбора перикардиоцентеза и хирургического дренирования перикардиального выпота для оказания помощи пациентам в неотложных состояниях. Освещены практические аспекты выполнения манипуляций и технологии их контроля.

Highlights. Current and emerging approaches in diagnosis and treatment strategies in cardiac tamponade are discussed. Particular attention is focused on the choice between pericardiocentesis or open surgical drainage as live-saving approaches to treat pericardial effusion in patients with urgent conditions.

The article provides a systematic review of the literature on current and emerging approaches in the diagnosis and treatment of cardiac tamponade. We explored the decision-making process in diagnosis and treatment of pericardial decompression in pericardial effusion to provide clinicians with additional support in the assessment of high-risk patients requiring immediate intervention and those patients who should be transferred to specialized clinics and/or can be safely delayed for pericardiocentesis. The complex issues of choosing between pericardiocentesis or open surgical drainage of pericardial effusion to save the lives of patients with urgent conditions are considered. In addition, the practical aspects of manipulations and technologies for monitoring their implementation are highlighted.

ПерикардиоцентезКардиохирургическое вмешательствоРадиочастотная аблация

PericardicentesisCardiac surgeryRadiofrequency ablation

References1

Spodick D.H. Acute cardiac tamponade. N Engl J Med 2003;349:684-90. doi: 10.1056/NEJMra022643.

Imazio M., Hoit B.D. Post-cardiac injury syndromes. An emerging cause of pericardial diseases. Int J Cardiol. 2012. doi:pii:S0167-5273(12)01158-8. doi:10.1016/j.ijcard.2012.09.052.

Maisch B., Seferovic P.M., Ristic A.D., Erbel R., Rienmuller R., Adler Y., Tomkowski W.Z., Thiene G., Yacoub M.H.; 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. Eur Heart J. 2004r;25(7):587-610. doi: 10.1016/j.ehj.2004.02.002.

Weitzman L.B., Tinker W.P., Kronzon I., Cohen M.L., Glassman E., Spencer F.C. The incidence and natural history of pericardial effusion after cardiac surgery--an echocardiographic study. Circulation. 1984;69(3):506-11. doi: 10.1161/01.cir.69.3.506.

Beck C. Two cardiac compression triads. J Am Med Assoc. 1935;104:714-716.

Guberman B.A., Fowler N.O., Engel P.J., Gueron M., Allen J.M. Cardiac tamponade in medical patients. Circulation. 1981;64:633-640.

Brown J, MacKinnon D, King A, Vanderbush E. Elevated arterial blood pressure in cardiac tamponade. N Engl J Med. 1992;327:463-466. doi: 10.1056/NEJM199208133270704.

Schairer J.R., Biswas S., Keteyian S.J., Ananthasubramaniam K. A systematic approach to evaluation of pericardial effusion and cardiac tamponade. Cardiol Rev. 2011;19:233-8. doi: 10.1097/CRD.0b013e31821e202c.

Kussmaul A. Uber schwielige Mediastino-Perikarditis und den paradoxen Puls. Berl Klin Wochenschr. 1873;10:433-435.

Moreno R., Calvo L., Salinas P., Dobarro D., Santiago J.V., Sanchez-Recalde A., Galeote G., Riera L., Moreno-Gomez I., Mesa J., Plaza I., Lopez-Sendon J. Causes of peri-operative mortality after transcatheter aortic valve implantation: a pooled analysis of 12 studies and 1223 patients. J Invasive Cardiol. 2011;23(5):180-4..

Bruch C., Schmermund A., Dagres N., Bartel T., Caspari G., Sack S., Erbel R. Changes in QRS voltage in cardiac tamponade and pericardial effusion: reversibility after pericardiocentesis and after anti-inflammatory drug treatment. J Am Coll Cardiol. 2001;38:219-26. doi: 10.1016/s0735-1097(01)01313-4.

Woodring J.H. The lateral chest radiograph in the detection of pericardial effusion: a reevaluation. J Ky Med Assoc. 1998;96:218-24.

Imazio M., Spodick D.H., Brucato A., Trinchero R., Adler Y. Controversial issues in the management of pericardial diseases. Circulation. 2010;121(7):916-28. doi: 10.1161/CIRCULATIONAHA.108.844753..

Cheitlin M.D., Armstrong W.F., Aurigemma G.P., Beller G.A., Bierman F.Z., Davis J.L., Douglas P.S, Faxon D.P., Gillam L.D., Kimball T.R., Kussmaul W.G., Pearlman A.S., Philbrick J.T., Rakowski H., Thys D.M., Antman E.M., Smith S.C. Jr., Alpert J.S., Gregoratos G., Anderson J.L., Hiratzka L.F., Hunt S.A., Fuster V., Jacobs A.K., Gibbons R.J., Russell R.O.; American College of Cardiology; American Heart Association; American Society of Echocardiography. ACC/ AHA/ASE 2003 guideline update for the clinical application of echocardiography: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASE Committee to Update the 1997 Guidelines for the Clinical Application of Echocardiography). Circulation. 2003;108(9):1146-62. doi: 10.1161/01.CIR.0000073597.57414.A9..

Imazio M., Mayosi B.M., Brucato A., Markel G., Trinchero R., Spodick D.H., Adler Y. Triage and management of pericardial effusion. J Cardiovasc Med (Hagerstown). 2010;11(12):928-35. doi: 10.2459/JCM.0b013e32833e5788.

Horowitz M.S., Schultz C.S., Stinson E.B., Harrison D.C., Popp R.L. Sensitivity and specificity of echocardiographic diagnosis of pericardial effusion. Circulation. 1974;50(2):239-47. doi: 10.1161/01.cir.50.2.239..

Guntheroth W.G. Sensitivity and specificity of echocardiographic evidence of tamponade: implications for ventricular interdependence and pulsus paradoxus. Pediatr Cardiol. 2007;28(5):358-62. doi: 10.1007/s00246-005-0807-9.

Gillam L.D., Guyer D.E., Gibson T.C, King M.E., Marshall J.E., Weyman A.E. Hydrodynamic compression of the right atrium: a new echocardiographic sign of cardiac tamponade. Circulation. 1983 Aug;68(2):294-301. doi: 10.1161/01.cir.68.2.294.

Schiller N.B., Botvinick E.H. Right ventricular compression as a sign of cardiac tamponade: an analysis of echocardiographic ventricular dimensions and their clinical implications. Circulation. 1977;56(5):774-9. doi: 10.1161/01.cir.56.5.774..

Fusman B., Schwinger M.E., Charney R., Ausubel K., Cohen M.V. Isolated collapse of left-sided heart chambers in cardiac tamponade: demonstration by two-dimensional echocardiography. Am Heart J. 1991;121:613-6. doi: 10.1016/0002-8703(91)90741-y.

Bommer W.J., Follette D., Pollock M., Arena F., Bognar M., Berkoff H. Tamponade in patients undergoing cardiac surgery: a clinical-echocardiographic diagnosis. Am Heart J. 1995;130:1216-23. doi: 10.1016/0002-8703(95)90145-0.

Gilon D., Mehta R.H., Oh J.K., Januzzi J.L.Jr., Bossone E., Cooper J.V., Smith D.E., Fang J., Nienaber C.A., Eagle K.A., Isselbacher E.M.; International Registry of Acute Aortic Dissection Group. Characteristics and in-hospital outcomes of patients with cardiac tamponade complicating type A acute aortic dissection. Am J Cardiol. 2009;103(7):1029-31. doi: 10.1016/j.amjcard.2008.12.013..

Appleton C.P., Hatle L.K., Popp R.L. Cardiac tamponade and pericardial effusion: respiratory variation in transvalvular flow velocities studied by Doppler echocardiography. J Am Coll Cardiol. 1988;11:1020-30. doi: 10.1016/s0735-1097(98)90060-2.

Merce J., Sagrista-Sauleda J., Permanyer-Miralda G., Evangelista A., Soler-Soler J. Correlation between clinical and Doppler echocardiographic findings in patients with moderate and large pericardial effusion: implications for the diagnosis of cardiac tamponade. Am Heart J. 1999;138(4 Pt 1):759-64.

Himelman R.B., Kircher B., Rockey D.C., Schiller N.B. Inferior vena cava plethora with blunted respiratory response: a sensitive echocardiographic sign of cardiac tamponade. J Am Coll Cardiol 1988;12:1470-77. doi: 10.1016/s0735-1097(88)80011-1.

Hashim R., Frankel H., Tandon M., Rabinovici R. Fluid resuscitation-induced cardiac tamponade. Trauma 2002;53:1183-4. doi: 10.1097/00005373-200212000-00027.

Ristic A.D., Seferovic P.M., Ljubic A., Jovanovic I., Ristic G., Pankuweit S., Ostojic M., Maisch B. Pericardial disease in pregnancy. Herz. 2003;28:209-15. doi: 10.1007/s00059-003-2470-3.

Alter P., Figiel J.H., Rupp T.P., Bachmann G.F., Maisch B., Rominger M.B. Heart Fail Rev. 2013 May;18(3):289-306. doi: 10.1007/s10741-012-9309-z.

Restrepo C.S., Lemos D.F., Lemos J.A., Velasquez E., Diethelm L., Ovella T.A., Martinez S., Carrillo J., Moncada R., Klein J.S. Imaging findings in cardiac tamponade with emphasis on CT. Radiographics. 2007;27:1595-610. doi: 10.1148/rg.276065002.

Kolski B.C., Kakimoto W., Levin D.L., Blanchard D.G. Echocardiographic assessment of the accuracy of computed tomography in the diagnosis of hemodynamically significant pericardial effusions. J Am Soc Echocardiogr. 2008;21:377-9. doi: 10.1016/j.echo.2007.08.017.

Hayashi T., Tsukube T., Yamashita T., Haraguchi T., Matsukawa R., Kozawa S., Ogawa K., Okita Y. Impact of controlled pericardial drainage on critical cardiac tamponade with acute type A aortic dissection. Circulation. 2012;126(11 Suppl 1):S97-S101. doi: 10.1161/CIRCULATIONAHA.111.082685.

Sorajja P. Invasive hemodynamics of constrictive pericarditis, restrictive cardiomyopathy, and cardiac tamponade. Cardiol Clin. 2011;29:191-9. doi: 10.1016/j.ccl.2011.01.003.

Gascho J.A., Martins J.B., Marcus M.L., Kerber R.E. Effects of volume expansion and vasodilators in acute pericardial tamponade. Am J Physiol 1981;240:H49-H53. doi: 10.1152/ajpheart.1981.240.1.H49.

Spodick D.H. Medical treatment of cardiac tamponade. In: Caturelli G, ed. Cura intensiva cardiologica. Rome: TIPAR Poligrafica; 1991.265-8.

Imazio M., Brucato A., Rovere M.E., Gandino A., Cemin R., Ferrua S., Maestroni S., Barosi A., Simon C., Ferrazzi P., Belli R., Trinchero R., Spodick D., Adler Y. Contemporary features, risk factors, and prognosis of the post-pericardiotomy syndrome. Am J Cardiol. 2011;108(8):1183-7. doi: 10.1016/j.amjcard.2011.06.025..

Figueras J., Barrabes J.A., Serra V., Cortadellas J., Lidon R.M., Carrizo A., Garcia-Dorado D. Hospital outcome of moderate to severe pericardialeffusioncomplicatingST-elevation acute myocardial infarction. Circulation. 2010;122(19):1902-9. doi: 10.1161/CIRCULATIONAHA.109.934968.

Silvestry F.E., Kerber R.E., Brook M.M., Carroll J.D., Eberman K.M., Goldstein S.A., Herrmann H.C., Homma S., Mehran R., Packer D.L., Parisi A.F., Pulerwitz T., Seward J.B., Tsang T.S., Wood M.A. Echocardiography-guided interventions. J Am Soc Echocardiogr. 2009;22:213-31; quiz 316-7. Review. Erratum in: J Am Soc Echocardiogr. 2009;22:336. doi: 10.1016/j.echo.2008.12.013.

Maisch B., Ristic A.D., Seferovic P.M., Tsang T.S. Interventional Pericardiology: Pericardiocentesis, Pericardioscopy, Pericardial Biopsy, Balloon Pericardiotomy, and Intrapericardial Therapy. Springer Medizin Verlag Heidelberg; 2011.

Huang X.M., Hu J.Q., Zhou F., Qin Y.W., Cao J., Zhou B.Y., Zhao X.X., Zheng X. Early diagnosis and rescue pericardiocentesis for acute cardiac tamponade during radiofrequency ablation for arrhythmias. Is fluoroscopy enough? Pacing Clin Electrophysiol. 2011;34(1):9-14. doi: 10.1111/j.1540-8159.2010.02938.x.

Loukas M., Walters A., Boon J.M., Welch T.P., Meiring J.H., Abrahams P.H. Pericardiocentesis: A clinical anatomy review. Clin Anat. 2012;25(7):872-81. doi: 10.1002/ca.22032.

Ristic A.D., Wagner H.J., Maksimovic R., Maisch B. Epicardial halo phenomenon: a guide for pericardiocentesis? Heart Fail Rev. 2013;18:307-316. doi: 10.1007/s10741-012-9326-y.

Ristic A.D., Imazio M., Adler Y., Anastasakis A., Badano L.P., Brucato A., Caforio A.L., Dubourg O., Elliott P., Gimeno J., Helio T., Klingel K., Linhart A., Maisch B., Mayosi B., Mogensen J., Pinto Y., Seggewiss H., Seferovic P.M., Tavazzi L., Tomkowski W., Charron P. Triage strategy for urgent management of cardiac tamponade: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J. 2014;35(34):2279-84. doi: 10.1093/eurheartj/ehu217.

Mayosi B.M., Ntsekhe M., Bosch J., Pogue J., Gumedze F., Badri M., Jung H. et al. Rationale and design of the Investigation of the Management of Pericarditis (IMPI) trial: a 2 x 2 factorial randomized double-blind multicenter trial of adjunctive prednisolone and Mycobacterium w immunotherapy in tuberculous pericarditis. Am Heart J. 2013;165(2):109-15.e3. doi: 10.1016/j.ahj.2012.08.006..

Rafique A.M., Patel N, Biner S., Eshaghian S., Mendoza F., Cercek B., Siegel R.J. Frequency of recurrence of pericardial tamponade in patients with extended versus nonextended pericardial catheter drainage. Am J Cardiol. 2011;108:1820-5. doi: 10.1016/j.amjcard.2011.07.057.

Maisch B., Rupp H., Ristic'A.D, Pankuweit S. Pericardioscopy and epic- and pericardial biopsy-a new window to the heart improving etiological diagnoses and permitting targeted intrapericardial therapy. Heart Fail Rev 2013;18:317-328. doi: 10.1007/s10741-013-9382-y.

Imazio M., Belli R., Beqaraj F., Giammaria M., Lestuzzi C., Hoit B., LeWinter M., Spodick D.H., Adler Y.; DROP Investigators. Drainage Or Pericardiocentesis alone for recurrent nonmalignant, nonbacterial pericardial effusions requiring intervention: rationale and design of the DROP trial, a randomized, open-label, multicenter study. J Cardiovasc Med (Hagerstown). 2014;15(6):510-4. doi: 10.2459/JCM.0b013e3283621d26.

Halpern D.G., Argulian E., Briasoulis A., Chaudhry F., Aziz E.F., Herzog E. A novel pericardial effusion scoring index to guide decision for drainage. Crit Pathw Cardiol. 2012;11:85-8. doi: 10.1097/HPC.0b013e318254a5ca.

Gillebert T.C., Brooks N., Fontes-Carvalho R.. Fras Z., Gueret P., Lopez-Sendon J., Salvador M.J., van den Brink R.B., Smiseth O.A., Griebenow R. ESC Core Curriculum for the General Cardiologist (2013). Eur Heart J. 2013;34(30):2381-411. doi: 10.1093/eurheartj/eht234.

The authors declare that there are no conflicts of interest present.