Diagnosis and treatment of heart tamponade (a literature review)
https://doi.org/10.17802/2306-1278-2021-10-2-102-112
Abstract
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.
About the Authors
A. V. Evtushenko
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Competing Interests:
Russian Federation
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.
Competing Interests:
No
R. S. Tarasov
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Competing Interests:
Russian Federation
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.
Competing Interests:
No
S. E. Mamchur
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Competing Interests:
Russian Federation
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.
Competing Interests:
No
D. L. Shukevich
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Competing Interests:
Russian Federation
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.
Competing Interests:
No
D. I. Lebedev
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Competing Interests:
Russian Federation
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.
Competing Interests:
No
I. N. Sizova
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Competing Interests:
Russian Federation
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.
Competing Interests:
No
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Review
For citations:
Evtushenko A.V., Tarasov R.S., Mamchur S.E., Shukevich D.L., Lebedev D.I., Sizova I.N. Diagnosis and treatment of heart tamponade (a literature review). Complex Issues of Cardiovascular Diseases. 2021;10(2):102-112. (In Russ.) https://doi.org/10.17802/2306-1278-2021-10-2-102-112
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