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Cardiac tamponade in COVID-19 patients: Management and outcomes.
Hakmi, Hazim; Sohail, Amir; Brathwaite, Collin; Ray, Beevash; Abrol, Sunil.
  • Hakmi H; Department of Surgery, NYU Langone Health, New York, New York.
  • Sohail A; Department of Surgery, NYU Langone Health, New York, New York.
  • Brathwaite C; Department of Surgery, NYU Langone Health, New York, New York.
  • Ray B; Department of Cardiolgoy, NYU Langone Health, New York, New York.
  • Abrol S; Department of Cardiothoracic Surgery, NYU Langone Health, New York, New York.
J Card Surg ; 35(11): 3183-3190, 2020 Nov.
Article in English | MEDLINE | ID: covidwho-713454
ABSTRACT
IMPORTANCE Cardiac tamponade requiring emergent intervention is a possible complication of coronavirus disease 2019 (COVID-19) infection. Favorable clinical outcomes are possible if timely management and drainage are performed unless ventricular failure develops. OBSERVATION Cardiac tamponade in COVID-19, based on the limited reported cases, seems to be more common among middle-aged men with observed complications in black and ethnic minorities. Prognosis is worse amongst patients with concomitant ventricular failure. DESIGN AND

METHODS:

This is a case series of three COVID-19 patients complicated by cardiac tamponade, requiring surgical intervention at a single institution in New York. INTERVENTION Pericardial window, Pericardiocentesis.

OUTCOME:

One patient had recurrence of cardiac tamponade with hemorrhagic component but fully recovered and was discharged home. Two patients developed cardiac tamponade with concomitant biventricular failure, resulting in death. CONCLUSION AND RELEVANCE Cardiac tamponade with possible concomitant biventricular failure can develop in COVID-19 patients; incidence seems to be highest at the point of marked inflammatory response. Concomitant ventricular failure seems to be a predictor of poor prognosis.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiac Tamponade / COVID-19 Type of study: Case report / Observational study / Prognostic study Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Journal: J Card Surg Journal subject: Cardiology Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiac Tamponade / COVID-19 Type of study: Case report / Observational study / Prognostic study Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Journal: J Card Surg Journal subject: Cardiology Year: 2020 Document Type: Article