Clinical case: severe idiopathic chronic pericardial effusion

Abstract

Idiopathic Severe Chronic Pericardial Effusion is a little known topic, with few studies carried out, as well as variable etiological causes, patients who present DPCSI (Severe Idiopathic Chronic Pericardial Effusion) can usually be asymptomatic for a prolonged period of time, however, at some point they can develop symptoms and in exceptional cases complications such as Cardiac Tamponade. The clinical case presented is a 74-year-old male patient, who was admitted by a guard, due to a presumed stroke in progress, attended without family members, for which a previous pathological history was unknown, he was in poor general condition, hemodynamically unstable, with deterioration of the sensorium, which after an exhaustive evaluation by the cardiology service is assumed as a Cardiac Tamponade, thus ruling out stroke, which is why an emergency pericardiocentesis was performed, a decision that was made based on The semiological diagram of the complementary studies that were carried out, the evolution of the patient was favorable, it was determined that the cause that led to the aforementioned event was DPCSI, the patient was discharged in good condition.