Deshmukh A, Subbiah SP, Malhotra S, Deshmukh P, Pasupuleti S, Mohiuddin S. Spontaneous hemopericardium leading to cardiac tamponade in a patient with essential thrombocythemia.
Cardiol Res Pract 2011;
2011:247814. [PMID:
21318136 PMCID:
PMC3034953 DOI:
10.4061/2011/247814]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2010] [Accepted: 12/29/2010] [Indexed: 11/20/2022] Open
Abstract
Acute cardiac tamponade requires urgent diagnosis and treatment. Spontaneous
hemopericardium leading to cardiac tamponade as an initial manifestation of essential
thrombocythemia (ET) has never been reported in the literature. We report a case of a 72-year-old Caucasian female who presented with spontaneous hemopericardium and tamponade requiring emergent pericardiocentesis. The patient was subsequently diagnosed to have ET. ET is characterized by elevated platelet counts that can lead to thrombosis but paradoxically it can also lead to a bleeding diathesis. Physicians should be aware of this complication so that timely life-saving measures can be taken if this complication arises.
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