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KMID : 1103620220320010034
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Korean Journal of Aerospace and Environmental Medicine
2022 Volume.32 No. 1 p.34 ~ p.36
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A Case of Pericardial Effusion after Acute Myocardial Infarction
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Kwon Young-Hwan
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Abstract
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Pericardial effusion and subsequent cardiac tamponade are recognized as infrequent complications of a ST-elevation myocardial infarction (STEMI) causing hemodynamic instability. The cause of pericarditis is mostly idiopathic which makes up around 90% of cases. Other causes are infections caused by viruses, bacteria or tuberculosis. Other causes could include neoplasms, a connective tissue disorder, renal failure, post-myocardial infarction (also known as Dressler syndrome), open heart surgery (also known as the postpericardiotomy syndrome) and drugs. Acute myocardial infarction is a significant cause of the pilot incapacitation. Pericardial effusion after treatment for acute myocardial infarction is a factor that worsens the prognosis. I present the case of a pilot with a STEMI which was treated with primary percutaneous coronary intervention (PCI) to proximal left circumflex artery. After PCI, the pilot went on to develop pericardial effusion with tamponade.
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KEYWORD
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ST elevation myocardial infarction, Pericardial effusion, Pilots, Physical examination
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