A 70-year-old woman with a 2-year history of angina pectoris is admitted to hosp

Question

A 70-year-old woman with a 2-year history of angina pectoris is admitted to hospital with excruciating substernal chest pain that is not relieved by medication. Physical examination shows a blood pressure of 100/80 mmHg, respiratory rate of 30/min, diaphoresis (sweating), and dyspnea. Results of laboratory studies include WBC of 13,000/mL, CK-MB of 6.8 ng/mL, and troponin I of 3.0 ng/mL. The patient expires 6 days later A section through the heart at autopsy is shown. What was the most likely cause of death? A) Congestive heart failure B) Cardiac tamponade C) Pulmonary saddle embolism D) Ruptured myocardial infarct E) Core pulmonale

Explanation / Answer

Cardiac tamponade-answer

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It otherwise called pericardial tamponade, is when liquid in the pericardium (the sac around the heart) develops and brings about pressure of the heart. Onset might be quick or more progressive. Manifestations commonly incorporate those of cardiogenic stun including shortness of breath, shortcoming, dazedness, and hack. Different side effects may identify with the basic cause.

Normal causes incorporate disease, kidney disappointment, mid-section injury, and pericarditis. Different causes incorporate connective tissue maladies, hypothyroidism, aortic burst, and taking after heart surgery. In Africa, tuberculosis is a moderately basic cause.

Finding might be suspected in view of low circulatory strain, jugular venous distension, pericardial rub, or calm heart sounds. The determination might be further bolstered by particular electrocardiogram (ECG) changes, mid-section X-beam, or a ultrasound of the heart. In the event that liquid increments gradually the pericardial sac can grow to contain more than 2 liters; in any case, if the expansion is fast as meager as 200 mL can bring about tamponade

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